Anti-CTLA-4 (n=596) | Anti-PD-1 (n=239) | All (N=835) | ||||||||||
No preceding RT | Preceding RT | No preceding RT | Preceding RT | No preceding RT | Preceding RT | |||||||
n | % | n | % | n | % | n | % | n | % | n | % | |
Total | 446 | 100 | 150 | 100 | 154 | 100 | 85 | 100 | 600 | 100 | 235 | 100 |
Age (years), mean±SD | 62.7 (±13.1) | 57.8 (±14.6) | 59.1 (±14.6) | 58.2 (±14.1) | 61.8 (±13.6) | 57.9 (±14.4) | ||||||
Sex | ||||||||||||
Male | 265 | 59.4 | 93 | 62.0 | 88 | 57.1 | 51 | 60.0 | 353 | 58.8 | 144 | 61.3 |
Female | 181 | 40.6 | 57 | 38.0 | 66 | 42.9 | 34 | 40.0 | 247 | 41.2 | 91 | 38.8 |
Primary site | ||||||||||||
Skin | 332 | 74.4 | 109 | 72.7 | 112 | 72.7 | 63 | 74.1 | 444 | 74.0 | 172 | 73.2 |
Occult (MUP) | 43 | 9.6 | 28 | 18.7 | 21 | 13.6 | 10 | 11.8 | 64 | 10.7 | 38 | 16.2 |
Mucosa | 37 | 8.3 | 6 | 4.0 | 17 | 11.1 | 8 | 9.4 | 54 | 9.0 | 14 | 6.0 |
Uvea | 32 | 7.2 | 6 | 4.0 | 3 | 2.0 | 3 | 3.5 | 35 | 5.8 | 9 | 3.8 |
Missing data | 2 | 0.5 | 1 | 0.6 | 1 | 0.6 | 1 | 1.2 | 3 | 0.5 | 2 | 0.8 |
BRAF V600 mutational status | ||||||||||||
Wild type | 267 | 59.9 | 75 | 50.0 | 108 | 70.1 | 52 | 61.2 | 375 | 62.5 | 127 | 54.0 |
Mutation | 135 | 30.3 | 55 | 36.7 | 36 | 23.4 | 29 | 34.1 | 171 | 28.5 | 84 | 35.7 |
Missing data | 44 | 9.8 | 20 | 13.3 | 10 | 6.5 | 4 | 4.7 | 54 | 9.0 | 24 | 10.3 |
Overall performance status | ||||||||||||
ECOG=0 | 167 | 37.4 | 38 | 25.3 | 74 | 48.1 | 27 | 31.8 | 241 | 40.2 | 65 | 27.7 |
ECOG≥1 | 83 | 18.6 | 39 | 26.0 | 36 | 23.4 | 28 | 32.9 | 119 | 19.8 | 67 | 28.5 |
Missing data | 196 | 43.9 | 73 | 48.7 | 44 | 28.6 | 30 | 35.3 | 240 | 40.0 | 103 | 43.8 |
Serum LDH | ||||||||||||
Normal | 173 | 38.8 | 55 | 36.7 | 64 | 41.6 | 27 | 31.8 | 237 | 39.5 | 82 | 34.9 |
Elevated ≤twofold ULN | 132 | 29.6 | 52 | 34.7 | 49 | 31.8 | 33 | 38.8 | 181 | 30.2 | 85 | 36.2 |
Elevated >twofold ULN | 64 | 14.3 | 24 | 16.0 | 26 | 16.9 | 13 | 15.3 | 90 | 15.0 | 37 | 15.7 |
Missing data | 77 | 17.3 | 19 | 12.6 | 15 | 9.7 | 12 | 14.0 | 92 | 15.3 | 31 | 13.2 |
M stage | ||||||||||||
M1a (skin, lymph node) | 71 | 15.9 | 5 | 3.3 | 16 | 10.4 | 4 | 4.7 | 87 | 14.5 | 9 | 3.8 |
M1b (lung) | 110 | 24.7 | 16 | 10.7 | 45 | 29.2 | 9 | 10.6 | 155 | 25.8 | 25 | 10.6 |
M1c (other organ) | 185 | 41.5 | 39 | 26.0 | 77 | 50.0 | 23 | 27.1 | 262 | 43.7 | 62 | 26.4 |
M1d (brain) | 71 | 16.0 | 89 | 59.3 | 15 | 9.8 | 48 | 56.5 | 86 | 14.3 | 137 | 58.3 |
Missing data | 9 | 2.0 | 1 | 0.7 | 1 | 0.6 | 1 | 1.1 | 10 | 1.7 | 2 | 0.9 |
Bone metastases | ||||||||||||
No | 377 | 84.5 | 103 | 68.7 | 140 | 90.9 | 56 | 65.9 | 517 | 86.2 | 159 | 67.7 |
Yes | 69 | 15.5 | 47 | 31.3 | 14 | 9.1 | 29 | 34.1 | 83 | 13.8 | 76 | 32.3 |
Missing data | 0 | 0.0 | 0 | 0.0 | 0 | 0.0 | 0 | 0.0 | 0 | 0.0 | 0 | 0.0 |
Number of organ sites involved | ||||||||||||
≤3 | 343 | 76.9 | 87 | 58.0 | 111 | 72.1 | 40 | 47.1 | 454 | 75.7 | 127 | 54.0 |
>3 | 94 | 20.1 | 62 | 41.3 | 42 | 27.3 | 44 | 51.8 | 136 | 22.7 | 106 | 45.1 |
Missing data | 9 | 2.0 | 1 | 0.7 | 1 | 0.6 | 1 | 1.1 | 10 | 1.7 | 2 | 0.9 |
Systemic pretreatment in stage IV | ||||||||||||
No | 138 | 30.9 | 27 | 18.0 | 28 | 18.2 | 11 | 13.0 | 166 | 27.7 | 38 | 16.2 |
Yes | 291 | 65.2 | 123 | 82.0 | 123 | 79.8 | 72 | 84.7 | 414 | 69.0 | 195 | 83.0 |
Missing data | 17 | 3.9 | 0 | 0.0 | 3 | 2.0 | 2 | 2.3 | 20 | 3.3 | 2 | 0.8 |
Duration of stage IV disease at start of ICI (months) Median (p10; p90) | 6.0 (0.8; 26.6) | 9.8 (2.2; 42.4) | 13.7 (1.4; 36.2) | 14.2 (2.5; 43.8) | 8.2 (1.4; 26.5) | 14.7 (4.5; 68.2) |
The given patient characteristics refer to the start of the investigated ICI therapy. Percentages are given per column for each individual patient cohort. M stage categories refer to the AJCC v8 classification system; the number of organ sites refer to organs involved with metastasis; systemic pretreatment describes systemic therapies received by the patient for inoperable stage IV disease (not adjuvant) prior to the investigated ICI therapy.
BRAF, v-raf murine sarcoma viral oncogene homolog B1; ECOG, Eastern Cooperative Oncology Group; ICI, immune checkpoint inhibition; LDH, lactate dehydrogenase; MUP, melanoma of unknown primary; p10, 10th percentile; p90, 90th percentile.; RT, radiotherapy; ULN, upper limit of normal.