Evidence map›Paper›PMID 31722735›Full record

ArticleJournal for immunotherapy of cancer2019

Combined immune checkpoint blockade for metastatic uveal melanoma: a retrospective, multi-center study.

Markus V Heppt, Teresa Amaral, Katharina C Kähler, Lucie Heinzerling, Jessica C Hassel, Markus Meissner, Nicole Kreuzberg, Carmen Loquai, Lydia Reinhardt, Jochen Utikal and 12 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Journal for immunotherapy of cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 79 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
79citing papers in PubMed, 4 pooled it
16.4field-weighted citation impact, top 1% 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

79 citing papers in PubMed, 4 syntheses or guidelines pooled it, 139 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Guideline
  4. Pooled it
  5. Trial
  6. Trial
  7. Trial
  8. Gene Therapy Strategies for Uveal Melanoma: Adeno-associated Virus Delivery Challenges and Translational Opportunities.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2026
    Review
  9. Article
  10. Article
  11. Review
  12. Review
  13. Article
  14. Review
  15. ZEB1 and Uveal Melanoma Invasiveness.International journal of molecular sciences · 2025
    Article
  16. Management of liver metastases from uveal melanoma.The British journal of surgery · 2025
    Review
  17. Review
  18. Article
  19. Article
  20. Review

19 more citing papers are in PubMed but not listed here.

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

22 authors at 17 institutions in 2 countries.

Markus V HepptDepartment of Dermatology and Allergy, Munich University Hospital (LMU), Frauenlobstr. 9-11, 80337, Munich, Germany.
Teresa AmaralDepartment of Dermatology, Center for Dermatooncology, University Hospital Tübingen, Liebermeisterstr. 25, 72076, Tübingen, Germany.
Katharina C KählerDepartment of Dermatology, University Hospital Schleswig-Holstein, Campus Kiel, Rosalind-Franklin-Str. 7, 24105, Kiel, Germany.
Lucie HeinzerlingDepartment of Dermatology, University Hospital Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg (FAU), Ulmenweg 18, 91054, Erlangen, Germany.
Jessica C HasselSkin Cancer Center, Department of Dermatology and National Center for Tumor Diseases (NCT), University Hospital Heidelberg, Im Neuenheimer Feld 460, 69120, Heidelberg, Germany.
Markus MeissnerDepartment of Dermatology, Venereology and Allergology, Goethe University, Theodor-Stern Kai 7, 60590, Frankfurt am Main, Germany.
Nicole KreuzbergDepartment of Dermatology and Venereology, Skin Cancer Center at the Center of Integrated Oncology (CIO) Köln Bonn, University Hospital of Cologne, Kerpenerstr. 62, 50937, Cologne, Germany.
Carmen LoquaiDepartment of Dermatology, University Medical Center Mainz, Langenbeckstr. 1, 55131, Mainz, Germany.
Lydia ReinhardtDepartment of Dermatology, Skin Cancer Center, Medical Faculty and University Hospital Carl Gustav Carus, TU Dresden, Fetscherstr. 74, 01307, Dresden, Germany.
Jochen UtikalSkin Cancer Unit, German Cancer Research Center (DKFZ) and Department of Dermatology, Venereology and Allergology, University Medical Center Mannheim, Ruprecht-Karl University of Heidelberg, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Germany.
Evelyn DabrowskiDepartment of Dermatology, Klinikum Ludwigshafen, Bremserstr. 79, 67063, Ludwigshafen, Germany.
Anja GesierichDepartment of Dermatology, University Hospital Würzburg, Josef-Schneider Straße 2, 97080, Würzburg, Germany.
Claudia PföhlerDepartment of Dermatology, Saarland University Medical School, Kirrbergerstr, 66421, Homburg/Saar, Germany.
Patrick TerheydenDepartment of Dermatology, University of Lübeck, Ratzeburger Allee 160, 23538, Lübeck, Germany.
Kai-Martin ThomsDepartment of Dermatology, University Medical Center Göttingen, Robert-Koch-Str. 40, 37075, Göttingen, Germany.
Lisa ZimmerDepartment of Dermatology, University Hospital, University Duisburg-Essen, Hufelandstr. 55, 45147, Essen, Germany.
Thomas K EigentlerDepartment of Dermatology, Center for Dermatooncology, University Hospital Tübingen, Liebermeisterstr. 25, 72076, Tübingen, Germany.
Michael C KirchbergerDepartment of Dermatology, University Hospital Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg (FAU), Ulmenweg 18, 91054, Erlangen, Germany.
Henner M StegeDepartment of Dermatology, University Medical Center Mainz, Langenbeckstr. 1, 55131, Mainz, Germany.
Friedegund MeierDepartment of Dermatology, Skin Cancer Center, Medical Faculty and University Hospital Carl Gustav Carus, TU Dresden, Fetscherstr. 74, 01307, Dresden, Germany.
Max SchlaakDepartment of Dermatology and Allergy, Munich University Hospital (LMU), Frauenlobstr. 9-11, 80337, Munich, Germany.
Carola BerkingDepartment of Dermatology and Allergy, Munich University Hospital (LMU), Frauenlobstr. 9-11, 80337, Munich, Germany. Carola.Berking@uk-erlangen.de.
Johannes Gutenberg University Mainz · DELudwig-Maximilians-Universität München · DEUniversitätsklinikum Erlangen · DEUniversity Hospital Heidelberg · DEForça Aérea PortuguesaFriedrich-Alexander-Universität Erlangen-Nürnberg · DEGoethe University Frankfurt · DEKlinikum Ludwigshafen · DESaarland University · DETU Dresden · DEUniversitätsklinikum Würzburg · DEUniversity Hospital Carl Gustav Carus · DEUniversity Hospital Cologne · DEUniversity Hospital Schleswig-Holstein · DEUniversity of Duisburg-Essen · DEUniversity of Göttingen · DEUniversity of Lübeck · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUveal melanoma (UM) is highly refractory to treatment with dismal prognosis in advanced stages. The value of the combined checkpoint blockade with CTLA-4 and PD-1 inhibition in metastatic UM is currently unclear.

