Efficacy and Tolerability of Tebentafusp in Metastatic Uveal Melanoma: A Real-life Retrospective Multicentre Study

Acta Derm Venereol. 2024 Dec 12:104:adv41297. doi: 10.2340/actadv.v104.41297.

Abstract

Metastatic uveal melanoma is a rare disease with a poor prognosis. Usual treatments have not proven effective. Tebentafusp, a bispecific protein targeting melanoma cells and T lymphocytes, is the first approved treatment with a proven survival benefit in a randomized clinical. Our purpose was to evaluate tebentafusp's real-life efficacy and tolerability for metastatic uveal melanoma. This retrospective study included patients from 14 French centres. Twenty-three patients were included. One-year survival was 66%; median progression-free survival was 5.7 months. Objective response rate was 23% and best overall response was complete remission for 4% of patients; partial remission for 18%, stable disease for 41%, and progressive disease for 36%. The most frequent adverse events were fever, chills, pruritus, and rash; 30% experienced severe adverse events. No death or treatment discontinuation was linked to adverse events. These data showed better overall survival with tebentafusp than that reported in historical cohorts.

Publication types

  • Multicenter Study

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Female
  • France
  • Humans
  • Male
  • Melanoma* / drug therapy
  • Melanoma* / mortality
  • Melanoma* / secondary
  • Middle Aged
  • Progression-Free Survival*
  • Retrospective Studies
  • Time Factors
  • Treatment Outcome
  • Uveal Melanoma
  • Uveal Neoplasms* / drug therapy
  • Uveal Neoplasms* / mortality
  • Uveal Neoplasms* / pathology