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Prognostic factors for survival and factors associated with long-term remission in patients with advanced melanoma receiving cytokine-based treatments: second analysis of a randomised EORTC Melanoma Group trial comparing interferon-α2a (IFNα) and interleukin 2 (IL-2) with or without cisplatin

The aim of this study was to define prognostic factors for survival, and especially for long-term survival in a mature data-set of patients with stage IV melanoma treated within a randomised trial of cytokine-based protocols. Long-term follow-up data on patients enrolled into a European Organization...

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Bibliographic Details
Main Authors: Keilholz, Ulrich (Author) , Schadendorf, Dirk (Author)
Format: Article (Journal)
Language:English
Published: 24 April 2002
In: European journal of cancer
Year: 2002, Volume: 38, Issue: 11, Pages: 1501-1511
ISSN:1879-0852
DOI:10.1016/S0959-8049(02)00123-5
Online Access:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1016/S0959-8049(02)00123-5
Verlag, lizenzpflichtig, Volltext: http://www.sciencedirect.com/science/article/pii/S0959804902001235
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Author Notes:U. Keilholz, P. Martus, C.J.A. Punt, W. Kruit, G. Mooser, D. Schadendorf, D. Liénard, R. Dummer, J. Koller, C. Voit, A.M.M. Eggermont
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Summary:The aim of this study was to define prognostic factors for survival, and especially for long-term survival in a mature data-set of patients with stage IV melanoma treated within a randomised trial of cytokine-based protocols. Long-term follow-up data on patients enrolled into a European Organization for Research and Treatment of Cancer (EORTC) trial comparing interferon-α (IFNα) plus interleukin-2 (IL-2) with or without cisplatin were collected. Univariate and multivariate Cox regression analyses wereperformed to define prognostic factors for survival. The characteristics of patients alive at 2 and 5 years after randomisation were compared with the entire cohort using the χ2 test. The minimum potential follow-up of the 131 evaluable patients was 5 years. 18 patients (14%) were alive 2 years after randomisation, and 11 (8%) 5 years after randomisation. Pretreatment performance status (PS), serum lactate dehydrogenase (LDH) and tumour mass were significant predictors for survival, whereas site of metastases and number of sites were non-significant. PS and LDH were the only independent prognostic factors. All except 1 patient alive at 2 and 5 years had a pretreatment PS of 100%, and only three long-term survivors had elevated pretreatment LDH. There was no association between the site of metastases and long-term survival. Response to treatment was a major predictor for long-term survival, whereas addition of cisplatin did not impact upon overall survival probability or on long-term survival. The probability of long-term survival in stage IV melanoma patients after IL-2-based treatments is governed by pretreatment PS, serum LDH and response to treatment. Site of metastases, the basis for the M-subcategories of the new AJCC staging system, was not informative in this study.
Item Description:Gesehen am 17.11.2020
Physical Description:Online Resource
ISSN:1879-0852
DOI:10.1016/S0959-8049(02)00123-5

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