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Checkpoint inhibitors in metastatic gastric and GEJ cancer: a multi-institutional retrospective analysis of real-world data in a Western cohort
by
Eisterer, Wolfgang
, Reimann, Patrick
, Huemer, Florian
, Riedl, Jakob
, Wöll, Ewald
, Rinnerthaler, Gabriel
, Amann, Arno
, Weiss, Lukas
, Greil, Richard
, Schlintl, Verena
, Winder, Thomas
, Ilhan-Mutlu, Aysegül
, Romeder, Franz
, Piringer, Gudrun
, Melchardt, Thomas
in
Adult
/ Aged
/ Aged, 80 and over
/ Antibodies, Monoclonal, Humanized - therapeutic use
/ Austria
/ Biomedical and Life Sciences
/ Biomedicine
/ Cancer
/ Cancer Research
/ Cancer therapies
/ Chemotherapy
/ Clinical trials
/ Complications and side effects
/ Esophageal Neoplasms - drug therapy
/ Esophageal Neoplasms - mortality
/ Esophageal Neoplasms - pathology
/ Esophagogastric Junction - pathology
/ Ethics
/ FDA approval
/ Female
/ Gastric cancer
/ Health Promotion and Disease Prevention
/ Humans
/ Immune checkpoint inhibitors
/ Immune Checkpoint Inhibitors - therapeutic use
/ Immunotherapy
/ Male
/ Medicine/Public Health
/ Metastases
/ Metastasis
/ Microsatellite instability
/ Middle Aged
/ Monoclonal antibodies
/ Nivolumab
/ Nivolumab - therapeutic use
/ Oncology
/ Patient outcomes
/ Patients
/ PD-L1 protein
/ Pembrolizumab
/ Prevention
/ Progression-Free Survival
/ Research Article
/ Retrospective Studies
/ Risk factors
/ Statistical analysis
/ Stomach cancer
/ Stomach Neoplasms - drug therapy
/ Stomach Neoplasms - mortality
/ Stomach Neoplasms - pathology
/ Surgical Oncology
/ Survival
/ Toxicity
2022
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Checkpoint inhibitors in metastatic gastric and GEJ cancer: a multi-institutional retrospective analysis of real-world data in a Western cohort
by
Eisterer, Wolfgang
, Reimann, Patrick
, Huemer, Florian
, Riedl, Jakob
, Wöll, Ewald
, Rinnerthaler, Gabriel
, Amann, Arno
, Weiss, Lukas
, Greil, Richard
, Schlintl, Verena
, Winder, Thomas
, Ilhan-Mutlu, Aysegül
, Romeder, Franz
, Piringer, Gudrun
, Melchardt, Thomas
in
Adult
/ Aged
/ Aged, 80 and over
/ Antibodies, Monoclonal, Humanized - therapeutic use
/ Austria
/ Biomedical and Life Sciences
/ Biomedicine
/ Cancer
/ Cancer Research
/ Cancer therapies
/ Chemotherapy
/ Clinical trials
/ Complications and side effects
/ Esophageal Neoplasms - drug therapy
/ Esophageal Neoplasms - mortality
/ Esophageal Neoplasms - pathology
/ Esophagogastric Junction - pathology
/ Ethics
/ FDA approval
/ Female
/ Gastric cancer
/ Health Promotion and Disease Prevention
/ Humans
/ Immune checkpoint inhibitors
/ Immune Checkpoint Inhibitors - therapeutic use
/ Immunotherapy
/ Male
/ Medicine/Public Health
/ Metastases
/ Metastasis
/ Microsatellite instability
/ Middle Aged
/ Monoclonal antibodies
/ Nivolumab
/ Nivolumab - therapeutic use
/ Oncology
/ Patient outcomes
/ Patients
/ PD-L1 protein
/ Pembrolizumab
/ Prevention
/ Progression-Free Survival
/ Research Article
/ Retrospective Studies
/ Risk factors
/ Statistical analysis
/ Stomach cancer
/ Stomach Neoplasms - drug therapy
/ Stomach Neoplasms - mortality
/ Stomach Neoplasms - pathology
/ Surgical Oncology
/ Survival
/ Toxicity
2022
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Checkpoint inhibitors in metastatic gastric and GEJ cancer: a multi-institutional retrospective analysis of real-world data in a Western cohort
by
Eisterer, Wolfgang
, Reimann, Patrick
, Huemer, Florian
, Riedl, Jakob
, Wöll, Ewald
, Rinnerthaler, Gabriel
, Amann, Arno
, Weiss, Lukas
, Greil, Richard
, Schlintl, Verena
, Winder, Thomas
, Ilhan-Mutlu, Aysegül
, Romeder, Franz
, Piringer, Gudrun
, Melchardt, Thomas
in
Adult
/ Aged
/ Aged, 80 and over
/ Antibodies, Monoclonal, Humanized - therapeutic use
