Real-world treatment patterns and overall survival in BRAF-mutant melanoma patients treated with immunotherapy or targeted therapy

Author:

Atkins Michael B1ORCID,Julian Cristina2ORCID,Secrest Matthew H2ORCID,Lee Janet2,Abajo-Guijarro Ana M3,McKenna Edward2

Affiliation:

1. Georgetown Lombardi Comprehensive Cancer Center, Washington, DC 20007, USA

2. Genentech, Inc, South San Francisco, CA 94080, USA

3. F Hoffmann-La Roche Ltd, Basel, Switzerland

Abstract

Aim: To assess overall survival (OS) in patients with advanced BRAF-mutant melanoma by first-line (1L) targeted therapy (TT) or checkpoint inhibitor (CPI) use, second-line (2L) TT or CPI use, and treatment sequence. Patients & methods: Advanced BRAF-mutant melanoma patients treated with 1L CPI or TT were selected from a real-world, electronic health record-derived database. Results: CPI was associated with improved survival after adjustment for potential confounders (hazard ratio, 0.75 [95% CI, 0.66–0.87]). Median OS was similar between 2L therapies and among likely treatment sequences. Conclusion: This real-world study demonstrated a survival benefit with 1L CPI versus TT. Analyses of 2L and treatment sequences were unable to detect or rule out clinically relevant differences in OS.

Funder

F Hoffmann-La Roche

Publisher

Future Medicine Ltd

Subject

Cancer Research,Oncology,General Medicine

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