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.
Authors
- G. Pretelli (ORCID: https://orcid.org/0000-0002-5550-1211)
- María Vieito (ORCID: https://orcid.org/0000-0001-7531-343X)
- E. Garralda Cabanas
- V. Galvao
- O. Mirallas
- M.J. Lostes Bardaji
- Kira Raskina (ORCID: https://orcid.org/0000-0003-0899-6175)
- A. Oberoi (ORCID: https://orcid.org/0009-0003-2207-6524)
- Irene Braña (ORCID: https://orcid.org/0000-0002-1068-9601)
- G. Alonso (ORCID: https://orcid.org/0009-0005-6973-1981)
- D. Morchón Araujo (ORCID: https://orcid.org/0009-0005-2987-3950)
- A. Hernando Calvo
- A. Mel Olano (ORCID: https://orcid.org/0009-0001-3361-4637)
- S. Perez Fernandez
Institutions
- 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)
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
- 0.00