Department of Dermatology, Instituto Valenciano de Oncología, Valencia, España.
Department of Oncology, Instituto Valenciano de Oncología, Valencia, España.
Actas Dermosifiliogr. 2022 Jun;113(6):T610-T615. doi: 10.1016/j.ad.2022.05.001. Epub 2022 May 4.
Management of advanced cSCC is challenging, and many available systemic medications have modest efficacy. Cemiplimab has demonstrated efficacy in the treatment of advanced cSCC in clinical trials, but real-world data are still limited. With the objective of evaluating the efficacy of cemiplimab in a real-world clinical setting, we conducted a prospective observational study of 13 patients with advanced cSCC. Six patients (46%) had locally advanced disease, while 7 (54%) had metastatic disease. A total of 8 patients (62%) responded to cemiplimab. Five (38%) showed a partial response, while 3 (23%) showed a complete response. Four patients with an initial partial response presented subsequent disease progression during follow-up. Six patients (46%) developed AEs, most of which were mild (G1). PFS was 5.9 months, with a median follow-up was 9 months. In conclusion, cemiplimab demonstrated its utility in the treatment of advanced cSCC, with acceptable response rates, a remarkable number of complete responses, and a very good safety profile.
晚期 cSCC 的治疗具有挑战性,许多可用的系统治疗药物疗效有限。西妥昔单抗在临床试验中已被证明可有效治疗晚期 cSCC,但真实世界的数据仍然有限。为了评估西妥昔单抗在真实临床环境中的疗效,我们对 13 例晚期 cSCC 患者进行了前瞻性观察研究。6 例患者(46%)为局部晚期疾病,7 例患者(54%)为转移性疾病。共有 8 例患者(62%)对西妥昔单抗有反应。5 例(38%)表现为部分缓解,3 例(23%)表现为完全缓解。4 例初始部分缓解的患者在随访期间出现疾病进展。6 例患者(46%)发生了 AE,大多数为轻度(G1)。PFS 为 5.9 个月,中位随访时间为 9 个月。总之,西妥昔单抗在治疗晚期 cSCC 方面显示了其有效性,具有可接受的缓解率、显著数量的完全缓解率和非常好的安全性。