Age ≥80 + ECOG ≥2 — nivo+ipi prohibitive; nivo+rela or pembro mono.
Deterministic view of the source YAML entity. Clinical authority remains with the cited source IDs and reviewer sign-off state.
| ID | RF-MELANOMA-FRAILTY-AGE |
|---|---|
| Type | Red flag |
| Status | pending_clinical_signoff |
| Diseases | DIS-MELANOMA |
| Sources | SRC-ESMO-MELANOMA-2024 SRC-NCCN-MELANOMA-2025 |
Red Flag Origin
| Definition | Age ≥80 + ECOG ≥2 — nivo+ipi prohibitive; nivo+rela or pembro mono. |
|---|---|
| Clinical direction | de-escalate |
| Category | frailty-age |
Trigger Logic
{
"all_of": [
{
"comparator": ">=",
"finding": "age_years",
"threshold": 80
},
{
"comparator": ">=",
"finding": "ecog_status",
"threshold": 2
}
],
"type": "composite_clinical"
}
Notes
RELATIVITY-047 nivo+rela better tolerated.
Used By
Algorithms
ALGO-MELANOMA-METASTATIC-2L- ALGO-MELANOMA-METASTATIC-2L