دورية أكاديمية
Monitoring tumor growth rate to predict immune checkpoint inhibitors’ treatment outcome in advanced NSCLC
| العنوان: | Monitoring tumor growth rate to predict immune checkpoint inhibitors’ treatment outcome in advanced NSCLC |
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| المؤلفون: | Filippo G. Dall’Olio, Claudia Parisi, Laura Marcolin, Stefano Brocchi, Caroline Caramella, Nicole Conci, Giulia Carpani, Francesco Gelsomino, Stefano Ardizzoni, Paola Valeria Marchese, Alexandro Paccapelo, Giada Grilli, Rita Golfieri, Benjamin Besse, Andrea Ardizzoni |
| المصدر: | Therapeutic Advances in Medical Oncology, Vol 14 (2022) |
| بيانات النشر: | SAGE Publishing |
| سنة النشر: | 2022 |
| المجموعة: | Directory of Open Access Journals: DOAJ Articles |
| مصطلحات موضوعية: | Neoplasms. Tumors. Oncology. Including cancer and carcinogens, RC254-282 |
| الوصف: | Introduction: Radiological response assessment to immune checkpoint inhibitor is challenging due to atypical pattern of response and commonly used RECIST 1.1 criteria do not take into account the kinetics of tumor behavior. Our study aimed at evaluating the tumor growth rate (TGR) in addition to RECIST 1.1 criteria to assess the benefit of immune checkpoint inhibitors (ICIs). Methods: Tumor real volume was calculated with a dedicated computed tomography (CT) software that semi-automatically assess tumor volume. Target lesions were identified according to RECIST 1.1. For each patient, we had 3 measurement of tumor volume. CT-1 was performed 8–12 weeks before ICI start, the CT at baseline for ICI was CT0, while CT + 1 was the first assessment after ICI. We calculated the percentage increase in tumor volume before (TGR1) and after immunotherapy (TGR2). Finally, we compared TGR1 and TGR2. If no progressive disease (PD), the group was disease control (DC). If PD but TGR2 < TGR1, it was called LvPD and if TGR2 ⩾ TGR1, HvPD. Results: A total of 61 patients who received ICIs and 33 treated with chemotherapy (ChT) were included. In ICI group, 18 patients were HvPD, 22 LvPD, 21 DC. Median OS was 4.4 months (95% CI: 2.0–6.8, reference) for HvPD, 7.1 months (95% CI 5.4–8.8) for LvPD, p = 0.018, and 20.9 months (95% CI: 12.5–29.3) for DC, p < 0.001. In ChT group, 7 were categorized as HvPD, 17 as LvPD and 9 as DC. No difference in OS was observed in the ChT group (p = 0.786) Conclusion: In the presence of PD, a decrease in TGR may result in a clinical benefit in patients treated with ICI but not with chemotherapy. Monitoring TGR changes after ICIs administration can help physician in deciding to treat beyond PD. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| تدمد: | 1758-8359 |
| العلاقة: | https://doi.org/10.1177/17588359211058391Test; https://doaj.org/toc/1758-8359Test; https://doaj.org/article/2c7c85a1e07a4193b85273be82ac7ca4Test |
| DOI: | 10.1177/17588359211058391 |
| الإتاحة: | https://doi.org/10.1177/17588359211058391Test https://doaj.org/article/2c7c85a1e07a4193b85273be82ac7ca4Test |
| رقم الانضمام: | edsbas.43BB27D4 |
| قاعدة البيانات: | BASE |
Full Text Finder | تدمد: | 17588359 |
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| DOI: | 10.1177/17588359211058391 |