Table 2. Characteristics of Patients With New Cutaneous Melanoma After Starting Immune Checkpoint Inhibitors.
Patient No. | AJCC (8th ed) stage at ICI start (unknown primary) | Primary CMs before ICI start, No. | ICI received before new primary CM diagnosis | ICI start to new primary CM diagnosis, d | Anatomic site (Breslow thickness) of new primary CMs diagnosed after ICI start | ICI received after new primary CM(s) diagnosed | ICI duration, first to last dose, d | Other treatment of metastatic disease | ICI start to last follow-up or death, d | Vital/disease status | |
---|---|---|---|---|---|---|---|---|---|---|---|
Before ICI start | After ICI start | ||||||||||
1 | IV (no) | 1 | Ipi | 404 | Trunk (in situ)a,b | NA | 84 | S | NA | 2709 | Alive, NED |
2 | IV (no) | 2 | Pembro | 508 | Trunk (2.5 mm)c,d | NA | 189 | R, S | S | 977 | Alive, NED |
3 | IV (no) | 3 | Ipi | 391 | Trunk (1.1 mm)a,b | Pembro, nivo | 2331 | R, S | S, C | 2331 | Alive, NED |
4 | IV (no) | 2 | Ipi | 162 | Trunk (in situ)a,d | Ipi, nivo, pembro | 2029 | NA | R, S, T, I | 2139 | Alive, WD |
5 | IV (no) | 3 | Ipi | 63 | H&N (3 mm)c,d | NA | 25 | R, S | R | 2274 | Alive, NED |
340 | H&N (0.3 mm) | ||||||||||
869 | Trunk (in situ) | ||||||||||
6 | IV (no) | 1 | Ipi | 1347 | UE (in situ)a,e | NA | 73 | S | NA | 2853 | Alive, NED |
7 | III (no) | 6 | Ipi | 73 | UE (0.4 mm)c,d | NA | 31 | NA | C | 2362 | Alive, NED |
8 | IV (no) | 1 | Ipi | 593 | Trunk (in situ)a,b | NA | 42 | S, C, T | NA | 3658 | Alive, NED |
9 | IV (no) | 7 | Pembro | 531 | LE (0.3 mm)a,d | NA | 341 | NA | NA | 611 | Alive, NED |
10 | IV (no) | 1 | Ipi, nivo | 492 | H&N (in situ)e,f | NA | 42 | R, S, V | NA | 2597 | Alive, NED |
11 | IV (yes) | 1 | Ipi | 240 | UE (0.3 mm)a,d | NA | 583 | S, C | S | 3590 | Alive, NED |
12 | IV (yes) | 0 | Ipi | 280 | H&N (0.62 mm)c,d | NA | 42 | NA | R, C, T | 492 | Dead, DOD |
13 | IV (no) | 1 | Ipi, Nivo | 365 | Trunk (0.45 mm)a,b | Ipi, nivo | 966 | S, I | R, S, T | 1486 | Dead, DOD |
14 | IV (no) | 1 | Ipi | 66 | UE (0.3 mm)c,d | Ipi | 476 | S, V | R, T | 519 | Dead, DOD |
15 | IV (no) | 1 | Ipi | 338 | LE (invasive)c,d | Ipi | 735 | S | R, C, T | 759 | Dead, DOD |
16 | IV (no) | 2 | Pembro | 765 | H&N (in situ)a,b | NA | 65 | NA | NA | 968 | Alive, NED |
17 | IV (no) | 2 | Ipi | 225 | LE (in situ)c,d | Ipi | 646 | C | C, T | 680 | Dead, DOD |
254 | H&N (0.3 mm) | ||||||||||
18 | IV (no) | 1 | Ipi | 1435 | UE (in situ)a,b | NA | 63 | S | NA | 1727 | Dead, DWD |
19 | IV (no) | 1 | Pembro | 259 | UE (0.2 mm)d,f | Ipi | 667 | R | R, I | 989 | Alive, WD |
20 | IV (no) | 1 | Ipi, nivo, pembro | 382 | H&N (in situ)a,b | NA | 962 | R, S | NA | 992 | Alive, NED |
21 | IV (yes) | 1 | Ipi, nivo, pembro | 1149 | Trunk (0.38 mm)a,d | NA | 849 | R, S | R | 1332 | Alive, WD |
22 | IV (yes) | 0 | Pembro | 592 | LE (in situ)a,b | NA | 732 | NA | NA | 1318 | Alive, NED |
23 | IV (yes) | 0 | Nivo, pembro | 488 | UE (in situ)c,d | NA | 239 | NA | NA | 693 | Alive, NED |