methodsPatients with metastatic or unresectable UM treated with ipilimumab in combination with a PD-1 inhibitor were collected from 16 German skin cancer centers. Patient records of 64 cases were analyzed for response, progression-free survival (PFS), overall survival (OS), and safety. Clinical parameters and serum biomarkers associated with OS and treatment response were determined with Cox regression modelling and logistic regression.

resultsThe best overall response rate to combined checkpoint blockade was 15.6% with 3.1 and 12.5% complete and partial response, respectively. The median duration of response was 25.5 months (range 9.0-65.0). Stable disease was achieved in 21.9%, resulting in a disease control rate of 37.5% with a median duration of the clinical benefit of 28.0 months (range 7.0-65.0). The median PFS was 3.0 months (95% CI 2.4-3.6). The median OS was estimated to 16.1 months (95% CI 12.9-19.3). Regarding safety, 39.1% of treated patients experienced a severe, treatment-related adverse event according to the CTCAE criteria (grade 3: 37.5%; grade 4: 1.6%). The most common toxicities were colitis (20.3%), hepatitis (20.3%), thyreoiditis (15.6%), and hypophysitis (7.8%). A poor ECOG performance status was an independent risk factor for decreased OS (p = 0.007).

conclusionsThe tolerability of the combined checkpoint blockade in UM may possibly be better than in trials on cutaneous melanoma. This study implies that combined checkpoint blockade represents the hitherto most effective treatment option available for metastatic UM available outside of clinical trials.

Indexed as

Antineoplastic Agents, ImmunologicalAntineoplastic Combined Chemotherapy ProtocolsCTLA-4 AntigenFemaleHumansIpilimumabMaleMelanomaMiddle AgedProgrammed Cell Death 1 ReceptorRetrospective StudiesSurvival AnalysisUveal MelanomaUveal NeoplasmsAntineoplastic Agents, ImmunologicalCTLA-4 AntigenCTLA4 protein, humanIpilimumabPDCD1 protein, humanProgrammed Cell Death 1 ReceptorBiomarkerCombined immune checkpoint blockadeIpilimumabNivolumabUveal melanoma

Identifiers

PMID31722735
PMCPMC6854774
OpenAlexW2984462607

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.