Real-world effectiveness of pembrolizumab in advanced melanoma: analysis of a French national clinicobiological database

Author:

Casarotto Emilie12,Chandwani Sheenu3,Mortier Laurent4,Dereure Olivier5,Dutriaux Caroline6,Dalac Sophie7,Scherrer Emilie8,Lévy-Bachelot Laurie1,Verdoni Laetitia1,Farge Gaëlle1,Allayous Clara9,Oriano Bastien9,Dalle Stéphane10,Lebbé Céleste11

Affiliation:

1. MSD France, Puteaux, France

2. Current affiliation: Ividata Life Sciences, Levallois Perret, France

3. Merck & Co., Inc., Kenilworth, NJ 07033, USA

4. Department of Dermatology, CHRU de Lille, University of Lille, ONCO-THAI INSERM, Lille, U1189, France

5. Department of Dermatology, University Hospital of Montpellier, Montpellier, France

6. Department of Dermatology, Bordeaux Saint-André Hospital, Bordeaux, France

7. Department of Dermatology, University Hospital of Dijon, Dijon, France

8. MSD, London, UK

9. Department of Dermatology, AP-HP Hôpital Saint Louis, F-75010 Paris, France

10. Department of Dermatology, Hospices Civils de Lyon, Cancer Research Center of Lyon, Pierre-Bénite, France

11. Université de Paris, Department of Dermatology, AP-HP Hôpital Saint Louis, F-75010 Paris, France; INSERM U976

Abstract

Aim: To describe real-world pembrolizumab administration and outcomes for advanced melanoma in France. Materials & methods: Using the MelBase longitudinal database, this multicenter historical-prospective study examined treatment and outcomes of patients with nonuveal, unresectable stage III/IV melanoma initiating pembrolizumab from April 2016 to September 2017, with follow-up to September 2019. Kaplan–Meier time-to-event analyses were conducted. Results: Of 223 patients (median age 67; 51% men), 134 (60%), 36 (16%) and 53 (24%) initiated pembrolizumab in first-, second- and third-line, respectively. Median overall survival (months) was 32.6 (95% CI: 20.3–not reached [NR]), 14.4 (8.6–NR) and 9.3 (6.4–NR), respectively. Best real-world tumor response of complete or partial response was recorded for 49, 39 and 26% of patients, respectively. Conclusion: Study results support benefits of pembrolizumab therapy for advanced melanoma.

Funder

Merck Sharp & Dohme Corp., a subsidiary of Merck & Co., Inc., Kenilworth, NJ, USA

Publisher

Future Medicine Ltd

Subject

Oncology,Immunology,Immunology and Allergy

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