Tebentafusp在转移性葡萄膜黑色素瘤中的疗效和耐受性:一项真实的回顾性多中心研究。

IF 3.7 4区 医学 Q1 DERMATOLOGY Acta dermato-venereologica Pub Date : 2024-12-12 DOI:10.2340/actadv.v104.41297
Lucille Vitek, Thomas Goronflot, Caroline Dutriaux, Antoine Deleuze, Yannick Le Corre, Anne-Bénédicte Duval-Modeste, Cécile Fresnard, Géraldine Jeudy, Anouck Lamoureux, Caroline Gaudy-Marqueste, Delphine Legoupil, Barouyr Baroudjian, Jean-Matthieu L'Orphelin, Lucie Peuvrel, Amir Khammari, Laurent Mortier, Gaëlle Quereux
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摘要

转移性葡萄膜黑色素瘤是一种罕见的疾病,预后较差。通常的治疗方法尚未被证明有效。Tebentafusp是一种靶向黑色素瘤细胞和T淋巴细胞的双特异性蛋白,是首个在随机临床试验中获得批准的治疗方法,证明其具有生存益处。我们的目的是评估tebentafusp对转移性葡萄膜黑色素瘤的实际疗效和耐受性。这项回顾性研究包括来自14个法国中心的患者。纳入23例患者。1年生存率66%;中位无进展生存期为5.7个月。客观缓解率为23%,最佳总缓解为4%的患者完全缓解;部分缓解者占18%,病情稳定者占41%,病情进展者占36%。最常见的不良事件为发热、寒战、瘙痒和皮疹;30%经历了严重的不良事件。没有死亡或停止治疗与不良事件相关。这些数据显示,使用tebentafusp的患者的总生存率高于历史队列中报道的患者。
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Efficacy and Tolerability of Tebentafusp in Metastatic Uveal Melanoma: A Real-life Retrospective Multicentre Study.

Metastatic uveal melanoma is a rare disease with a poor prognosis. Usual treatments have not proven effective. Tebentafusp, a bispecific protein targeting melanoma cells and T lymphocytes, is the first approved treatment with a proven survival benefit in a randomized clinical. Our purpose was to evaluate tebentafusp's real-life efficacy and tolerability for metastatic uveal melanoma. This retrospective study included patients from 14 French centres. Twenty-three patients were included. One-year survival was 66%; median progression-free survival was 5.7 months. Objective response rate was 23% and best overall response was complete remission for 4% of patients; partial remission for 18%, stable disease for 41%, and progressive disease for 36%. The most frequent adverse events were fever, chills, pruritus, and rash; 30% experienced severe adverse events. No death or treatment discontinuation was linked to adverse events. These data showed better overall survival with tebentafusp than that reported in historical cohorts.

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来源期刊
Acta dermato-venereologica
Acta dermato-venereologica 医学-皮肤病学
CiteScore
4.90
自引率
2.80%
发文量
210
审稿时长
6-12 weeks
期刊介绍: Acta Dermato-Venereologica publishes high-quality manuscripts in English in the field of Dermatology and Venereology, dealing with new observations on basic dermatological and venereological research, as well as clinical investigations. Each volume also features a number of Review articles in special areas, as well as short Letters to the Editor to stimulate debate and to disseminate important clinical observations. Acta Dermato-Venereologica has rapid publication times and is amply illustrated with a large number of colour photographs.
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