Italian cohort of the nivolumab EAP in squamous NSCLC: Efficacy and safety in patients with CNS metastases

Diego Cortinovis, Rita Chiari, Annamaria Catino, Francesco Grossi, Filippo D.E. Marinis, Francesca Sperandi, Francovito Piantedosi, Milena Vitali, Hector J. Soto Parra, Maria Rita Migliorino, Carlo Tondini, Davide Tassinari, Antonio Frassoldati, Francesco Verderame, Antonio Pazzola, Francesco Cognetti, Gennaro Palmiotti, Paolo Marchetti, Armando Santoro, Diana GiannarelliFrancesca Colonese, Angelo Delmonte

Research output: Contribution to journalArticle

Abstract

Background/Aim: Brain metastases are an additional challenge in patients with non-small-cell lung cancer (NSCLC) because most chemotherapy agents cannot cross the blood–brain barrier. Nivolumab has demonstrated efficacy in patients with advanced squamous NSCLC, but because patients with central nervous system (CNS) metastases are typically excluded from registration trials, ‘field-practice’ data are needed. Patients and Methods: Patients in the Italian cohort of the Expanded Access Program (EAP) who had CNS metastases at baseline were analyzed. Results: Thirty-seven patients with CNS metastases received a median of six doses of nivolumab. Three patients (8%) had grade 3-4 adverse events and one patient discontinued due to an adverse event. The objective response rate was 19%. Median overall survival was 5.8 (95% confidence interval=1.9-9.8) months and median progression-free survival was 4.9 (95% confidence interval=2.7-7.1) months. Conclusion: The safety and efficacy of nivolumab in patients with CNS metastases appear to be similar to those seen in the overall EAP cohort in Italy.

Original languageEnglish
Pages (from-to)4265-4271
Number of pages7
JournalAnticancer Research
Volume39
Issue number8
DOIs
Publication statusPublished - Jan 1 2019

Keywords

  • Brain metastases
  • Immunotherapy
  • PD1 inhibitor
  • Real-world evidence

ASJC Scopus subject areas

  • Oncology
  • Cancer Research

Fingerprint Dive into the research topics of 'Italian cohort of the nivolumab EAP in squamous NSCLC: Efficacy and safety in patients with CNS metastases'. Together they form a unique fingerprint.

  • Cite this

    Cortinovis, D., Chiari, R., Catino, A., Grossi, F., Marinis, F. D. E., Sperandi, F., Piantedosi, F., Vitali, M., Soto Parra, H. J., Migliorino, M. R., Tondini, C., Tassinari, D., Frassoldati, A., Verderame, F., Pazzola, A., Cognetti, F., Palmiotti, G., Marchetti, P., Santoro, A., ... Delmonte, A. (2019). Italian cohort of the nivolumab EAP in squamous NSCLC: Efficacy and safety in patients with CNS metastases. Anticancer Research, 39(8), 4265-4271. https://doi.org/10.21873/anticanres.13590