TY - JOUR
T1 - Safety and efficacy of the anti-PD1 immunotherapy with nivolumab in trichoblastic carcinomas
AU - Toulemonde, E.
AU - Chevret, S.
AU - Battistella, M.
AU - Neidhardt, E. M.
AU - Nardin, C.
AU - Le Du, F.
AU - Meyer, N.
AU - Véron, M.
AU - Gambotti, L.
AU - Lamrani-Ghaouti, A.
AU - Jamme, P.
AU - Chaffaut, C.
AU - De Pontville, M.
AU - Saada-Bouzid, E.
AU - Beylot-Barry, M.
AU - Simon, C.
AU - Jouary, T.
AU - Marabelle, A.
AU - Mortier, L.
N1 - Publisher Copyright:
© 2023, The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.
PY - 2023/8/1
Y1 - 2023/8/1
N2 - Trichoblastic carcinoma is a rare malignant cutaneous adnexal tumor with a risk of local invasion and distant metastasis. As of today, there is no consensus for the treatment of locally advanced or metastatic trichoblastic carcinoma. “AcSé Nivolumab” is a multi-center Phase II basket clinical trial (NCT03012581) evaluating the safety and efficacy of nivolumab in several cohorts of rare, advanced cancers. Here we report the results of nivolumab in patients with trichoblastic carcinoma. Of the eleven patients enrolled in the study, five patients had been previously treated by sonic hedgehog inhibitors. The primary endpoint 12-week objective response rate was 9.1% (N = 1/11) with 1 partial response. Six patients who progressed under previous lines of treatment showed stable disease at 12 weeks, reflecting a good control of the disease with nivolumab. Furthermore, 54.5% of the patients (N = 6/11) had their disease under control at 6 months. The 1-year overall survival was 80%, and the median progression-free survival was 8.4 months (95%CI, 5.7 to NA). With 2 responders (2 complete responses), the best response rate to nivolumab at any time was 18.2% (95%CI, 2.3–51.8%). No new safety signals were identified, and adverse events observed herein were previously described and well known with nivolumab monotherapy. These results are promising, suggesting that nivolumab might be an option for patients with advanced trichoblastic carcinomas. Further studies on larger cohorts are necessary to confirm these results and define the role of nivolumab in the treatment of trichoblastic carcinomas.
AB - Trichoblastic carcinoma is a rare malignant cutaneous adnexal tumor with a risk of local invasion and distant metastasis. As of today, there is no consensus for the treatment of locally advanced or metastatic trichoblastic carcinoma. “AcSé Nivolumab” is a multi-center Phase II basket clinical trial (NCT03012581) evaluating the safety and efficacy of nivolumab in several cohorts of rare, advanced cancers. Here we report the results of nivolumab in patients with trichoblastic carcinoma. Of the eleven patients enrolled in the study, five patients had been previously treated by sonic hedgehog inhibitors. The primary endpoint 12-week objective response rate was 9.1% (N = 1/11) with 1 partial response. Six patients who progressed under previous lines of treatment showed stable disease at 12 weeks, reflecting a good control of the disease with nivolumab. Furthermore, 54.5% of the patients (N = 6/11) had their disease under control at 6 months. The 1-year overall survival was 80%, and the median progression-free survival was 8.4 months (95%CI, 5.7 to NA). With 2 responders (2 complete responses), the best response rate to nivolumab at any time was 18.2% (95%CI, 2.3–51.8%). No new safety signals were identified, and adverse events observed herein were previously described and well known with nivolumab monotherapy. These results are promising, suggesting that nivolumab might be an option for patients with advanced trichoblastic carcinomas. Further studies on larger cohorts are necessary to confirm these results and define the role of nivolumab in the treatment of trichoblastic carcinomas.
KW - Adnexal tumors
KW - Anti-PD1
KW - Immunotherapy
KW - Nivolumab
KW - Trichoblastic carcinoma
UR - http://www.scopus.com/inward/record.url?scp=85152801493&partnerID=8YFLogxK
U2 - 10.1007/s00262-023-03449-9
DO - 10.1007/s00262-023-03449-9
M3 - Article
C2 - 37067554
AN - SCOPUS:85152801493
SN - 0340-7004
VL - 72
SP - 2649
EP - 2657
JO - Cancer Immunology, Immunotherapy
JF - Cancer Immunology, Immunotherapy
IS - 8
ER -