1. Overall Survival Benefit with Tebentafusp in Metastatic Uveal Melanoma
- Author
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Nathan, Paul, Hassel, Jessica C, Rutkowski, Piotr, Baurain, Jean-Francois, Butler, Marcus O, Schlaak, Max, Sullivan, Ryan J, Ochsenreither, Sebastian, Dummer, Reinhard, Kirkwood, John M, Joshua, Anthony M, Sacco, Joseph J, Shoushtari, Alexander N, Orloff, Marlana, Piulats, Josep M, Milhem, Mohammed, Salama, April KS, Curti, Brendan, Demidov, Lev, Gastaud, Lauris, Mauch, Cornelia, Yushak, Melinda, Carvajal, Richard D, Hamid, Omid, Abdullah, Shaad E, Holland, Chris, Goodall, Howard, Piperno-Neumann, Sophie, Investigators, IMCgp100-202, UCL - SSS/IREC/MIRO - Pôle d'imagerie moléculaire, radiothérapie et oncologie, UCL - (SLuc) Centre du cancer, and UCL - (SLuc) Unité d'oncologie médicale
- Subjects
Adult ,Male ,Uveal Neoplasms ,Oncology ,medicine.medical_specialty ,Recombinant Fusion Proteins ,MEDLINE ,Antineoplastic Agents ,Disease ,Therapeutics ,Antibodies, Monoclonal, Humanized ,law.invention ,Randomized controlled trial ,law ,Internal medicine ,medicine ,Humans ,Càncer ,Melanoma ,neoplasms ,Survival analysis ,Aged ,Cancer ,Aged, 80 and over ,business.industry ,General Medicine ,Exanthema ,Middle Aged ,Ophthalmopathies ,medicine.disease ,Terapèutica ,Ipilimumab ,Survival Analysis ,eye diseases ,Dacarbazine ,Clinical trial ,Cutaneous melanoma ,Monoclonal ,Female ,Cytokine Release Syndrome ,business ,Oftalmopaties - Abstract
Background: Uveal melanoma is a disease that is distinct from cutaneous melanoma, with a low tumor mutational burden and a 1-year overall survival of approximately 50% in patients with metastatic uveal melanoma. Data showing a proven overall survival benefit with a systemic treatment are lacking. Tebentafusp is a bispecific protein consisting of an affinity-enhanced T-cell receptor fused to an anti-CD3 effector that can redirect T cells to target glycoprotein 100-positive cells. Methods: In this open-label, phase 3 trial, we randomly assigned previously untreated HLA-A*02:01-positive patients with metastatic uveal melanoma in a 2:1 ratio to receive tebentafusp (tebentafusp group) or the investigator's choice of therapy with single-agent pembrolizumab, ipilimumab, or dacarbazine (control group), stratified according to the lactate dehydrogenase level. The primary end point was overall survival. Results: A total of 378 patients were randomly assigned to either the tebentafusp group (252 patients) or the control group (126 patients). Overall survival at 1 year was 73% in the tebentafusp group and 59% in the control group (hazard ratio for death, 0.51; 95% confidence interval [CI], 0.37 to 0.71; P
- Published
- 2021