Review Article

Long-Term Survival, Quality of Life, and Psychosocial Outcomes in Advanced Melanoma Patients Treated with Immune Checkpoint Inhibitors

Table 2

Key features of referenced trials investigating Health Related Quality of life in patients treated with immune-checkpoint inhibitors.

First authorStudy designStudy population and AJCC stageAssessment of quality of lifeSample sizeResponse rateMain conclusions on HRQOL

Revicki D. A. et
al [33]
Phase III MDX010-20Stage IIIc/IV pts. during treatment inductionEORTC QLQ-C30 at baseline and week 12676 pts.:
IPI + gp100: N=403
IPI alone: N=137
Gp alone: N=136
Baseline ≥ 95%
Week 12:
IPI + pg100: 62%
IPI alone: 65 %
Gp alone: 61%
IPI with or without gp100 does not have significant negative impact on HRQOL during the induction phase compared to gp100 alone.

Petrella T. M. et al [50]Phase III KEYNOTE-006Stage IIIc/IV pts. during treatment inductionEORTC QLQ-C30
EQ-5D at baseline and week 12
776 pts.:
PEMBRO every 2 w.: N=270
PEMBRO every 3 w.: N=266
IPI 3 mg/kg: N=240
Baseline ≥ 98%
Week 12:
PEMBRO 2 w: 79%
PEMBRO 3 w: 85%
IPI: 74%
HRQOL was better maintained with PEMBRO than with IPI in patients with IPI-naive advanced melanoma.

Schadendorf D. et al [35]Phase III Checkmate-067Stage IIIc/IV pts. during first 12 months of treatmentEORTC QLQ-C30
EQ-5D at baseline there after resp. w. 1 and 5 of every 6 w. cycle during first 6 mos., and every 6 w. thereafter
945 pts.:
NIVO: N=316
NIVO + IPI: N=314
IPI: N=315
Baseline ≥ 89%
Week 13:
NIVO: 78%
NIVO + IPI: 53%
IPI: 63%
Results of HRQOL data support the clinical benefit of NIVO monotherapy and
NIVO plus IPI combination therapy in pts. with advanced melanoma. Differences in irAE between the 2 groups did not affect HRQOL.

Schadendorf D. et
al [34]
Phase III
KEYNOTE-002
Stage IIIc/IV pts. during the first 12 weeksEORTC QLQ-C30520 pts.:
PEMBRO 2 mg/kg: N=176
PEMBRO 10 mg/kg: N=177
Chemotherapy: N=167
Baseline:
Week 12 ≥ 93%
PEMBRO 2 mg/kg: 69%
PEMBRO 10 mg/kg: 75%
Chemotherapy: 65%
HRQOL was better maintained with PEMBRO than with chemotherapy, supporting the use of PEMBRO in pts. with IPI-refractory melanoma

gp100, glycoprotein 100 peptide vaccine; IPI, ipilimumab; NIVO, nivolumab; PEMBRO, pembrolizumab; yr., year; w., week; pts., patients; HRQOL: Health Related Quality of Life; SF-36, Short Form 36.