Clinical outcomes and toxic effects of single-agent ICI treatment among geriatric patients with cancer
JAMA Nov 10, 2021
Nebhan CA, Cortellini A, Ma W, et al. - In this international cohort study, geriatric patients (aged ≥80 years) treated with immune checkpoint inhibitors (ICIs) for cancer were analyzed and findings showed likely effectiveness as well as a general good tolerability of these agents, though ICI cessation due to immune-related adverse events (irAEs) was more frequent with increasing age.
A multicenter, international retrospective analysis of 928 geriatric patients (aged ≥80 years) with different tumors managed with single-agent ICIs between 2010 to 2019 from 18 academic centers in the US and Europe.
For non–small cell lung cancer (NSCLC), melanoma, and genitourinary (GU) tumors, objective response rates were 32.2%, 39.3%, and 26.2%, respectively.
Median PFS and OS, respectively, were noted to be 6.7 and 10.9 months (NSCLC), 11.1 and 30.0 months (melanoma), and 6.0 and 15.0 months (GU).
Promising antitumor outcomes in NSCLC, melanoma, and GU tumors were achieved with single-agent ICIs; although no significant difference was observed in rate of irAEs, irAE-related ICI cessation was higher in cases aged 90 years or older, even for lower-grade irAEs.
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