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@ARTICLE{Gambichler:285235,
author = {T. Gambichler and M. Iordanou and J. C. Becker$^*$ and L.
Susok},
title = {{I}ntratumoural and systemic inflammation as predictors for
treatment response in {BRAF}-mutated melanoma patients under
targeted therapies.},
journal = {Melanoma research},
volume = {34},
number = {1},
issn = {0960-8931},
address = {[Erscheinungsort nicht ermittelbar]},
publisher = {Ovid},
reportid = {DKFZ-2023-02270},
pages = {80-83},
year = {2024},
note = {2024 Feb 1;34(1):80-83 / Short communication},
abstract = {Intratumoural as well as systemic inflammation in melanoma
has thoroughly been studied in the context of patients
treated with immune checkpoint inhibitors but not with
BRAF/MEK inhibitors (BRAFi/MEKi). We aimed to study whether
parameters of intratumoral and systemic inflammation
correlate with clinical outcome in patients with BRAF-mutant
metastatic melanoma treated with BRAFi/MEKi. We studied 51
CM patients with unresectable stage III or IV who had the
indication for BRAFi/MEKi treatment based on confirmed BRAF
mutation. Baseline systemic immune-inflammation markers such
as the systemic immune-inflammation index (SII) and the
expression of intratumoral inflammation markers such as
COX-2 protein expression were correlated with clinical
outcome measures. On multivariable analyses, lower
intratumoral COX-2 expression (OR 33.9, $95\%$ CI 3.2-356.8)
and lower SII (OR 6.3, $95\%$ CI 1.1-34.8) proved to be
significant independent predictors for objective response to
targeted therapy. Elevated S100B (HR 1.2, $95\%$ CI
1.03-1.3) was a significant predictor for progressive
disease. Moreover, elevated S100B (HR 1.37, $95\%$ CI
1.14-1.65) and LDH (HR 1.002, $95\%$ CI 1.0001-1.003) were
significant independent predictors for melanoma-specific
death. In conclusion, the present study indicates that low
SII values and low intratumoral COX-2 protein expression are
significant independent predictors for treatment response to
BRAFi/MEKi.},
cin = {ED01},
ddc = {610},
cid = {I:(DE-He78)ED01-20160331},
pnm = {899 - ohne Topic (POF4-899)},
pid = {G:(DE-HGF)POF4-899},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:37924529},
doi = {10.1097/CMR.0000000000000934},
url = {https://inrepo02.dkfz.de/record/285235},
}