Table 3.
Review of recent trials assessing SRS and immunotherapy for the treatment of melanoma brain metastases.
| Author, year | # of patients | Best timing of SRS in relation to IT | Median overall survival (mo) | 1- and 2-y OS | Regional brain control* |
|---|---|---|---|---|---|
| Knisley et al., 2012 | 27 | Before | 21.3 | 2-y 47% | Not reported |
| Shoukat et al., 2013 | 11 | Not reported | 28.3 | Not reported | Not reported |
| Kiess et al., 2015 | 46 | Concurrent, Before | 12.4 | 1-y 65% | 1-y* 31% |
| Concurrent | Concurrent | ||||
| 56% Before | 36% Before | ||||
| 40% After | 8% After | ||||
| Schoenfeld et al., 2015 | 16 | Before | 14.4 | 1-y 54% | Not reported |
| 2-y 25% | |||||
| Patel et al., 2015 | 20 | Within 14 d | 9.1 | 1-y 42.9% | 1-y 29.1% |
| 2-y 42.9% | |||||
| Ahmed et al., 2016 | 96 | Not reported | 9–12** | 1-y 50–66%** | 1-y 21–38%** |
| Current study, 2016 | 25 | Concurrent, SRS within ≤ 30 d of IT | 35.8 mo | 1-y OS 83% | 1-y 52% |
| 2-y OS 64% | 2-y 34.8% |
If brain control rates were originally reported as brain recurrence rats, the recurrence rate was converted to a control rate by subtracting it from 100%. Asterisks are noted where this occurred.
Range reflects values for both anti-CTLA-4 and anti-PD1 agents used.