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About:
Data of Italian Cancer Centers from two regions with high incidence of Sars CoV-2 infection provide evidence for the successful management of patients with locally advanced and metastatic melanoma treated with immunotherapy in the era of COVID-19
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An Entity of Type :
schema:ScholarlyArticle
, within Data Space :
covidontheweb.inria.fr
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Type:
Academic Article
research paper
schema:ScholarlyArticle
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type
Academic Article
research paper
schema:ScholarlyArticle
isDefinedBy
Covid-on-the-Web dataset
has title
Data of Italian Cancer Centers from two regions with high incidence of Sars CoV-2 infection provide evidence for the successful management of patients with locally advanced and metastatic melanoma treated with immunotherapy in the era of COVID-19
Creator
Andrea, Agostini
De Pas, Tommaso
Fava, Paolo
Fierro, Maria
Giugliano, Federica
Jemos, Costantino
Marco, Rubatto
Pala, Laura
Quaglino, Pietro
Queirolo, Paola
Salè, Emanuela
Saponara, Maristella
Methodologyinvestigation, M
Source
Elsevier; PMC
abstract
Background: Patients with cancer are presumed to have a higher risk to contract SARS-CoV-2 infection, because of their immunosuppressed status. The impact and course of COVID-19 infection in cancer patients receiving immunotherapy remains unknown. Objectives: To evaluate the safety of the management of patients with advanced melanoma treated with immunotherapy in two Cancer Centers located in areas of Italy with a high incidence of COVID-19 infections. Methods: We retrospectively analyzed data from January 1 to April 30, 2020 on patients with locally advanced and metastatic melanoma receiving immunotherapy at either Istituto Europeo di Oncologia (IEO) or CittĂ della Salute e della Scienza University Hospital (CSSUH). Results: One-hundred and sixty nine patients with stage III and IV melanoma were treated with an immunotherapy regimen at either IEO or CSSUH. One-hundred and four patients continued treatment without interruption or delay, while 49 patients had a treatment delay. The main reasons for treatment delay were older age (median age of the group of patients with or without treatment-delay, respectively 60 and 69 years, p-value <0.001) and/or presence of comorbidities (percentage of patients with at least one comorbidity respectively 81% and 62%, in patients with or without treatment delay, p-value=0.001). One-hundred and twelve patients had at least one thoracic CT scan performed and radiological findings suspicious for COVID-19 were observed in only seven cases (4%). Fifteen patients (9%) developed symptoms potentially related to COVID-19; naso-pharingeal swabs were collected in nine patients and only one was positive for SARS-CoV-2. Conclusions The incidence of symptomatic COVID-19 infection observed in our cohort of patients with advanced malignant melanoma treated with immunotherapy appears meaningfully lower as compared with that reported in the overall population in Italy as well as in patients affected by solid tumors. We conclude that in patients with locally advanced and metastatic melanoma, immunotherapy can be safely continued without delay in the majority of cases, reserving precautionary delay only for the most frail patients.
has issue date
2020-08-07
(
xsd:dateTime
)
bibo:doi
10.1053/j.seminoncol.2020.07.010
has license
no-cc
sha1sum (hex)
4905e5c3dc367c39fb25c15e4d5374f6d32ecc66
schema:url
https://doi.org/10.1053/j.seminoncol.2020.07.010
resource representing a document's title
Data of Italian Cancer Centers from two regions with high incidence of Sars CoV-2 infection provide evidence for the successful management of patients with locally advanced and metastatic melanoma treated with immunotherapy in the era of COVID-19
has PubMed Central identifier
PMC7413095
schema:publication
Semin Oncol
resource representing a document's body
covid:4905e5c3dc367c39fb25c15e4d5374f6d32ecc66#body_text
is
schema:about
of
named entity 'advanced'
named entity 'Data'
named entity 'patients'
named entity 'infection'
named entity 'INFECTION'
named entity 'INCIDENCE'
named entity 'melanoma'
named entity 'melanoma'
named entity 'Sars'
named entity 'advanced'
named entity 'regions'
named entity 'locally'
named entity 'locally advanced'
named entity 'immunotherapy'
named entity 'infection'
named entity 'locally advanced'
named entity 'COVID-19'
named entity 'infection'
named entity 'immunotherapy'
named entity 'infection'
named entity 'immunotherapy'
named entity 'fever'
named entity 'hydroxychloroquine'
named entity 'higher risk'
named entity 'comorbidity'
named entity 'solid tumors'
named entity 'health concern'
named entity 'immunosuppressed'
named entity 'Funding source'
named entity 'COVID'
named entity 'cough'
named entity 'COVID-19 pandemic'
named entity 'solid tumors'
named entity 'IEO'
named entity 'SARS-CoV-2'
named entity 'melanoma'
named entity 'anosmia'
named entity 'viral infection'
named entity 'infection'
named entity 'outpatient'
named entity 'infection'
named entity 'COVID'
named entity 'Lombardy'
named entity 'melanoma'
named entity 'Italy'
named entity 'immunotherapy'
named entity 'COVID'
named entity 'immunotherapy'
named entity 'immunotherapy'
named entity 'stage III'
named entity 'metastatic melanoma'
named entity 'p-value'
named entity 'complete response'
named entity 'IEO'
named entity 'tumor'
named entity 'Piedmont'
named entity 'stage IV'
named entity 'COVID-19 infection'
named entity 'IEO'
named entity 'malignant melanoma'
named entity 'stage III'
named entity 'comorbidity'
named entity 'radiotherapy'
named entity 'comorbidities'
named entity 'chemotherapy'
named entity 'pembrolizumab'
named entity 'oncologic'
named entity 'higher risk'
named entity 'Lombardy'
named entity 'dyspnea'
named entity 'Piedmont'
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