Abstract
Background: Little is known about real-world outcomes for first-line and anti-PD-1 second-line treatment for advanced/metastatic esophageal squamous cell carcinoma (ESCC). Patients & methods: Retrospective data of advanced/metastatic ESCC patients treated between 2011 and 2021 were collected from Flatiron Health. Median duration of therapy (mDoT) and median overall survival (mOS) were evaluated for patients initiating first-line and anti-PD-1 second-line therapy. Results: Among patients receiving first-line therapy (n = 948), mDoT was 1.4 months and mOS was 16.0 months, with mOS of 16.0 and 18.0 months for the non-immunotherapy and immunotherapy cohorts, respectively. Among patients receiving anti-PD-1 second-line therapy (n = 60), mDoT was 5.7 months and mOS was 10.1 months. Conclusion: Patients with advanced/metastatic ESCC have short duration of therapy, and overall survival remains limited. This real-world study underscores the need for efficacious treatments for advanced/metastatic ESCC in the first- and second-line setting. Direct comparisons of emerging therapies in the real world are urgently needed.
Original language | English (US) |
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Pages (from-to) | 3419-3433 |
Number of pages | 15 |
Journal | Future Oncology |
Volume | 18 |
Issue number | 30 |
DOIs | |
State | Published - 2022 |
Keywords
- Flatiron data
- advanced/metastatic esophageal squamous cell carcinoma
- anti-PD-1 therapy
- immunotherapy
- survival
- treatment patterns
ASJC Scopus subject areas
- Oncology
- Cancer Research