Evidence map›Paper›PMID 30855527›Full record

SynthesisMelanoma research2019

Biomarkers, measured during therapy, for response of melanoma patients to immune checkpoint inhibitors: a systematic review.

Wouter Ouwerkerk, Mirjam van den Berg, Sanne van der Niet, Jacqueline Limpens, Rosalie M Luiten

Open access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in Melanoma research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 3 pooled it
2.4field-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

23 citing papers in PubMed, 3 syntheses or guidelines pooled it, 39 citations in OpenAlex.

  1. Pooled it
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  8. Age-associated reduction of sinus macrophages in human mesenteric lymph nodes.Journal of clinical and experimental hematopathology : JCEH · 2024
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  20. Immune checkpoint inhibitors to treat cutaneous malignancies.Journal of the American Academy of Dermatology · 2020
    Review
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 1 country.

Wouter OuwerkerkDepartment of Dermatology and Netherlands Institute for Pigment Disorders, Amsterdam Infection and Immunity Institute, Cancer Center Amsterdam.
Mirjam van den BergDepartment of Dermatology and Netherlands Institute for Pigment Disorders, Amsterdam Infection and Immunity Institute, Cancer Center Amsterdam.
Sanne van der NietDepartment of Dermatology and Netherlands Institute for Pigment Disorders, Amsterdam Infection and Immunity Institute, Cancer Center Amsterdam.
Jacqueline LimpensMedical Library, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
Rosalie M LuitenDepartment of Dermatology and Netherlands Institute for Pigment Disorders, Amsterdam Infection and Immunity Institute, Cancer Center Amsterdam.
Cancer Center AmsterdamAmsterdam University Medical Centers · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Immune checkpoint inhibitors (ICIs), which target CTLA-4 or PD-(L)1 molecules, have shown impressive therapeutic results. Durable responses, however, are only observed in a segment of the patient population and must be offset against severe off-target immune toxicity and high costs. This calls for biomarkers that predict response during ICI treatment. Although many candidate biomarkers exist, as yet, there has been no systematic overview of biomarkers predictive during. Here, we provide a systematic review of the current literature of ICI treatment to establish an overview of candidate predictive biomarkers during ICI treatment in melanoma patients. We performed a systematic Medline search (2000-2018, 1 January) on biomarkers for survival or response to ICI treatment in melanoma patients. We retrieved 735 publications, of which 79 were finally included in this systematic review. Blood markers were largely studied for CTLA-4 ICI, whereas tumor tissue markers were analyzed for PD-(L)1 ICI. Blood cytology and soluble factors were more frequently correlated to overall survival (OS) than response, indicating their prognostic rather than predictive nature. An increase in tumor-infiltrating CD8 + T-cells and a decrease in regulatory T-cells were correlated to response, in addition to mutational load, neoantigen load, and immune-related gene expression. Immune-related adverse events were also associated frequently with a favorable response and OS. This review shows the great variety of potential biomarkers published to date, in an attempt to better understand response to ICI therapy; it also highlights the candidate markers for future research. The most promising biomarkers for response to ICI treatment are the occurrence of immune-related adverse events (especially vitiligo), lowering of lactate dehydrogenase, and increase in activated CD8 + and decrease in regulatory T-cells.

Indexed as

Antibodies, MonoclonalAntineoplastic Agents, ImmunologicalB7-H1 AntigenBiomarkers, TumorCD8-Positive T-LymphocytesCell CycleCTLA-4 AntigenHumansImmunotherapyMelanomaPrognosisSkin NeoplasmsT-Lymphocytes, RegulatoryTreatment OutcomeAntibodies, MonoclonalAntineoplastic Agents, ImmunologicalB7-H1 AntigenBiomarkers, TumorCD274 protein, humanCTLA-4 AntigenCTLA4 protein, human

Identifiers

PMID30855527
PMCPMC6727956
OpenAlexW2922434593

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.