Open AccessA Multicenter Analysis of Immune Checkpoint Inhibitors as Adjuvant Therapy Following Treatment of Isolated Brain Metastasis
Author(s) -
Randall Patrinely J.,
FunckBrentano Elisa,
Nguyen Khang,
Rapisuwon Suthee,
Salem JoeElie,
Gibney Geoffrey T.,
Carlino Matteo,
Johnson Douglas B.
Publication year - 2021
Publication title -
the oncologist
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.176
H-Index - 164
eISSN - 1549-490X
pISSN - 1083-7159
DOI - 10.1002/onco.13608
Subject(s) - medicine , adjuvant , radiosurgery , ipilimumab , brain metastasis , nivolumab , adjuvant therapy , oncology , radiation therapy , surgery , immunotherapy , metastasis , chemotherapy , cancer
Abstract Background The objective of this work was to characterize outcomes of patients with isolated brain metastases managed with local therapy followed by immune checkpoint inhibitor (ICI) therapy. Materials and Methods Patients from four medical centers were included if they presented with isolated brain metastases treated with local therapy and received adjuvant treatment with ICIs. Results Eleven patients with median size of largest brain metastasis of 3.9 cm, treated with surgical resection ( n = 8) and/or stereotactic radiosurgery (SRS; n = 6), were included. Ipilimumab/nivolumab was the adjuvant ICI used in four patients, of whom one recurred (25%) and none died, compared with three of seven (43%) who recurred and two of seven (29%) who died following adjuvant treatment with ICI monotherapy. All recurrences were intracranial. Conclusion Patients with isolated brain metastases treated with surgery or SRS appeared to benefit from adjuvant ICI therapy, particularly with combination therapy. Recurrences in this setting appear to largely occur intracranially.