Real-world outcomes of immune checkpoint inhibitors in people with HIV and skin cancer: a multicentre study

作者：Andréa Clément de Givry, Pauline Manchon, Marianne Veyri, Julie Delyon, Nausicaa Malissen, Caroline Gaudy‐Marqueste, O. Zehou, A. Jannic, E. Gérard, N. Kramkimel, Christine Longvert, E. Maubec, M. Boileau, Pierre‐Emmanuel Stoebner, Henri Montaudié, G. Quéreux, J.‐M. L'Orphelin, Elodie Poirier, C. Girard, Charlée Nardin, Laurent Mortier, Valentine-Marie Ferré, V. Descamps, Jean‐Philippe Spano, Cédric Laouenan, Jade Ghosn, Célèste Lebbé, F. Brunet Possenti · 发表于：The Oncologist · 年份：2025 · DOI：10.1093/oncolo/oyaf419 · 被引用次数：1 · 研究领域：Nonmelanoma Skin Cancer Studies、Cancer Immunotherapy and Biomarkers、Cutaneous Melanoma Detection and Management

BACKGROUND: People living with HIV (PWH) have an increased risk of developing aggressive skin cancers, yet they have been largely excluded from immune checkpoint inhibitor (ICI) trials. Consequently, evidence on the safety and efficacy of ICIs in this population remains scarce, particularly for the nivolumab plus ipilimumab (NIVO+IPI) combination. METHODS: This multicentre, real-world study included PWH treated with ICIs for melanoma or non-melanoma skin cancers. The objective was to evaluate patient characteristics, treatment management, and clinical outcomes across the different skin cancer types. RESULTS: Among the 54 patients, 89% were male, and 92.6% had a suppressed HIV viral load. Melanoma was the most frequent tumour (35/54, 64.8%), followed by cutaneous squamous cell carcinoma (12/54, 22.2%), Kaposi sarcoma (4/54, 7.4%), basal cell carcinoma (2/54, 3.7%), and one Merkel cell carcinoma. Anti-PD-1/PD-L1 monotherapy was given as first-line treatment in 81.5% (44/54). Immune-related adverse events (irAEs) occurred in 42.6% (23/54), with a median onset of 43.5 days (IQR, 20.5-126). The maximum toxicity grade was 1/2 in 39% (21/54), grade ≥ 3 in 13% (7/54). Seventeen melanoma patients received NIVO+IPI. Among them, 64.7% (11/17) experienced irAEs, including grade ≥ 3 events in 30% (5/17). Objective response rates were 43% (9/21) in melanoma, 58% (7/12) in cSCC, and 75% (3/4) in Kaposi sarcoma. CONCLUSIONS: PWH treated with ICIs for skin cancer demonstrated favourable outco...