Health-related quality of life in patients with melanoma brain metastases treated with immunotherapy

Author:

Thompson Jake R1ORCID,Lai-Kwon Julia2ORCID,Morton Rachael L13ORCID,Guminski Alexander D14ORCID,Gonzalez Maria1,Atkinson Victoria56,Sandhu Shahneen2ORCID,Brown Michael P789ORCID,Menzies Alexander M1410ORCID,McArthur Grant A2ORCID,Lo Serigne N110ORCID,Long Georgina V141011ORCID,Bartula Iris1ORCID

Affiliation:

1. Melanoma Institute of Australia, The University of Sydney, Wollstonecraft, New South Wales, 2065, Australia

2. Department of Medical Oncology, Peter MacCallum Cancer Center, Melbourne, Victoria, 3000, Australia

3. National Health and Medical Research Council Clinical Trials Center, Faculty of Medicine & Health, The University of Sydney, Sydney, New South Wales, 2050, Australia

4. Royal North Shore & Mater Hospitals, Sydney, New South Wales, 2065, Australia

5. Princess Alexandra Hospital, Woolloongabba, Queensland, 4102, Australia

6. Faculty of Medicine, University of Queensland, Brisbane, Queensland, 4072, Australia

7. Translational Oncology Laboratory, Center for Cancer Biology, SA Pathology & University of South Australia, Adelaide, South Australia, 5001, Australia

8. Cancer Clinical Trials Unit, Royal Adelaide Hospital, Adelaide, South Australia, 5000, Australia

9. Adelaide Medical School, University of Adelaide, Adelaide, South Australia, 5005, Australia

10. Faculty of Medicine & Health, The University of Sydney, Sydney, New South Wales, 2006, Australia

11. Charles Perkins Center, The University of Sydney, Sydney, New South Wales, 2006, Australia

Abstract

Aims: To describe the health-related quality of life (HRQoL) of melanoma brain metastasis (MBM) patients throughout the first 18 weeks of ipilimumab–nivolumab or nivolumab treatment. Materials & methods: HRQoL data (European Organisation for Research and Treatment of Cancer's Core Quality of Life Questionnaire, additional Brain Neoplasm Module, and EuroQol 5-Dimension 5-Level Questionnaire) were collected as a secondary outcome of the Anti-PD1 Brain Collaboration phase II trial. Mixed linear modeling assessed changes over time, whereas the Kaplan–Meier method was used to determine median time to first deterioration. Results: Asymptomatic MBM patients treated with ipilimumab–nivolumab (n = 33) or nivolumab (n = 24) maintained baseline HRQoL. MBM patients with symptoms or leptomeningeal/progressive disease treated with nivolumab (n = 14) reported a statistically significant trend toward improvement. Conclusion: MBM patients treated with either ipilimumab–nivolumab or nivolumab did not report a significant deterioration in HRQoL within 18 weeks of treatment initiation. Clinical trial registration: NCT02374242 ( ClinicalTrials.gov )

Funder

Melanoma Institute Australia

Bristol Myers Squibb

Publisher

Future Medicine Ltd

Subject

Oncology,Immunology,Immunology and Allergy

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