Immune checkpoint inhibition and targeted therapy for melanoma: A patient-oriented cross-sectional comparative

Alexander Thiem1, Pegah Mashhadiakbar1, Christiane Cussigh2

  • 1Clinic and Policlinic for Dermatology and Venereology, University Medical Center Rostock, Rostock, Germany.

Abstract

Insights

Systemic melanoma treatments impact daily life. Immune checkpoint inhibition (ICI) may offer better quality of life and fewer adverse events (AEs) than targeted therapy (TT), especially in the adjuvant setting.

Area of Science:

  • Oncology
  • Dermatology
  • Clinical Research

Background:

  • Systemic treatment selection for melanoma balances clinical factors and patient preferences.
  • Understanding treatment impact on patients' daily lives is crucial.

Purpose of the Study:

  • To evaluate how systemic therapy for melanoma affects patients' daily lives.
  • To compare patient-reported outcomes (PROs) between different systemic treatments.

Main Methods:

  • A cross-sectional study involving 414 melanoma patients across 13 German centers.
  • Utilized questionnaires to assess quality of life (QOL), adverse events (AEs), and treatment satisfaction.
  • Compared immune checkpoint inhibition (ICI) and targeted therapy (TT) groups.

Main Results:

  • Immune checkpoint inhibition (ICI) and targeted therapy (TT) were used in 87% and 13% of patients, respectively.
  • In the adjuvant setting, TT was associated with significantly lower QOL and higher AEs compared to ICI (p=0.02 and p=0.01).
  • Older patients (>63 years) reported better PROs and higher treatment satisfaction.

Conclusions:

  • Melanoma patients generally view their systemic treatments positively.
  • Immune checkpoint inhibition (ICI) may be preferable to targeted therapy (TT) for QOL and AEs in the adjuvant setting.
  • Older patients experience less disease/treatment burden and higher satisfaction.

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