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Table 6 Clinical outcomes by the selected studies Melanoma and Immunotherapy

From: Oligometastasis and local ablation in the era of systemic targeted and immunotherapy

Authors (year of publication)

[reference]

Local Control

Progression free survival

Overall Survival

Toxicity

Gabani 2018 [35]

N/A

N/A

15.4 mo (median)

N.S.

Stera 2018 [36]

1 yr LCR: 89.5%

6 mo: 42.3%

1 yr: 25.5%

6 mo: 75.3%

1 yr: 50.8%

2 yr: 31.8%

3 > G2 (1 autoimmune hypophysitis, 1 autoimmune pancreatitis, 1 radionecrosis)a

Liniker 2016 [37]

RR: 44% e 64% b

  

3 > G2 (1 case of radiation necrosis, 2 radiation dermatitis)

Qin 2015 [32]

Ipi before RT > 6 and 12 mo response duration that Ipi after RT

 

19.6 mo (median)

6 mo: 95.1%

1 yr: 79.7%

Pts. Who received Ipi after radiation had fewer irAEs than those who received it before radiation

Diao 2018 [33]

Non-concurrent Ipi:

1 yr, 70%

Concurrent Ipi:

1 yr, 58%

N.S.

Non-concurrent Ipi:

Median,18.7 mo

1 yr, 63%

Concurrent Ipi

Median, 11.8 mo

1 yr, 50%

Acute

4 > G2 (2 cases of cerebral oedema, 2 cases of cerebral hemorrhage)c

Late

4 > G2 (Radiation Necrosis)

No G5 events

Anderson 2017 [34]

93% (at the time of death)

N.S.

N.S.

No > G3 events

1 G2 CNS bleeding

Chen 2017 [15]

Non concurrent ICI:

1 yr 79%

Concurrent ICI:

1 yr 88%

N.S.

Concurrent ICI: 24.7 mo

Non-Concurrent ICI: 14.5 mo

3% G3 acute CNS

No > G3 events

Chandra 2015 [38]

 

N.S.

28 mo (median)

N.S.

  1. aonly attributable to SRS/SBRT+Immunotherapy
  2. b44% response rate for lesions treated sequentially, 64% for lesions treated concurrently
  3. c2/4 side effects reported in pts. who did not receive Immunotherapy