PMID- 34572865 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20211001 IS - 2072-6694 (Print) IS - 2072-6694 (Electronic) IS - 2072-6694 (Linking) VI - 13 IP - 18 DP - 2021 Sep 16 TI - Sex-Based Differences in Treatment with Immune Checkpoint Inhibition and Targeted Therapy for Advanced Melanoma: A Nationwide Cohort Study. LID - 10.3390/cancers13184639 [doi] LID - 4639 AB - Recent meta-analyses show conflicting data on sex-dependent benefit following systemic treatment for advanced melanoma patients. We examined the nationwide Dutch Melanoma Treatment Registry (July 2013-July 2018), assessing sex-dependent differences in advanced melanoma patients (stage IIIC/IV) with respect to clinical characteristics, mutational profiles, treatments initiated, grade 3-4 adverse events (AEs), treatment responses, and mortality. We included 3985 patients, 2363 men (59%) and showed that although men and women with advanced melanoma differ in clinical and tumor characteristics, the safety profile of immune checkpoint inhibition (ICI) is comparable. The data suggest a 10% survival advantage for women, mainly seen in patients >/=60 years of age and patients with BRAF V600 mutant melanoma. Following ICI there was no survival difference. FAU - van der Kooij, Monique K AU - van der Kooij MK AUID- ORCID: 0000-0002-9764-5467 AD - Department of Medical Oncology, Leiden University Medical Center, Albinusdreef 2, P.O. Box 9600, 2300 RC Leiden, The Netherlands. FAU - Dekkers, Olaf M AU - Dekkers OM AD - Department of Clinical Epidemiology, Leiden University Medical Center, Albinusdreef 2, P.O. Box 9600, 2300 RC Leiden, The Netherlands. FAU - Aarts, Maureen J B AU - Aarts MJB AD - Department of Medical Oncology, Maastricht University Medical Center, P. Debyelaan 25, 6202 AZ Maastricht, The Netherlands. FAU - van den Berkmortel, Franchette W P J AU - van den Berkmortel FWPJ AD - Department of Medical Oncology, Zuyderland Medical Center, 6130 MB Sittard-Geleen, The Netherlands. FAU - Boers-Sonderen, Marye J AU - Boers-Sonderen MJ AD - Department of Medical Oncology, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6500 HB Nijmegen, The Netherlands. FAU - de Groot, Jan Willem B AU - de Groot JWB AD - Isala Oncology Center, Isala, 8000 GK Zwolle, The Netherlands. FAU - Hospers, Geke A P AU - Hospers GAP AD - Department of Medical Oncology, University Medical Center Groningen, Hanzeplein 1, 9713 GZ Groningen, The Netherlands. FAU - Piersma, Djura AU - Piersma D AD - Department of Medical Oncology, Medisch Spectrum Twente, Koningsplein 1, 7512 KZ Enschede, The Netherlands. FAU - van Rijn, Rozemarijn S AU - van Rijn RS AD - Department of Medical Oncology, Medical Center Leeuwarden, Henri Dunantweg 2, 8934 AD Leeuwarden, The Netherlands. FAU - Suijkerbuijk, Karijn P M AU - Suijkerbuijk KPM AUID- ORCID: 0000-0003-3604-5430 AD - Department of Medical Oncology, University Medical Center Utrecht, Heidelberglaan 100, 3584 CX Utrecht, The Netherlands. FAU - Westgeest, Hans M AU - Westgeest HM AUID- ORCID: 0000-0002-5735-3638 AD - Department of Internal Medicine, Amphia Ziekenhuis, Molengracht 21, 4818 CK Breda, The Netherlands. FAU - van der Veldt, Astrid A M AU - van der Veldt AAM AUID- ORCID: 0000-0003-0446-1907 AD - Departments of Medical Oncology and Radiology & Nuclear Medicine, Erasmus MC Cancer Institute, Dr. Molewaterplein 40, 3000 CA Rotterdam, The Netherlands. FAU - Vreugdenhil, Gerard AU - Vreugdenhil G AD - Department of Medical Oncology, Maxima Medical Center, de Run 4600, 5500 MB Veldhoven, The Netherlands. FAU - Wilgenhof, Sofie AU - Wilgenhof S AD - Department of Medical Oncology, Netherlands Cancer Institute-Antoni van Leeuwenhoek Hospital, Plesmanlaan 