663 | LE (0.46 mm) | ||||||||||
24 | IV (no) | 2 | Ipi | 991 | Trunk (in situ)a,d | NA | 77 | S, V | NA | 2414 | Alive, NED |
25 | IV (no) | 1 | Pembro | 159 | H&N (in situ)c,d | NA | 33 | NA | R, S | 505 | Dead, DWD |
26 | III (no) | 1 | Ipi | 39 | LE (in situ)a,d | NA | 42 | S, T | NA | 199 | Dead, DOD |
27 | IV (no) | 5 | Ipi, pembro | 2409 | H&N (in situ)a,d | NA | 2277 | S, C | NA | 3094 | Alive, NED |
28 | IV (no) | 3 | Ipi, nivo | 391 | Trunk (0.54 mm)a,b | NA | 140 | S | NA | 1680 | Alive, NED |
29 | III (yes) | 2 | Ipi, nivo | 531 | H&N (0.15 mm)a,b | NA | 42 | NA | NA | 2490 | Alive, NED |
30 | IV (yes) | 1 | Ipi | 1477 | H&N (in situ)e,f | NA | 274 | NA | R | 2894 | Dead, NOS |
31 | IV (no) | 1 | Ipi | 120 | H&N (in situ)e,f | NA | 66 | R, S | NA | 148 | Dead, DOD |
32 | III (no) | 1 | Ipi | 203 | LE (0.4 mm)a,b | Pembro | 322 | NA | S, C | 1467 | Dead, DOOC |
254 | H&N (in situ) | ||||||||||
33 | IV (no) | 2 | Ipi, nivo, pembro | 693 | Trunk (0.5 mm)a,b | Pembro | 1232 | NA | R, S, C | 1308 | Dead, DOD |
34 | IV (no) | 6 | Ipi, pembro | 1740 | Trunk (in situ)a,b | NA | 1218 | R, S, C, T, I | S, T | 2769 | Alive, NED |
2769 | UE (in situ) | ||||||||||
35 | IV (no) | 2 | Ipi | 2140 | H&N (8.4 mm)e,f | Ipi | 2588 | S | S | 2631 | Alive, WD |
36 | III (no) | 1 | Ipi | 844 | Trunk (in situ)a,b | NA | 62 | S, C, I, V, GM-CSF, TNF, IL DNCB | NA | 3518 | Alive, NED |
37 | III (no) | 1 | Ipi | 2160 | LE (in situ)c,d | NA | 522 | S | S, C | 2862 | Alive, NED |
38 | IV (yes) | 0 | Ipi | 78 | Trunk (in situ)a,d | NA | 64 | S | S | 1800 | Alive, NED |
39 | IV (yes) | 1 | Pembro | 118 | Trunk (in situ)a,b | NA | 727 | S | R | 902 | Alive, NED |
40 | IV (no) | 1 | Ipi, pembro | 351 | Trunk (in situ)a,b | NA | 125 | NA | R | 1703 | Alive, WD |
41 | IV (yes) | 0 | Ipi | 699 | UE (0.14 mm)f,e | NA | 62 | R, S | R | 1806 | Alive, WD |
42 | IV (no) | 1 | Ipi, nivo, pembro | 182 | Trunk (in situ)a,b | Nivo | 336 | S | C, T, TVEC | 542 | Dead, DOD |
Abbreviations: AJCC, American Joint Committee on Cancer; C, cytotoxic chemotherapy; CM, cutaneous melanoma; DOD, died of melanoma; DOOC, died of other cause; DWD, died with active disease but of unknown cause; GM-CSF, granulocyte-macrophage colony-stimulating factor; H&N, head and neck; I, other immunotherapy; ICI, immune checkpoint inhibitor; IL DNCB, intralesional dinitrochlorobenzene; ipi, ipilimumab; LE, lower extremity; NA, not applicable; NED, no evidence of disease; nivo, nivolumab; NOS, not otherwise specified; pembro, pembrolizumab; R, radiation; S, surgery; T, VEGFR/PDGFR/multikinase/RAF/BRAF/MEK/PI3K-γ/ERK/CDK targeted therapy; TNF, tumor necrosis factor; TVEC, talimogene laherparepvec; UE, upper extremity; V, vaccine; WD, with disease.
First identified by physician.
Identified during screening examination.
First identified by patient or family.
Identified during other visit type.
Unknown if identified during screening examination or other visit type.
Unknown who first identified lesion.