Trends in the use of immunotherapy to treat soft tissue sarcoma

被引:1
作者
Iwai, Yoshiko [1 ]
Baldwin, Xavier L. [1 ]
Feeney, Timothy [2 ]
Agala, Chris B. [1 ]
Yanagihara, Ted K. [3 ]
Stein, Jacob N. [4 ]
Kim, Hong Jin [5 ]
Spanheimer, Philip M. [5 ]
机构
[1] Univ North Carolina Chapel Hill, Dept Surg, Chapel Hill, NC USA
[2] Univ North Carolina Chapel Hill, Gillings Sch Publ Hlth, Dept Epidemiol, Chapel Hill, NC USA
[3] Univ North Carolina Chapel Hill, Dept Radiat Oncol, Chapel Hill, NC USA
[4] Univ North Carolina Chapel Hill, Dept Med Oncol, Chapel Hill, NC USA
[5] Univ North Carolina Chapel Hill, Dept Surg, Div Surg Oncol, Chapel Hill, NC USA
关键词
Sarcoma; Soft tissue sarcoma; Soft tissue mass; Immunotherapy; Immune checkpoint inhibitor; SURVIVAL; INSIGHTS; CANCER; TUMORS;
D O I
10.1016/j.amjsurg.2024.115794
中图分类号
R61 [外科手术学];
学科分类号
摘要
Background: The role of immune-oncology (IO) therapy in soft tissue sarcoma (STS) is underexplored. This study characterized IO use in STS. Methods: This is a retrospective analysis of patients with a soft tissue mass in the National Cancer Database, 2011-2021. Patients were categorized by IO receipt status. Groupwise testing and proportional trend tests were performed with Chi-squared tests. Multivariate logistic regression was performed to assess factors associated with IO receipt. Results: Of the 103,092 patients with STS, 1935 (1.9 %) received or were recommended IO therapy. IO use increased 10-fold (0.24 %-2.5 % from 2011 to 2021; p < 0.0001). Patients had higher odds of receiving IO when having higher grade tumors and metastatic disease, and when treated at an academic research center (all p < 0.001). Conclusions: IO use in STS is low but increasing and primarily used in the metastatic setting. Future studies should identify biomarkers of IO response and facilitators for treatment receipt.
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页数:8
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