SRS in Combination With Ipilimumab: A Promising New Dimension for Treating Melanoma Brain Metastases

Technology in Cancer Research & Treatment
Muhammad KhanYa-Wei Yuan

Abstract

Stereotactic radiosurgery provides effective local control, but high recurrence rate are observed while ipilimumab have shown promising improvements in survival in the treatment of melanoma brain metastases. This meta-analysis was done to review the clinical evidence regarding the combination of stereotactic radiosurgery and ipilimumab in the treatment of brain metastases from melanoma. Comprehensive research of the electronic databases (PubMed and Cochrane Library) was carried out in April 2017. Different combination of MESH headings and words were used. Review Manager was used to analyze the outcome data of interest. According to heterogeneity, fixed effects model or random effects model was adapted. Six retrospective studies comparing stereotactic radiosurgery plus ipilimumab with stereotactic radiosurgery alone were found. Total of 411 participants were included in this meta-analysis. Of that, 128 patients had received stereotactic radiosurgery + ipilimumab, while 283 patients had received stereotactic radiosurgery only. Stereotactic radiosurgery plus ipilimumab significantly improved survival when compared to stereotactic radiosurgery alone (hazard ratio: 0.74 [95% confidence interval: 0.56-0.99, P = .04]), with no signifi...Continue Reading

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Citations

Oct 29, 2020·Technology in Cancer Research & Treatment·Samireh Badrigilan, Jalal Choupani
Dec 18, 2020·Frontiers in Immunology·Muhammad KhanGuixiang Liao
Apr 13, 2021·Frontiers in Oncology·Guixiang LiaoXianming Li
Nov 9, 2021·Frontiers in Oncology·Guixiang LiaoMuhammad Khan
Dec 22, 2021·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Michael A VogelbaumDavid Schiff
Jan 5, 2022·British Journal of Neurosurgery·Samireh BadrigilanNima Rostampour

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Clinical Trials Mentioned

NCT01950195
NCT01703507
NCT02097732

Software Mentioned

Review Manager ( RevMan )

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