Of 93 patients with pretreated, BRAF(V600) mutation-positive advanced melanoma who received vemurafenib or dabrafenib before (n = 45) or after (n = 48) treatment with ipilimumab 3 mg/kg, median overall survival (mOS) from first treatment was 9.9 and 14.5 months, respectively. Among patients treated with a BRAF inhibitor first, mOS from the end of BRAF inhibition was 1.2 months for those who did not complete ipilimumab treatment as per protocol, compared with 12.7 months for those who did (p < .001). Prospective, randomized studies are required to determine the optimal sequencing of ipilimumab and BRAF inhibitors in patients with BRAF-mutated metastatic melanoma.

Sequential treatment with ipilimumab and BRAF inhibitors in patients with metastatic melanoma: data from the Italian cohort of the ipilimumab expanded access program / Ascierto, P. A.; Simeone, E.; Sileni, V. C.; Vecchio, M. D.; Marchetti, Paolo; Antonini, G. C.; Ridolfi, R.; Rosa, F. d.; Cognetti, F.; Ferraresi, V.; Testori, A.; Queirolo, P.; Bernengo, M. G.; Guida, M.; Galli, L.; Mandalà, M.; Cimminiello, C.; Rinaldi, G.; Carnevale Schianca, F.; Maio, M.. - In: CANCER INVESTIGATION. - ISSN 0735-7907. - ELETTRONICO. - 32:(2014), pp. 144-149. [10.3109/07357907.2014.885984]

Sequential treatment with ipilimumab and BRAF inhibitors in patients with metastatic melanoma: data from the Italian cohort of the ipilimumab expanded access program.

MARCHETTI, PAOLO;F. Cognetti;
2014

Abstract

Of 93 patients with pretreated, BRAF(V600) mutation-positive advanced melanoma who received vemurafenib or dabrafenib before (n = 45) or after (n = 48) treatment with ipilimumab 3 mg/kg, median overall survival (mOS) from first treatment was 9.9 and 14.5 months, respectively. Among patients treated with a BRAF inhibitor first, mOS from the end of BRAF inhibition was 1.2 months for those who did not complete ipilimumab treatment as per protocol, compared with 12.7 months for those who did (p < .001). Prospective, randomized studies are required to determine the optimal sequencing of ipilimumab and BRAF inhibitors in patients with BRAF-mutated metastatic melanoma.
2014
Adult, Aged, Aged; 80 and over, Antibodies; Monoclonal; administration /&/ dosage, Antineoplastic Combined Chemotherapy Protocols; adverse effects/therapeutic use, Disease Progression, Drug Administration Schedule, Female, Humans, Imidazoles; administration /&/ dosage, Indoles; administration /&/ dosage, Italy, Kaplan-Meier Estimate, Male, Melanoma; drug therapy/enzymology/genetics/mortality/secondary, Middle Aged, Molecular Targeted Therapy, Mutation, Oximes; administration /&/ dosage, Protein Kinase Inhibitors; administration /&/ dosage, Proto-Oncogene Proteins B-raf; antagonists /&/ inhibitors/genetics/metabolism, Retrospective Studies, Skin Neoplasms; drug therapy/enzymology/genetics/mortality/pathology, Sulfonamides; administration /&/ dosage, Time Factors, Treatment Outcome, Young Adult
01 Pubblicazione su rivista::01a Articolo in rivista
Sequential treatment with ipilimumab and BRAF inhibitors in patients with metastatic melanoma: data from the Italian cohort of the ipilimumab expanded access program / Ascierto, P. A.; Simeone, E.; Sileni, V. C.; Vecchio, M. D.; Marchetti, Paolo; Antonini, G. C.; Ridolfi, R.; Rosa, F. d.; Cognetti, F.; Ferraresi, V.; Testori, A.; Queirolo, P.; Bernengo, M. G.; Guida, M.; Galli, L.; Mandalà, M.; Cimminiello, C.; Rinaldi, G.; Carnevale Schianca, F.; Maio, M.. - In: CANCER INVESTIGATION. - ISSN 0735-7907. - ELETTRONICO. - 32:(2014), pp. 144-149. [10.3109/07357907.2014.885984]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/760624
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