Efficacy of Melanoma Tx Assessed Beyond Progression

28% of patients treated beyond progression had lesion reduction >30%
28% of patients treated beyond progression had lesion reduction >30%

HealthDay News — For select patients with advanced melanoma, nivolumab beyond Response Evaluation Criteria in Solid Tumors v1.1-defined progression is beneficial, according to a study published online June 29 in JAMA Oncology.

Georgina V. Long, MB, BS, PhD, from the University of Sydney, and colleagues conducted a retrospective analysis to examine the safety and potential benefit of nivolumab in treatment-naive patients with advanced melanoma. The authors examined the tumor response and safety for patients treated beyond their first disease progression, defined as those who received their last dose of nivolumab more than 6 weeks after progression (TBP) and for patients not treated beyond progression who discontinued nivolumab therapy before or at progression (non-TBP group). 

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The researchers found that 58% of the 526 randomized patients experienced disease progression, including 28 and 72% in the TBP and non-TBP groups. A target lesion reduction of >30% after progression versus baseline (TBP >30%) occurred in 28% of the TBP patients. Seventy-six percent of TBP patients and 87% of TBP >30% patients were still alive at the time of analysis; and 32 and 46%, respectively, continued receiving treatment. The TBP and non-TBP groups had similar treatment-related select grade 3 to 4 adverse events (6 and 4%, respectively).

"Further analysis will help define the potential benefit of continued nivolumab treatment beyond progression," the authors write.

Several authors disclosed financial ties to pharmaceutical companies, including Bristol-Myers Squibb, which manufactures nivolumab and funded the study.

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