Efficacy and safety profile of avelumab monotherapy
Bin Zhao1, Meiling Gao1, Hong Zhao2
1The Second Affiliated Hospital & Yuying Children's Hospital, Wenzhou Medical University, Wenzhou, 325027, China.
Abstract:
Avelumab can kill cancer cells through immune checkpoint inhibition and antibody-dependent cell-mediated cytotoxicity (ADCC). Here, we analyzed the clinical efficacy and adverse events (AEs) in 3935 cancer patients from 21 trials. Compared with conventional treatment, avelumab monotherapy was associated with more tumor responses and less AEs. The pooled objective response rate was 14.18 % (95 % CI, 10.68 %-18.08 %). More PD-L1 positive patients responded to avelumab monotherapy compared to PD-L1 negative patients. The overall incidence was 73.78 % for all-grade treatment-related AE (TRAE), 14.44 % for high-grade TRAE, 6.07 % for serious adverse event, 0.44 % for fatal adverse event, 17.86 % for all-grade immune-related AE (irAE), and 3.22 % for high-grade irAE. In summary, avelumab monotherapy presents an active anti-tumor activity, shows no sign of increased toxicity due to the ADCC. These characteristics provide rational for further application of avelumab in cancer treatment.
Insights
Avelumab monotherapy demonstrates significant anti-tumor activity and a favorable safety profile in cancer patients. This immunotherapy shows promising results, especially in PD-L1 positive individuals, supporting its expanded use in cancer treatment.
Area of Science:
- Oncology
- Immunology
Background:
- Avelumab is an antibody that targets cancer cells via immune checkpoint inhibition and antibody-dependent cell-mediated cytotoxicity (ADCC).
- Understanding its clinical efficacy and safety profile is crucial for optimizing cancer treatment strategies.
Purpose of the Study:
- To evaluate the clinical efficacy and safety of avelumab monotherapy across a large patient cohort.
- To compare avelumab's outcomes against conventional treatments and analyze responses based on PD-L1 expression.
Main Methods:
- A meta-analysis of 21 clinical trials involving 3935 cancer patients treated with avelumab monotherapy.
- Data analysis focused on objective response rates (ORR), treatment-related adverse events (TRAEs), and immune-related adverse events (irAEs).
Main Results:
- Avelumab monotherapy showed a pooled ORR of 14.18% (95% CI, 10.68%-18.08%), with higher response rates in PD-L1 positive patients.
- The incidence of all-grade TRAEs was 73.78%, high-grade TRAEs was 14.44%, and all-grade irAEs was 17.86%.
- Avelumab demonstrated comparable or improved tumor response and reduced adverse events compared to conventional treatments.
Conclusions:
- Avelumab monotherapy exhibits active anti-tumor efficacy without increased toxicity, attributed to its mechanisms including ADCC.
- These findings support the continued application of avelumab as a valuable option in cancer therapy.
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