Treatment patterns and outcomes for patients with advanced melanoma in US oncology clinical practices

Author:

Whitman Eric D1,Liu Frank Xiaoqing2,Cao Xiting2,Diede Scott J2,Haiderali Amin2,Abernethy Amy P3

Affiliation:

1. Atlantic Melanoma Center, Atlantic Health System Cancer Care, 100 Madison Ave., Morristown, NJ 07960, USA

2. Merck & Co., Inc., 2000 Galloping Hill Rd, Kenilworth, NJ 07033, USA

3. Flatiron Health, Inc., 233 Spring St, New York, NY 10013, USA

Abstract

Aim: To describe recent evolution in treatment patterns and outcomes for advanced melanoma (AMel). Methods: This retrospective observational study analyzed de-identified electronic health record data from the Flatiron Health database for 1140 adult patients who initiated first-line therapy for AMel from 1 January 2014 to 30 June 2016 with follow-up through 28 February 2017. Results: The most common first-line regimens were ipilimumab-based therapies (34%), anti-PD-1 monotherapy (26%) and BRAF/MEK inhibitor(s) (20%). First-line ipilimumab-based and BRAF inhibitor regimens decreased after the third quarter of 2014 (3Q2014), and by 2Q2016, 55 and 91% of BRAF-mutant and BRAF wild-type cohorts, respectively, received a first-line anti-PD-1 regimen. Median overall survival from first-line initiation for all patients was 18.8 months (95% CI: 16.3–23.3). Conclusion: Results illustrate changing paradigms of therapy and real-world patient outcomes for AMel.

Publisher

Future Medicine Ltd

Subject

Cancer Research,Oncology,General Medicine

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