Middleton, Mark RDalle, StephaneClaveau, JoelMut, PilarHallmeyer, SigrunPlantin, PatriceHighley, MartinKotapati, SrividyaLe, Trong KimBrokaw, JaneAbernethy, Amy P2024-07-092024-07-092016-07Middleton MR, Dalle S, Claveau J, Mut Sanchís P, Hallmeyer S, Plantin P, et al. Real-world treatment practice in patients with advanced melanoma in the era before ipilimumab: results from the IMAGE study. Cancer Med. 2016 Jul;5(7):1436-43. Epub 2016 Apr 26.2045-7634http://hdl.handle.net/20.500.13003/10282http://hdl.handle.net/20.500.12105/20271The therapeutic landscape for advanced melanoma has recently been transformed by several novel agents (immune checkpoint inhibitors and molecular-targeted agents). The prospective, multi-site, observational study IMAGE (ipilimumab: management of advanced melanoma in real practice) included a retrospective cohort to describe real-world treatment prior to approval of the immune checkpoint inhibitor ipilimumab. This retrospective cohort of patients, who started second-line/subsequent treatment (index therapy) for advanced melanoma within 3 years before ipilimumab approval, was selected randomly by chart review. Collected data included treatment history, patient outcomes, and healthcare resource utilization. All patients had >= 1 year of follow-up data. This analysis included 177 patients from Europe (69%) and North America (31%). The most common index therapies (used alone or in combination) were fotemustine (23%), dacarbazine (21%), temozolomide (14%), and platinum-based chemotherapy (14%). Most patients (89%) discontinued index treatment during the study period; the most common reason was disease progression (59%). Among patients with tumor assessment (153/177; 86%), 2% had complete response, 5% had partial response, and 12% had stable disease on last tumor assessment. At 1-year study follow-up, median progression-free survival was 2.6 months (95% confidence interval [CI], 2.1-2.9) and median overall survival was 8.8 months (95% CI, 6.5-9.7). During follow-up, 95% of the patients had healthcare visits for advanced melanoma, 74% of whom were hospitalized or admitted to a hospice facility. These results provide insights into patient care with advanced melanoma in the era before ipilimumab and may serve as a benchmark for new agents in future real-world studies.enghttp://creativecommons.org/licenses/by/4.0/Advanced melanomaIpilimumabObservational studyReal-world treatment practiceRetrospectiveresearch articleAttribution 4.0 International27118102571436-144310.1002/cam4.717Cancer Medicineopen accessResultado del TratamientoComorbilidadIpilimumabAnálisis de SupervivenciaFemeninoEstadificación de NeoplasiasMetástasis de la NeoplasiaAdolescenteMasculinoAntineoplásicosHumanosMelanomaPersona de Mediana EdadAdulto JovenProtocolos de Quimioterapia Combinada AntineoplásicaAncianoAnciano de 80 o más AñosTerapia Molecular DirigidaEstudios RetrospectivosAdultoRetratamiento2-s2.0-84991524888380048900009L611255066