/ Austria
/ Biomedical and Life Sciences
/ Biomedicine
/ Cancer
/ Cancer Research
/ Cancer therapies
/ Chemotherapy
/ Clinical trials
/ Complications and side effects
/ Esophageal Neoplasms - drug therapy
/ Esophageal Neoplasms - mortality
/ Esophageal Neoplasms - pathology
/ Esophagogastric Junction - pathology
/ Ethics
/ FDA approval
/ Female
/ Gastric cancer
/ Health Promotion and Disease Prevention
/ Humans
/ Immune checkpoint inhibitors
/ Immune Checkpoint Inhibitors - therapeutic use
/ Immunotherapy
/ Male
/ Medicine/Public Health
/ Metastases
/ Metastasis
/ Microsatellite instability
/ Middle Aged
/ Monoclonal antibodies
/ Nivolumab
/ Nivolumab - therapeutic use
/ Oncology
/ Patient outcomes
/ Patients
/ PD-L1 protein
/ Pembrolizumab
/ Prevention
/ Progression-Free Survival
/ Research Article
/ Retrospective Studies
/ Risk factors
/ Statistical analysis
/ Stomach cancer
/ Stomach Neoplasms - drug therapy
/ Stomach Neoplasms - mortality
/ Stomach Neoplasms - pathology
/ Surgical Oncology
/ Survival
/ Toxicity
2022
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Checkpoint inhibitors in metastatic gastric and GEJ cancer: a multi-institutional retrospective analysis of real-world data in a Western cohort
Journal Article
Checkpoint inhibitors in metastatic gastric and GEJ cancer: a multi-institutional retrospective analysis of real-world data in a Western cohort
2022
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Overview
Background
Safety and efficacy of immune checkpoint inhibitors in advanced gastric or gastroesophageal junction (GEJ) cancer could be demonstrated in predominantly Asian cohorts, whereas data in Western patients outside of clinical trials are vastly missing.
Methods
In this multi-institutional retrospective analysis conducted at nine oncologic centers in Austria, we tried to assess feasibility of checkpoint inhibitors in advanced gastric/GEJ cancer in a real-world Western cohort.
Results
In total, data from 50 patients with metastatic gastric/GEJ cancer who received nivolumab or pembrolizumab in a palliative setting between November 2015 and April 2020 have been evaluated. The median number of previous palliative therapy lines was two. The median progression-free survival (PFS) and overall survival (OS) were 2.1 (95% CI: 1.4
–
2.8) and 6.3 (95% CI: 3.3
–
9.3) months, respectively. There was no statistically significant difference in median OS according to microsatellite or PD-L1 status. However, a trend towards prolonged PFS and OS for the microsatellite instability high subgroup could be observed. Patients with an ECOG Performance Status (PS) ≥ 2 displayed a significantly worse outcome than those with an ECOG PS ≤ 1 (
p
= .03). Only one patient discontinued immunotherapy due to treatment-related toxicity.
Conclusions
Our results support feasibility of nivolumab and pembrolizumab in pre-treated patients with metastatic gastric and GEJ cancer in a Western real-world cohort. Further phase II/III studies are needed to confirm clinical efficacy.
Publisher
BioMed Central,BioMed Central Ltd,Springer Nature B.V,BMC
Subject
/ Aged
/ Antibodies, Monoclonal, Humanized - therapeutic use
/ Austria
/ Biomedical and Life Sciences
/ Cancer
/ Complications and side effects
/ Esophageal Neoplasms - drug therapy
/ Esophageal Neoplasms - mortality
/ Esophageal Neoplasms - pathology
/ Esophagogastric Junction - pathology
/ Ethics
/ Female
/ Health Promotion and Disease Prevention
/ Humans
/ Immune checkpoint inhibitors
/ Immune Checkpoint Inhibitors - therapeutic use
/ Male
/ Oncology
/ Patients
/ Stomach Neoplasms - drug therapy
/ Stomach Neoplasms - mortality
/ Stomach Neoplasms - pathology
/ Survival
/ Toxicity
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