Outcomes of Advanced Melanoma Patients (m-pts) Treated Beyond Progression with Immunotherapy (IO) in Early-Phase Clinical Trials (EFCT)

discontinuation, 19 of 35 patients (54%) experienced disease progression, with 13 of 19 patients (68%) progressing within the first 12 months.Reinduction with BRAFi/MEKi in 17 of 19 progressing patients resulted in a 76% objective response rate, while mPFS post-reinduction was not reached.Conclusions: In this real-world national cohort of melanoma patients with long-term responses to BRAFi/MEKi, a sizable proportion of patients discontinuing treatment without progressive disease became long-term survivors.Progression after discontinuation typically occurred within the first year, with reinduction of BRAFi/MEKi being highly effective.Further research is needed to identify clinical or molecular features predictive of sustained tumor control post-discontinuation to refine treatment guidelines.

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Publication Details

Journal
EJC Skin Cancer
Published
2025-01-01
DOI
https://doi.org/10.1016/j.ejcskn.2025.100633
Primary Topic
Immunotherapy and Immune Responses
Type
article
Field-Weighted Citation Impact
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article

Outcomes of Advanced Melanoma Patients (m-pts) Treated Beyond Progression with Immunotherapy (IO) in Early-Phase Clinical Trials (EFCT)

G. Pretelli, María Vieito, E. Garralda Cabanas, V. Galvao et al.
EJC Skin Cancer
Immunotherapy and Immune Responses
article

Outcomes of Advanced Melanoma Patients (m-pts) Treated Beyond Progression with Immunotherapy (IO) in Early-Phase Clinical Trials (EFCT)

G. Pretelli, María Vieito, E. Garralda Cabanas, V. Galvao, O. Mirallas, M.J. Lostes Bardaji, Kira Raskina, A. Oberoi, Irene Braña, G. Alonso, D. Morchón Araujo, A. Hernando Calvo, A. Mel Olano, S. Perez Fernandez
article en

Abstract

discontinuation, 19 of 35 patients (54%) experienced disease progression, with 13 of 19 patients (68%) progressing within the first 12 months.Reinduction with BRAFi/MEKi in 17 of 19 progressing patients resulted in a 76% objective response rate, while mPFS post-reinduction was not reached.Conclusions: In this real-world national cohort of melanoma patients with long-term responses to BRAFi/MEKi, a sizable proportion of patients discontinuing treatment without progressive disease became long-term survivors.Progression after discontinuation typically occurred within the first year, with reinduction of BRAFi/MEKi being highly effective.Further research is needed to identify clinical or molecular features predictive of sustained tumor control post-discontinuation to refine treatment guidelines.

EJC Skin CancerVol. 3
Universidad de Salamanca (ES), Vall d'Hebron Institut de Recerca (ES), Vall d'Hebron Hospital Universitari (ES), Universidad Europea de Canarias (ES), CIBBIM-Nanomedicine (ES)
Good health and well-being
Openalex Percentile: Top 93%
Immunotherapy and Immune Responses
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