Table 5.
Response in tumor growth | Hormone reduction | Treatment | Tumor subtype | Pathology | Previous treatment | Age/sex | Ref, year [ref no] |
---|---|---|---|---|---|---|---|
intracranial: decreased by 59%, liver met: decreased by 98%. SD after 6 months |
Decreased ACTH by 100% | IPI and NIV 5 cycles followed by NIV only | ACTH-CA | Liver: mitotic index 50%, PDL-1 <1% | TSS, RT BAD, TMZ | 41/F | Lin (29) |
SD | Decreased ACTH by 30%, am cortisol by 64%, UFC by 74% | IPI and NIV 4 cycles, then NIV maintenance and ketoconazole | ACTH-CA | Ki-67:<1% | TSS, RT, TMZ | 41/M | Sol (30) |
PD | PD | PEM 4 cycles | ACTH | MIB>3%, PDL-1 negative |
TSS, RT, TMZ | 66/M | Caccese (31) |
Pituitary: decreased by 15%, liver met: decreased by 57–69%. PD after 12 months | Decreased ACTH by >93% then PD | IPI and NIV 5 cycles followed by NIV 21 cycles | ACTH-CA | Ki-67: 5%, Liver: Ki-67 10%, PDL-1 negative |
TSS, RT, TMZ | 60/F | Duhamel (94) |
PD | PD | IPI and NIV 2 cycles | PRL | Ki-67: 25% | TSS, RT, TMZ | 68/M | Duhamel (94) |
NFPA, non-functioning pituitary adenoma; CA, carcinoma; TSS, transsphenoidal surgery; RT, radiation therapy; BAD, bilateral adrenalectomy; PEM, pembrolizumab; IPI, ipilimumab; NIV, nivolumab; HR, hormonal response; SD, stable disease; PD, progressive disease; UFC, urinary free cortisol.