Patient 1 | Patient 2 | Patient 3 | Patient 4 | Patient 5 | Normal range | |
---|---|---|---|---|---|---|
Patient’s features | ||||||
Age (years) | 52 | 77 | 58 | 75 | 43 | |
Sex | Male | Female | Female | Male | Male | |
Smoker status | Current | Former | Former | Former | Never smoke | |
Comorbidity | Atrial fibrillation | Diabetes, hypertension, copd | Diabetes, hypertension, obesity | None | None | |
BRAF status | Wild type | Wild type | Wild type | Wild type | V600E | |
Melanoma type | Unknown origin | Cutaneous | Cutaneous | Unknown origin | Cutaneous | |
M stagea | M1d | M1a | M1b | M1b | M1a | |
Tumor involvment | Lymphnodes, lung, brain | Soft tissues, lymphnodes | Soft tissues, lung | Lung | Sof tissue | |
Treatment features | ||||||
Treatment regimen | Nivolumab as 1° line | Pembrolizumab as 1° line | Pembrolizumab as 2° line | Nivolumab as 1° line | Ipilimumab plus nivolumab as 1° line | |
Best response | Partial response | Partial response | Partial response | Partial response | Partial response | |
Progression-free survival, monthsb | 12 | 24+ | 43+ | 26 | 8+ | |
OS, monthsc | 14+ | 24+ | 84+ | 36+ | 8+ | |
Clinical features | ||||||
Onset (weeks) | 8 | 44 | 88 | 60 | 6 | |
Clinical symptoms | dyspnoea, fatigue | dyspnoea, dry cough, fatigue | dyspnoea, fever, fatigue | dyspnoea, fatigue | dry cough, dyspnoea | |
Grading irAE | G3 | G4 | G4 | G3 | G2 | |
Outcomes | Recovered | Subsequent recurrences | Subsequent recurrences | Recovered | Recovered | |
Not lung toxicites | Skin (vitiligo) | Skin (vitiligo) | None | None | Gatrointestinal (colitis) | |
Blood tests | ||||||
PCO2 mmHg | 31 | 44 | 50 | 58 | 44 | 32–48 |
PO2 mmHg | 41 | 69 | 71 | 61 | 88 | 83–108 |
WBC (x 103/μL) | 17,2 | 13,4 | 11,8 | 16,9 | 7,8 | 4–10 |
Neutrophils | 11,4 | 8,5 | 9,6 | 11,2 | 5,07 | 1,7 –7,6 |
Lymphocytes | 4,8 | 4,06 | 1,3 | 5,2 | 2,1 | 1–3,2 |
N/L | 2,38 | 2,11 | 7,21 | 2,15 | 2,39 | |
LDH | >ULN | <ULN | <ULN | <ULN | <ULN | |
Procalcitonin (ng/ml) | 0,34 | 0,5 | 3,6 | 1,2 | 0,2 | <2 |
CT scan | ||||||
CT scan pattern | NISP | COP | COP | NISP | COP | |
Lung involvement | Upper and lower lobes | Upper and lower lobes | Mainly lower lobes | Upper and lower lobes | Mainly upper lobes |