Evidence map›Paper›PMID 30821848›Full record

Trial reportClinical and experimental immunology2019

Prognostic biomarkers for immunotherapy with ipilimumab in metastatic melanoma.

M Nyakas, E Aamdal, K D Jacobsen, T K Guren, S Aamdal, K T Hagene, P Brunsvig, A Yndestad, B Halvorsen, K A Tasken and 3 more

Open access · bronzeAbstract readClinical Trial, Phase IV
In one paragraph

Trial report in Clinical and experimental immunology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 3 pooled it
2.3field-weighted citation impact, top 11% 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

28 citing papers in PubMed, 3 syntheses or guidelines pooled it, 45 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Review
  7. The Duality of Collagens in Metastases of Solid Tumors.International journal of molecular sciences · 2025
    Review
  8. Article
  9. Article
  10. Prognostic Biomarkers in Evolving Melanoma Immunotherapy.American journal of clinical dermatology · 2025
    Review
  11. Article
  12. Review
  13. Review
  14. Article
  15. Article
  16. Review
  17. Review
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  19. Article
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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

13 authors at 2 institutions in 1 country.

M NyakasDepartment of Oncology, Oslo University Hospital, The Norwegian Radium Hospital, Oslo, Norway.ORCID 0000-0001-6331-3440
E AamdalDepartment of Oncology, Oslo University Hospital, The Norwegian Radium Hospital, Oslo, Norway.
K D JacobsenDepartment of Oncology, Oslo University Hospital, The Norwegian Radium Hospital, Oslo, Norway.
T K GurenDepartment of Oncology, Oslo University Hospital, The Norwegian Radium Hospital, Oslo, Norway.
S AamdalInstitute of Clinical Medicine, University of Oslo, Oslo, Norway.
K T HageneDepartment of Oncology, Oslo University Hospital, The Norwegian Radium Hospital, Oslo, Norway.
P BrunsvigDepartment of Oncology, Oslo University Hospital, The Norwegian Radium Hospital, Oslo, Norway.
A YndestadResearch Institute of Internal Medicine, Oslo University Hospital, Rikshospitalet, Oslo, Norway.
B HalvorsenResearch Institute of Internal Medicine, Oslo University Hospital, Rikshospitalet, Oslo, Norway.
K A TaskenDepartment of Tumor Biology, Institute for Cancer Research, Oslo University Hospital, The Norwegian Radium Hospital, Oslo, Norway.
P AukrustResearch Institute of Internal Medicine, Oslo University Hospital, Rikshospitalet, Oslo, Norway.
G M MaelandsmoDepartment of Tumor Biology, Institute for Cancer Research, Oslo University Hospital, The Norwegian Radium Hospital, Oslo, Norway.
T UelandResearch Institute of Internal Medicine, Oslo University Hospital, Rikshospitalet, Oslo, Norway.
Oslo University Hospital · NOUniversity of Oslo · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

New therapies, including the anti-cytotoxic T lymphocyte antigen (CTLA)-4 antibody, ipilimumab, is approved for metastatic melanoma. Prognostic biomarkers need to be identified, because the treatment has serious side effects. Serum samples were obtained before and during treatment from 56 patients with metastatic or unresectable malignant melanoma, receiving treatment with ipilimumab in a national Phase IV study (NCT0268196). Expression of a panel of 17 inflammatory-related markers reflecting different pathways including extracellular matrix remodeling and fibrosis, vascular inflammation and monocyte/macrophage activation were measured at baseline and the second and/or third course of treatment with ipilimumab. Six candidate proteins [endostatin, osteoprotegerin (OPG), C-reactive protein (CRP), pulmonary and activation-regulated chemokine (PARC), growth differentiation factor 15 (GDF15) and galectin-3 binding-protein (Gal3BP)] were persistently higher in non-survivors. In particular, high Gal3BP and endostatin levels were also independently associated with poor 2-year survival after adjusting for lactate dehydrogenase, M-stage and number of organs affected. A 1 standard deviation increase in endostatin gave 1·74 times [95% confidence interval (CI) = 1·10-2·78, P = 0·019] and for Gal3BP 1·52 times (95% CI = 1·01-2·29, P = 0·047) higher risk of death in the adjusted model. Endostatin and Gal3BP may represent prognostic biomarkers for patients on ipilimumab treatment in metastatic melanoma and should be further evaluated. Owing to the non-placebo design, we could only relate our findings to prognosis during ipilimumab treatment.

Indexed as

AdultAgedAged, 80 and overAntineoplastic Agents, ImmunologicalBiomarkers, TumorFemaleHumansImmunotherapyInflammation MediatorsIpilimumabKaplan-Meier EstimateMaleMelanomaMiddle AgedPrognosisAntineoplastic Agents, ImmunologicalBiomarkers, TumorInflammation MediatorsIpilimumabanti-CTLA-4endostatinGal3BPimmunotherapymelanoma

Identifiers

PMID30821848
PMCPMC6591141
OpenAlexW2918998079

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.