PMID- 31118790 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20201001 IS - 1179-1322 (Print) IS - 1179-1322 (Electronic) IS - 1179-1322 (Linking) VI - 11 DP - 2019 TI - Baseline platelet counts and derived inflammatory biomarkers: prognostic relevance in metastatic melanoma patients receiving Endostar plus dacarbazine and cisplatin. PG - 3681-3690 LID - 10.2147/CMAR.S194176 [doi] AB - Background: The clinical efficacy and safety of Endostar combined with chemotherapy in the treatment of metastatic malignant melanoma (MM) were analyzed and the indicators capable of predicting the efficacy of the regimen were identified to guide clinical practice. Patients and methods: The clinical data of 55 patients with metastatic MM without gene mutations who were treated with Endostar combined with dacarbazine and cisplatin were retrospectively analyzed. Efficacy was assessed using RECIST 1.1, and adverse events (AEs) were graded according to NCI-CTCAE 4.0. The log-rank test was used to compare the survival curves of patients in different subgroups, and stepwise multivariate Cox regression analysis was used to determine significant prognostic factors. Differences were considered statistically significant at P<0.05. Results: Of the 55 patients, seven showed a partial response, 20 showed stable disease, and 28 showed progressive disease. The median progression-free survival was 17.9 months. AEs were controllable. Univariate analysis identified biotherapy, clinical stage, clinical classification, low baseline platelet count, platelet to albumin ratio (PAR), and platelet to globulin ratio (PGR) as factors affecting drug efficacy. Multivariate Cox regression analysis identified clinical stage and PAR as independent factors predicting the efficacy of the regimen. Conclusions: Endostar combined with chemotherapy showed a curative effect on metastatic MM without gene mutations, and AEs were controllable. The baseline platelet count and derived PAR and PGR values were associated with the efficacy of the regimen. The potential value of efficacy prediction remains to be further verified by prospective random experiments. FAU - Yang, Lingge AU - Yang L AD - Department of Musculoskeletal Oncology, Fudan University Shanghai Cancer Center, Shanghai, People's Republic of China. AD - Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, People's Republic of China. FAU - Xu, Yu AU - Xu Y AD - Department of Musculoskeletal Oncology, Fudan University Shanghai Cancer Center, Shanghai, People's Republic of China. AD - Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, People's Republic of China. FAU - Luo, Peng AU - Luo P AD - Department of Musculoskeletal Oncology, Fudan University Shanghai Cancer Center, Shanghai, People's Republic of China. AD - Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, People's Republic of China. FAU - Chen, Shiqi AU - Chen S AD - Department of Musculoskeletal Oncology, Fudan University Shanghai Cancer Center, Shanghai, People's Republic of China. AD - Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, People's Republic of China. FAU - Zhu, Huiyan AU - Zhu H AD - Department of Musculoskeletal Oncology, Fudan University Shanghai Cancer Center, Shanghai, People's Republic of China. AD - Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, People's Republic of China. FAU - Wang, Chunmeng AU - Wang C AD - Department of Musculoskeletal Oncology, Fudan University Shanghai Cancer Center, Shanghai, People's Republic of China. AD - Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, People's Republic of China. LA - eng PT - Journal Article DEP - 20190429 PL - New Zealand TA - Cancer Manag Res JT - Cancer management and research JID - 101512700 PMC - PMC6500443 OTO - NOTNLM OT - Endostar OT - inflammatory biomarkers OT - melanoma OT - platelet to albumin ratio OT - platelet to globulin ratio OT - targeted therapy COIS- All authors declare that they have no competing interests in this work. EDAT- 2019/05/24 06:00 MHDA- 2019/05/24 06:01 PMCR- 2019/04/29 CRDT- 2019/05/24 06:00 PHST- 2018/11/11 00:00 [received] PHST- 2019/04/01 00:00 [accepted] PHST- 2019/05/24 06:00 [entrez] PHST- 2019/05/24 06:00 [pubmed] PHST- 2019/05/24 06:01 [medline] PHST- 2019/04/29 00:00 [pmc-release] AID - 194176 [pii] AID - 10.2147/CMAR.S194176 [doi] PST - epublish SO - Cancer Manag Res. 2019 Apr 29;11:3681-3690. doi: 10.2147/CMAR.S194176. eCollection 2019.