Evidence map›Paper›PMID 27084046›Full record

ReviewInternational journal of cancer2016

Managing leptomeningeal melanoma metastases in the era of immune and targeted therapy.

Keiran S M Smalley, Inna V Fedorenko, Rajappa S Kenchappa, Solmaz Sahebjam, Peter A Forsyth

Open access · greenAbstract readReview
In one paragraph

Review in International journal of cancer, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
2.6field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 58 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Integration analysis of single-cell transcriptome reveals specific monocyte subsets associated with melanoma brain and leptomeningeal metastasis.Skin research and technology : official journal of International Society for Bioengineering and the Skin (ISBS) [and] International Society for Digital Imaging of Skin (ISDIS) [and] International Society for Skin Imaging (ISSI) · 2024
    Article
  10. Review
  11. Article
  12. Review
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Review
  19. Single-Cell Characterization of the Immune Microenvironment of Melanoma Brain and Leptomeningeal Metastases.Clinical cancer research : an official journal of the American Association for Cancer Research · 2021
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 2 countries.

Keiran S M SmalleyThe Department of Tumor Biology, Moffitt Cancer Center & Research Institute, Tampa, FL.
Inna V FedorenkoThe Department of Tumor Biology, Moffitt Cancer Center & Research Institute, Tampa, FL.
Rajappa S KenchappaThe Department of Tumor Biology, Moffitt Cancer Center & Research Institute, Tampa, FL.
Solmaz SahebjamDepartment of NeuroOncology, Moffitt Cancer Center & Research Institute, Tampa, FL.
Peter A ForsythThe Department of Tumor Biology, Moffitt Cancer Center & Research Institute, Tampa, FL.
Moffitt Cancer Center · USUniversity of Calgary · CA

Funding

Tissue, Pathology and BioinformaticsP50CA168536 · NCI · H. LEE MOFFITT CANCER CTR & RES INST · PI MULE, JAMES J. · 2013 to 2017
$8.5M
Microenvironment mediated drug resistance in melanoma.R01CA161107 · NCI · H. LEE MOFFITT CANCER CTR & RES INST · PI SMALLEY, KEIRAN · 2011 to 2015
$1.7M
Modeling and Targeting Adaptive Signaling Responses in Single NRAS Mutant Melanoma CellsR21CA198550 · NCI · H. LEE MOFFITT CANCER CTR & RES INST · PI SMALLEY, KEIRAN · 2015 to 2016
$422k
NCI NIH HHS P50 CA168536NCI NIH HHS R01 CA161107NCI NIH HHS R21 CA198550
6 · The paper itself

Abstract

Melanoma frequently metastasizes to the brain, with CNS involvement being clinically evident in ∼30% of patients (as high as 75% at autopsy). In ∼5% cases melanoma cells also metastasize to the leptomeninges, the sub-arachnoid space and cerebrospinal fluid (CSF). Patients with leptomeningeal melanoma metastases (LMM) have the worst prognosis and are characterized by rapid disease progression (mean survival 8-10 weeks) and a death from neurological causes. The recent years have seen tremendous progress in the development of targeted and immune therapies for melanoma that has translated into an increased survival benefit. Despite these gains, the majority of patients fail therapy and there is a suspicion that the brain and the leptomeninges are a "sanctuary" sites for melanoma cells that escape both targeted therapy and immunologic therapies. Emerging evidence suggests that (1) Cancer cells migrating to the CNS may have unique molecular properties and (2) the CNS/leptomeningeal microenvironment represents a pro-survival niche that influences therapeutic response. In this Mini-Review, we will outline the clinical course of LMM development and will describe how the intracranial immune and cellular microenvironments offer both opportunities and challenges for the successful management of this disease. We will further discuss the latest data demonstrating the potential use of BRAF inhibitors and immune therapy in the management of LMM, and will review future potential therapeutic strategies for the management of this most devastating complication of advanced melanoma.

Indexed as

ImmunotherapyMolecular Targeted TherapyAnimalsAntibodies, MonoclonalAntineoplastic AgentsBiomarkers, TumorDisease ManagementDisease ProgressionHumansMelanomaMeningeal NeoplasmsProtein Kinase InhibitorsProto-Oncogene Proteins B-rafAntibodies, MonoclonalAntineoplastic AgentsBiomarkers, TumorProtein Kinase InhibitorsProto-Oncogene Proteins B-rafBRAFbrainimmunotherapyleptomeningesmelanoma

Identifiers

PMID27084046
PMCPMC4939138
OpenAlexW2339760591

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.