Yıl: 2020 Cilt: 4 Sayı: 3 Sayfa Aralığı: 209 - 214 Metin Dili: İngilizce DOI: 10.14744/ejmo.2020.44446 İndeks Tarihi: 07-11-2020

Immunotherapy in Geriatric Patients With Advanced Cancer

Öz:
Objectives: Successful responses have been obtained in treating many solid and hematological cancers using PD-1and PDL-1 inhibitors as immunotherapy treatments. Although cancer appears more frequently in elderly patients, thisgroup is not usually included in clinical trials. Therefore, studies involving geriatric patients cannot reflect real-life data.The aim of our study is to share the real-life data of patients aged 65 and over who had different cancer diagnoses andreceived immunotherapy treatments.Methods: In our study, patients aged ≥65 years who received immunotherapy treatment at our center between16.02.2016 and 31.12.2019 were evaluated retrospectively. The primary outcome was treatment tolerance and progression-free survival (PFS). The secondary outcomes was overall survey immunotherapy (OSim).Results: The median age of starting immunotherapy was 70 years (range 66–78). Comorbid diseases were present in 20(74%) of the patients. The most common primary malignancy type was renal cell cancer (RCC) (n=9, 33.3%). The medianPFS was 7.3 (range 1–49) months. After immunotherapy, complete response (CR) was seen in 2 (7.4%) patients, partialresponse (PR) in 13 (48.1%), stable response in 5 (18.5%), and progression in 7 (25.9%). The most common side effectwas fatigue, occurring in 44.4% (n=12) of patients. Moreover, 66.7% (n=18) experienced an immunotherapy-relatedadverse event (irAE), among which rash (21%), thyroid dysfunction (13%), and pneumonitis (12%) were the most common. No patient was dead due to treatment-related side effects.Conclusion: Although the efficacy of immunotherapy treatments was affected by comorbid diseases among cancerpatients, it was observed that the elderly patients have efficacy and tolerability in accordance with the literature.
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Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA yildiz b, ACAR R (2020). Immunotherapy in Geriatric Patients With Advanced Cancer. , 209 - 214. 10.14744/ejmo.2020.44446
Chicago yildiz birol,ACAR RAMAZAN Immunotherapy in Geriatric Patients With Advanced Cancer. (2020): 209 - 214. 10.14744/ejmo.2020.44446
MLA yildiz birol,ACAR RAMAZAN Immunotherapy in Geriatric Patients With Advanced Cancer. , 2020, ss.209 - 214. 10.14744/ejmo.2020.44446
AMA yildiz b,ACAR R Immunotherapy in Geriatric Patients With Advanced Cancer. . 2020; 209 - 214. 10.14744/ejmo.2020.44446
Vancouver yildiz b,ACAR R Immunotherapy in Geriatric Patients With Advanced Cancer. . 2020; 209 - 214. 10.14744/ejmo.2020.44446
IEEE yildiz b,ACAR R "Immunotherapy in Geriatric Patients With Advanced Cancer." , ss.209 - 214, 2020. 10.14744/ejmo.2020.44446
ISNAD yildiz, birol - ACAR, RAMAZAN. "Immunotherapy in Geriatric Patients With Advanced Cancer". (2020), 209-214. https://doi.org/10.14744/ejmo.2020.44446
APA yildiz b, ACAR R (2020). Immunotherapy in Geriatric Patients With Advanced Cancer. Eurasian Journal of Medicine and Oncology, 4(3), 209 - 214. 10.14744/ejmo.2020.44446
Chicago yildiz birol,ACAR RAMAZAN Immunotherapy in Geriatric Patients With Advanced Cancer. Eurasian Journal of Medicine and Oncology 4, no.3 (2020): 209 - 214. 10.14744/ejmo.2020.44446
MLA yildiz birol,ACAR RAMAZAN Immunotherapy in Geriatric Patients With Advanced Cancer. Eurasian Journal of Medicine and Oncology, vol.4, no.3, 2020, ss.209 - 214. 10.14744/ejmo.2020.44446
AMA yildiz b,ACAR R Immunotherapy in Geriatric Patients With Advanced Cancer. Eurasian Journal of Medicine and Oncology. 2020; 4(3): 209 - 214. 10.14744/ejmo.2020.44446
Vancouver yildiz b,ACAR R Immunotherapy in Geriatric Patients With Advanced Cancer. Eurasian Journal of Medicine and Oncology. 2020; 4(3): 209 - 214. 10.14744/ejmo.2020.44446
IEEE yildiz b,ACAR R "Immunotherapy in Geriatric Patients With Advanced Cancer." Eurasian Journal of Medicine and Oncology, 4, ss.209 - 214, 2020. 10.14744/ejmo.2020.44446
ISNAD yildiz, birol - ACAR, RAMAZAN. "Immunotherapy in Geriatric Patients With Advanced Cancer". Eurasian Journal of Medicine and Oncology 4/3 (2020), 209-214. https://doi.org/10.14744/ejmo.2020.44446