Complete response and survival outcomes in patients with advanced cancer on immune checkpoint inhibitors

被引:4
作者
Kartolo, Adi [1 ]
Yeung, Cynthia [2 ]
Hopman, Wilma [3 ]
Fung, Andrea S. [1 ]
Baetz, Tara [1 ]
Badillo, Francisco E. Vera [1 ]
机构
[1] Queens Univ, Canc Ctr Southeastern Ontario, Dept Oncol, Kingston, ON K7L 3N6, Canada
[2] Queens Univ, Kingston Hlth Sci Ctr, Dept Med, Kingston, ON K7L 3N6, Canada
[3] Queens Univ, Kingston Hlth Sci Ctr, Dept Publ Hlth Sci, Kingston, ON K7L 3N6, Canada
关键词
complete response; immune checkpoint inhibitors; overall survival; predictive factors; prognostic factors; 5-YEAR SURVIVAL; PLUS AXITINIB; PEMBROLIZUMAB; SUNITINIB; NIVOLUMAB; SURROGATE; EFFICACY; MELANOMA;
D O I
10.2217/imt-2021-0220
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Aim: To evaluate overall survival in advanced cancer patients who achieved complete response (CR) with immune checkpoint inhibitor (ICI) therapy. Methods: This retrospective study included patients with advanced unresectable or metastatic cancer who received at least one cycle of palliative-intent ICI. Best overall response was used to define response groups. Results: 21 (7%) of 322 patients achieved CR. Multivariate analysis demonstrated that CR was independently associated with better overall survival compared with disease progression (hazard ratio: 0.012; 95% CI: 0.002-0.090) and stable disease (hazard ratio: 0.063; 95% CI: 0.009-0.464) as well as a nonsignificant trend toward better overall survival compared with partial response (hazard ratio: 0.169; 95% CI: 0.023-1.252) regardless of cancer type, ICI regimen or ICI line. Conclusion: Patients who achieved CR had longer survival compared with patients who did not achieve CR.
引用
收藏
页码:777 / 787
页数:11
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