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- W3207319020 abstract "Immunotherapy (IO) provides improved treatment efficacy and survival in NSCLC patients. However, data on this treatment are released from clinical trials. There is a need for a real world data experience in IO in Lebanon. The type of metastasis in for telling of response results still well unknown currently. In this retrospective study, 124 patients were enrolled, all were stage IIIB/IV NSCLC who received IO with nivolumab, pembrolizumab or atezolizumab at any line of treatment, and were recruited between February 2012 and august 2020. Patients with no follow up or available data, or those who received less than 6 cycles of IO were excluded. IO was continued until progression, death or unacceptable toxicity. Primary endpoints were overall survival (OS) and progression free survival (PFS) from start of IO. PFS1 or PFS2 are defined as duration from starting 1st or 2nd lines of treatment respectively to progression. for Secondary endpoints include immune related toxicity. Multivariable analysis was made on correlation of metastasis type and survival. Across two Lebanese medical institutions (Mount Lebanon Hospital and Hotel Dieu de France Hospital-Saint Joseph university), we screened 140 patients, and included 124 patients who met the inclusion criteria. Median age at diagnosis was 69 years old, 28.5% were female, and 68.6% were at stage IV, 67.6% had adenocarcinoma and 32.4% had squamous cell carcinoma. Site of metastasis found were bone (22.8%), adrenal (20.3%), pleural (17.1%), brain (11.4%), liver (5.9%), and other (12.2%). Most patients (58.1%) had received chemotherapy alone and 41 % received immunotherapy at first line. At second line, majority of patients (77.1%) received immunotherapy. Median PFS1 was 7.55 months. Median PFS2 was 8.8 months. But no significant difference association was found between those who received chemotherapy and those who received immunotherapy as a first line (HR=1.63; p=0.542; 95% CI 0.34-7.79) or as a second line (HR=0.53; p=0.189; 95% CI 0.21-1.36). Rash was the most frequent immune related adverse events observed (16.13%) followed by pneumonitis (10.48%). No grade 3 or 4 immune related adverse events were seen during follow-up. Median OS was 14 months. A shorter overall survival was seen in patients who had bone metastasis (HR=3.23; p=0.002; 95% CI 1.53-6.82), but not those who had adrenal, brain or liver metastasis In real world, IO was well tolerated and our Lebanese data is comparable to international data. Concerning sites of metastasis and association with clinical outcome, we hypothesize that bone metastasis may influence efficacy to immunotherapy" @default.
- W3207319020 created "2021-10-25" @default.
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- W3207319020 date "2021-10-01" @default.
- W3207319020 modified "2023-09-26" @default.
- W3207319020 title "P10.13 Real World Outcomes for Non Small Cell Lung Cancer Treated With Checkpoint Inhibitors in Lebanon, A Multicenter Observational Study" @default.
- W3207319020 doi "https://doi.org/10.1016/j.jtho.2021.08.318" @default.
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