No significant deterioration in health-related quality of life in patients with melanoma brain metastases treated with immunotherapy

May 8, 2023

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.

Source:

Thompson, J. R., Lai-Kwon, J., Morton, R. L., Guminski, A. D., Gonzalez, M., Atkinson, V., Sandhu, S., Brown, M. P., Menzies, A. M., McArthur, G. A., Lo, S. N., Long, G. V., & Bartula, I. (2023). Health-related quality of life in patients with melanoma brain metastases treated with immunotherapy. Immunotherapy. https://doi.org/10.2217/imt-20... 

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