121, 1066 CX Amsterdam, The Netherlands. FAU - Wouters, Michel W J M AU - Wouters MWJM AUID- ORCID: 0000-0001-6173-0662 AD - Dutch Institute for Clinical Auditing, Rijnsburgerweg 10, 2333 AA Leiden, The Netherlands. AD - Department of Surgical Oncology, Netherlands Cancer Institute-Antoni van Leeuwenhoek Hospital, Plesmanlaan 121, 1066 CX Amsterdam, The Netherlands. FAU - Haanen, John B A G AU - Haanen JBAG AD - Department of Medical Oncology, Netherlands Cancer Institute-Antoni van Leeuwenhoek Hospital, Plesmanlaan 121, 1066 CX Amsterdam, The Netherlands. FAU - van den Eertwegh, Alfonsus J M AU - van den Eertwegh AJM AD - Department of Medical Oncology, Cancer Center Amsterdam, Amsterdam UMC, Vrije Universiteit Amsterdam, de Boelelaan 1117, 1081 HZ Amsterdam, The Netherlands. FAU - Kapiteijn, Ellen AU - Kapiteijn E AUID- ORCID: 0000-0002-4814-6426 AD - Department of Medical Oncology, Leiden University Medical Center, Albinusdreef 2, P.O. Box 9600, 2300 RC Leiden, The Netherlands. LA - eng GR - 836002002/ZONMW_/ZonMw/Netherlands PT - Journal Article DEP - 20210916 PL - Switzerland TA - Cancers (Basel) JT - Cancers JID - 101526829 PMC - PMC8465427 OTO - NOTNLM OT - advanced melanoma OT - immunotherapy OT - prospective nation-wide data OT - sex OT - targeted therapy COIS- M.J.B.S. has served as an advisory board member for Bristol-Myers Squibb, Novartis, Merck and Pierre Fabre. A.J.M.v.d.E. has served as a speaker for Bristol-Myers Squibb and Novartis and an advisory board member for Bristol Myers Squibb, MSD oncology, Amgen, Roche, Novartis, Sanofi, Pfizer, Ipsen, Merck, Pierre Fabre and has received research grants not related to this paper from Sanofi, Roche, Bristol Myers Squibb, TEVA and Idera. J.W.B.d.G. is a paid consultant for Bristol Myers Squibb, MSD, Pierre Fabre, and Servier. G.A.P.H. is an unpaid consultant/advisory board member for Bristol Myers Squibb, MSD, Roche, and Novartis. D.P. has served as an advisory board member for Amgen, Bristol Myers Squibb and Pierre Fabre. A.A.M.v.d.V. is a paid consultant for Bristol Myers Squibb, MSD, Novartis, Roche, Pfizer, Eisai, Ipsen, Pierre Fabre, Sanofi, and Bayer. J.H. is a paid consultant for AIMM, Neon Therapeutics, Immunocore, Vaximm, and Neogene Therapeutics, and reports receiving commercial research grants from Bristol Myers Squibb, MSD, Novartis, and Neon Therapeutics. K.P.M.S. has served as a consultant and/or advisory board member for Bristol Myers Squibb, Novartis, MSD, Pierre Fabre and AbbVie and received honoraria/research support not related to this manuscript from Novartis, Roche and MSD. All paid to institution. EK has served as a consultant and/or advisory board member for Bristol Myers Squibb, Novartis, Merck, Pierre Fabre and has received research grants not related to this paper from Bristol Myers Squibb. H.M.W. received travel expenses from Ipsen and honoraria from Astellas and Roche. No potential conflicts of interest were disclosed by the other authors. Role of the Funder: The funders had no role in the design of the study; in the collection, analyses or interpretation of data; in the writing of the manuscript, or in the decision to publish the results. EDAT- 2021/09/29 06:00 MHDA- 2021/09/29 06:01 PMCR- 2021/09/16 CRDT- 2021/09/28 01:07 PHST- 2021/08/19 00:00 [received] PHST- 2021/09/03 00:00 [revised] PHST- 2021/09/11 00:00 [accepted] PHST- 2021/09/28 01:07 [entrez] PHST- 2021/09/29 06:00 [pubmed] PHST- 2021/09/29 06:01 [medline] PHST- 2021/09/16 00:00 [pmc-release] AID - cancers13184639 [pii] AID - cancers-13-04639 [pii] AID - 10.3390/cancers13184639 [doi] PST - epublish SO - Cancers (Basel). 2021 Sep 16;13(18):4639. doi: 10.3390/cancers13184639.