Effectiveness and safety of immune checkpoint inhibitors in combination with palliative radiotherapy in advanced melanoma: A systematic review

Jennifer Ben Shimol*, Yuli Guzman-Prado, Maria Karlinskaya, Tima Davidson

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

3 Scopus citations

Abstract

Background: Radiotherapy is frequently added to immune checkpoint inhibitors (ICI) when treating melanoma. We sought to describe the efficacy of combination ICI and palliative radiotherapy (pRT) and assess safety, focusing on immune related adverse events (irAE). Methods: A systematic search for studies investigating the combination of pRT and ICI was conducted. Results: Five hundred-two articles were identified; nine met inclusion criteria. Improvements in objective response rate (p = 0.02), complete response (p = 0.04), and one-year local control (p < 0.005) were demonstrated when pRT was added to ICI. While some studies revealed improved overall and progression free survival, findings were mixed. No significant increases in adverse events or irAE were seen with the combined treatment compared with ICI alone. Conclusion: The included studies revealed that the addition of pRT to ICI is effective and safe in patients with advanced melanoma. Measures of survival varied. More studies are warranted to identify optimal conditions for combination treatment.

Original languageEnglish
Article number103499
JournalCritical Reviews in Oncology/Hematology
Volume167
DOIs
StatePublished - Nov 2021

Keywords

  • Immune checkpoint inhibitors
  • Immune-related adverse events
  • Immunotherapy
  • Melanoma
  • Palliative
  • Radiotherapy

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