Treatment patterns of melanoma by BRAF mutation status in the USA from 2011 to 2017: a retrospective cohort study

Author:

Shah Shweta1,Raskin Leon2,Cohan David3,Hamid Omid4,Freeman Morganna L5

Affiliation:

1. Global Health Economics, Amgen Inc., Thousand Oaks, CA, USA

2. Center for Observational Research, Amgen Inc., Thousand Oaks, CA, USA

3. Medical Affairs, Amgen Inc., Thousand Oaks, CA, USA

4. The Angeles Clinic & Research Institute, Los Angeles, CA, USA

5. City of Hope, Duarte, CA, USA

Abstract

Aim: To describe treatment changes from 2011 to 2017 and demographic/clinical characteristics of patients with advanced melanoma who received systemic therapy by BRAF status. Patients & methods: Treatment patterns were evaluated in adults from the Oncology Services Comprehensive Electronic Records database who received antimelanoma systemic therapy. Results: Checkpoint inhibitors were prevailingly prescribed (66%); usage increased from 2011 (21%) to 2017 (84%). BRAF/MEK inhibitors were the second most common (21%); usage increased from 2011 (6%) to 2012 (18%) and stabilized until 2017 (22%). BRAF/MEK inhibitors (65%) and checkpoint inhibitors (57%) were predominantly used for BRAFMut melanoma. Conclusion: Overall, checkpoint inhibitors have supplanted other therapies for advanced melanoma. Treatment shifts have occurred for BRAFMut melanoma, notably increased use of checkpoint inhibitors and BRAF/MEK combinations compared with monotherapies.

Publisher

Future Medicine Ltd

Subject

Dermatology,Oncology

Reference29 articles.

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2. American Cancer Society. Cancer facts & figures 2016 (2018). https://www.cancer.org/content/dam/cancer-org/research/cancer-facts-and-statistics/annual-cancer-facts-and-figures/2016/cancer-facts-and-figures-2016.pdf.

3. Melanoma treatment in review

4. Association BetweenNRASandBRAFMutational Status and Melanoma-Specific Survival Among Patients With Higher-Risk Primary Melanoma

5. BRAF mutation status is an independent prognostic factor for resected stage IIIB and IIIC melanoma: Implications for melanoma staging and adjuvant therapy

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