Adverse events associated with postoperative outcomes of adjuvant anti‐PD‐1 antibody therapy in both acral and non‐acral cutaneous melanomas: A multicenter, observational, post hoc analysis study

Author:

Muto Yusuke1,Kambayashi Yumi1ORCID,Kato Hiroshi2,Fukushima Satoshi3,Ito Takamichi4,Maekawa Takeo5ORCID,Fujisawa Yasuhiro6ORCID,Yoshino Koji7,Uchi Hiroshi8,Matsushita Shigeto9ORCID,Yamamoto Yuki10ORCID,Amagai Ryo1,Ohuchi Kentaro1,Hashimoto Akira1,Asano Yoshihide1,Fujimura Taku1ORCID

Affiliation:

1. Department of Dermatology Tohoku University Graduate School of Medicine Sendai Japan

2. Department of Geriatric and Environmental Dermatology Nagoya City University Graduate School of Medical Sciences Nagoya Japan

3. Faculty of Life Sciences, Department of Dermatology and Plastic Surgery Kumamoto University Kumamoto Japan

4. Department of Dermatology, Graduate School of Medical Science Kyushu University Fukuoka Japan

5. Department of Dermatology Jichi Medical University Shimotsuke Japan

6. Department of Dermatology Ehime University Toon Japan

7. Department of Dermato‐Oncology/Dermatology Cancer Institute Hospital of Japanese Foundation for Cancer Research Tokyo Japan

8. Department of Dermato‐Oncology National Hospital Organization Kyushu Cancer Center Fukuoka Japan

9. Department of Dermato‐Oncology/Dermatology National Hospital Organization Kagoshima Medical Center Kagoshima Japan

10. Department of Dermatology Wakayama Medical University Wakayama Japan

Abstract

AbstractSince anti‐PD‐1 Abs can cause irreversible immune‐related adverse events (irAEs), the associations between their efficacies and the incidence of irAEs are important to evaluate the use of anti‐PD‐1Abs for the treatment of melanoma, especially in the adjuvant setting. The purpose of this post hoc analysis study was to retrospectively analyze the associations between recurrence‐free survival (RFS) at 12 months and the onset of any irAEs in 31 non‐acral cutaneous and 30 acral melanoma cases treated with anti‐PD‐1 Abs therapy at the adjuvant setting in Asians. There were 20 cases with greater than grade 1 AEs in both the acral and non‐acral cutaneous groups. Of the acral melanoma, 10 cases were nails or toes, and 20 cases were soles and heels. The log‐rank test showed that RFS was better in cases with AEs than in cases without AEs. The present study suggested that the different profiles of irAEs between non‐acral cutaneous and acral melanoma might correlate with the different response to anti‐PD1 Abs of melanoma in the adjuvant setting.

Funder

Japan Agency for Medical Research and Development

Publisher

Wiley

Subject

Dermatology,General Medicine

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