Cited by 318Cancer Immunotherapy and BiomarkersCutaneous Melanoma Detection and ManagementImmunotherapy and Immune Responses

The DOI matches its Crossref record; 23 of the 23 references it cites were found in a registry or an index.

Experience in daily practice with ipilimumab for the treatment of patients with metastatic melanoma: an early increase in lymphocyte and eosinophil counts is associated with improved survival

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Delyon, J., Mateus, C., Lefeuvre, D., Lanoy, E., Zitvogel, L., Chaput, N., Roy, S., Eggermont, A.M.M., Routier, E., Robert, C.·2013·Annals of Oncology

Abstract

Background Ipilimumab is a recently approved immunotherapy that has demonstrated an improvement in the overall survival (OS) of patients with metastatic melanoma. We report a single-institution experience in patients treated in a compassionate-use program.Patients and methods In this prospective study, patients were treated between June 2010 and September 2011. Inclusion criteria were a diagnosis of unresectable stage III or IV melanoma, at least one previous line of chemotherapy, and survival 12 weeks after the first perfusion. Four courses of ipilimumab were administered at a dose of 3 mg/kg every 3 weeks.Results Seventy-three patients were included. Median OS was 9.1 months (95% CI 6.4-11.3) from the start of ipilimumab. Immune-related adverse events were observed in 45 patients (62%), including 19 grade 3-4 events (26%). No drug-related death occurred. A lymphocyte count >1000/mm(3) at the start of the second course and an increase in the eosinophil count >100/mm(3) between the first and second infusions were correlated with an improved OS.Conclusion Ipilimumab toxic effect is manageable in real life. Biological data such as lymphocyte and eosinophil counts at the time of the second ipilimumab infusion appear to be early markers associated with better OS.

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  1. Squibb, 2011, YERVOY™ (ipilimumab) Immune-mediated adverse reaction management guide

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Metadata

Authors
Delyon, J., Mateus, C., Lefeuvre, D., Lanoy, E., Zitvogel, L., Chaput, N., Roy, S., Eggermont, A. M. M., Routier, E., & Robert, C.
Affiliations
  • Institut Gustave Roussy (FR)
  • Université Paris-Sud (FR)
  • Inserm (FR)
Corresponding author
Delyon, J.
Venue
Annals of Oncology
Publisher
Elsevier BV
Published
2013-06
Volume
24
Issue
6
Pages
1697-1703
ISSN
0923-7534 (ISSN-L)
OpenAlex
W2107863654
Cited by
318
References
23
Citations by year
2026: 6 · 2025: 9 · 2024: 10 · 2023: 11 · 2022: 21 · 2021: 28 · 2020: 36 · 2019: 31 · 2018: 31 · 2017: 43 · 2016: 36 · 2015: 32 · 2014: 13 · 2013: 9
FWCI
16.06
Type
journal article
Language
en
Open access
Locations
  • Annals of Oncology (publishedVersion)
  • PubMed (publishedVersion)
  • HighWire Press Open Archive (submittedVersion)
Topics
  • Health Sciences › Medicine › Oncology › Cancer Immunotherapy and Biomarkers
  • Health Sciences › Medicine › Oncology › Cutaneous Melanoma Detection and Management
  • Life Sciences › Immunology and Microbiology › Immunology › Immunotherapy and Immune Responses
Keywords
ipilimumab, metastatic melanoma, immune checkpoint inhibitors, overall survival, lymphocyte count, eosinophil count, immune-related adverse events, prognostic factors, compassionate use program
MeSH terms
Ipilimumab, Adult, Aged, Aged, 80 and over, Antibodies, Monoclonal, Eosinophils, Female, Humans, Lymphocytes, Male, Melanoma, Middle Aged, Prospective Studies, Skin Neoplasms, Time Factors, Survival Rate, Treatment Outcome, Lymphocyte Count, Young Adult

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