Table 1.
Clinical Characteristics | Monotherapy with Anti-PD-1 Antibody | Combined with Ipilimumab and Nivolumab | Total | |||
---|---|---|---|---|---|---|
Number of Patients | % | Number of Patients | % | Number of Patients | % | |
Total | 36 | 100 | 59 | 100 | 95 | 100 |
Sex | ||||||
Male | 18 | 50 | 36 | 61 | 54 | 57 |
Female | 18 | 50 | 23 | 39 | 41 | 43 |
Melanoma type | ||||||
Cutaneous | 27 | 75 | 36 | 61 | 63 | 66 |
Acral lentiginous | 3 | 8 | 6 | 10 | 9 | 9 |
Mucosal | 0 | 0 | 3 | 5 | 3 | 3 |
Uveal | 2 | 6 | 4 | 7 | 6 | 6 |
Occult | 3 | 8 | 9 | 15 | 12 | 13 |
Other | 1 | 3 | 1 | 2 | 2 | 2 |
AJCC cancer stage at study inclusion | ||||||
III | 18 | 50 | 2 | 3 | 20 | 21 |
IV | 18 | 50 | 57 | 97 | 75 | 79 |
First line | ||||||
Yes | 32 | 89 | 26 | 44 | 58 | 61 |
No | 4 | 11 | 33 | 56 | 37 | 39 |
Intention | ||||||
Adjuvant | 20 | 56 | 0 | 0 | 20 | 21 |
Palliative | 16 | 44 | 59 | 100 | 75 | 79 |
Origin of tissue sequenced | ||||||
Lymph node metastasis | 13 | 36 | 18 | 31 | 31 | 33 |
Other metastasis | 15 | 42 | 26 | 44 | 41 | 43 |
Primary melanoma | 6 | 17 | 9 | 15 | 15 | 16 |
CNS metastasis | 0 | 0 | 1 | 2 | 1 | 1 |
Local recurrence | 0 | 0 | 1 | 2 | 1 | 1 |
Unknown | 2 | 6 | 4 | 7 | 6 | 6 |
BRAF mutation | ||||||
Positive | 14 | 39 | 31 | 53 | 45 | 47 |
Negative | 22 | 61 | 28 | 47 | 50 | 53 |
TMB values at start immunotherapy | ||||||
Low (>3.3 Var/Mb) | 8 | 22 | 21 | 36 | 29 | 31 |
Intermediate (3.3–23.1 Var/Mb) | 19 | 53 | 25 | 42 | 44 | 46 |
High (>23.1 Var/Mb) | 9 | 25 | 10 | 17 | 19 | 20 |
Not determinable | 0 | 0 | 3 | 5 | 3 | 3 |
Pre-existing autoimmune diseases | ||||||
Diabetes Mellitus Type 1 | 0 | 0 | 2 | 3 | 2 | 2 |
Rheumatoid Arthritis | 1 | 3 | 1 | 2 | 2 | 2 |
Vitiligo | 0 | 0 | 1 | 2 | 1 | 1 |
Crohn’s Disease | 0 | 0 | 1 | 2 | 1 | 1 |
Other | 0 | 0 | 2 | 3 | 2 | 2 |
IRAE under immunotherapy | ||||||
Occurrence of IRAE | 19 | 53 | 40 | 68 | 59 | 62 |
Colitis | 2 | 6 | 18 | 31 | 20 | 21 |
Hepatitis | 3 | 8 | 11 | 19 | 14 | 15 |
Pancreatitis | 3 | 8 | 10 | 17 | 13 | 14 |
Hypophysitis | 1 | 3 | 9 | 15 | 10 | 11 |
Pneumonitis | 2 | 6 | 6 | 10 | 8 | 8 |
Thyroiditis | 1 | 3 | 6 | 10 | 7 | 7 |
Exanthema | 1 | 3 | 6 | 10 | 7 | 7 |
Nephritis | 1 | 3 | 2 | 3 | 3 | 3 |
Myositis | 0 | 0 | 3 | 5 | 3 | 3 |
Encephalitis | 1 | 3 | 2 | 3 | 3 | 3 |
Myocarditis | 1 | 3 | 1 | 2 | 2 | 2 |
Protein S100 at start of immunotherapy | ||||||
S100 elevated | 8 | 22 | 36 | 61 | 44 | 46 |
S100 normal | 28 | 78 | 23 | 39 | 51 | 54 |
LDH at start of immunotherapy | ||||||
LDH elevated | 5 | 14 | 26 | 44 | 31 | 33 |
LDH normal | 31 | 86 | 33 | 56 | 64 | 67 |
Differential blood count at start of immunotherapy | ||||||
Leucocytes | ||||||
Normal | 34 | 94 | 46 | 78 | 80 | 84 |
Increased | 2 | 6 | 8 | 14 | 10 | 11 |
Decreased | 0 | 0 | 5 | 8 | 5 | 5 |
Neutrophils abs. | ||||||
Normal | 32 | 89 | 46 | 78 | 78 | 82 |
Increased | 4 | 11 | 9 | 15 | 13 | 14 |
Decreased | 0 | 0 | 4 | 7 | 4 | 4 |
Neutrophils% | ||||||
Normal | 34 | 94 | 51 | 86 | 85 | 89 |
Increased | 1 | 3 | 6 | 10 | 7 | 7 |
Decreased | 1 | 3 | 2 | 3 | 3 | 3 |
Lymphocytes abs. | ||||||
Normal | 24 | 67 | 47 | 80 | 71 | 75 |
Increased | 1 | 3 | 1 | 2 | 2 | 2 |
Decreased | 11 | 31 | 11 | 19 | 22 | 23 |
Lymphocytes % | ||||||
Normal | 17 | 47 | 36 | 61 | 53 | 56 |
Increased | 2 | 6 | 2 | 3 | 4 | 4 |
Decreased | 17 | 47 | 21 | 36 | 38 | 40 |
Monocytes abs. | ||||||
Normal | 32 | 89 | 49 | 83 | 81 | 85 |
Increased | 3 | 8 | 9 | 15 | 12 | 13 |
Decreased | 1 | 3 | 1 | 2 | 2 | 2 |
Monocytes % | ||||||
Normal | 34 | 94 | 54 | 92 | 88 | 93 |
Increased | 2 | 6 | 5 | 8 | 7 | 7 |
Decreased | 0 | 0 | 0 | 0 | 0 | 0 |
Eosinophils abs. | ||||||
Normal | 31 | 86 | 49 | 83 | 80 | 84 |
Increased | 1 | 3 | 0 | 0 | 1 | 1 |
Decreased | 4 | 11 | 10 | 17 | 14 | 15 |
Eosinophils % | ||||||
Normal | 31 | 86 | 46 | 78 | 77 | 81 |
Increased | 1 | 3 | 0 | 0 | 1 | 1 |
Decreased | 4 | 11 | 13 | 22 | 17 | 18 |
AJCC: American Joint Committee on Cancer; CNS: Central Nervous System; BRAF: B-Rapidly Accelerated Fibrosarcoma; TMB: Tumor Mutational Burden; IRAE: Immune-Related Adverse Event; LDH: Lactate Dehydrogenase.