Evidence map›Paper›PMID 31839773›Full record

ArticlePostepy dermatologii i alergologii2019

Immune checkpoint inhibitors therapy in older patients (≥ 70 years) with metastatic melanoma: a multicentre study.

Bożena Cybulska-Stopa, Iwona Ługowska, Paulina Jagodzińska-Mucha, Hanna Koseła-Paterczyk, Katarzyna Kozak, Anna Klimczak, Tomasz Świtaj, Marek Ziobro, Agnieszka Roman, Marcin Rajczykowski and 5 more

Abstract read
In one paragraph

Article in Postepy dermatologii i alergologii, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

10 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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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

15 authors.

Bożena Cybulska-StopaClinical Oncology Clinic, Maria Sklodowska-Curie Institute - Oncology Center, Cracow Branch, Poland.
Iwona ŁugowskaDepartment of Soft Tissue/Bone Sarcoma and Melanoma, Maria Sklodowska-Curie Institute - Oncology Center, Warsaw, Poland.
Paulina Jagodzińska-MuchaDepartment of Soft Tissue/Bone Sarcoma and Melanoma, Maria Sklodowska-Curie Institute - Oncology Center, Warsaw, Poland.
Hanna Koseła-PaterczykDepartment of Soft Tissue/Bone Sarcoma and Melanoma, Maria Sklodowska-Curie Institute - Oncology Center, Warsaw, Poland.
Katarzyna KozakDepartment of Soft Tissue/Bone Sarcoma and Melanoma, Maria Sklodowska-Curie Institute - Oncology Center, Warsaw, Poland.
Anna KlimczakDepartment of Soft Tissue/Bone Sarcoma and Melanoma, Maria Sklodowska-Curie Institute - Oncology Center, Warsaw, Poland.
Tomasz ŚwitajDepartment of Soft Tissue/Bone Sarcoma and Melanoma, Maria Sklodowska-Curie Institute - Oncology Center, Warsaw, Poland.
Marek ZiobroClinical Oncology Clinic, Maria Sklodowska-Curie Institute - Oncology Center, Cracow Branch, Poland.
Agnieszka RomanClinical Oncology Clinic, Maria Sklodowska-Curie Institute - Oncology Center, Cracow Branch, Poland.
Marcin RajczykowskiRadiotherapy and Chemotherapy Clinic and Teachng Hospital, Maria Sklodowska-Curie Institute - Oncology Center, Gliwice Branch, Poland.
Rafał SuwińskiRadiotherapy and Chemotherapy Clinic and Teachng Hospital, Maria Sklodowska-Curie Institute - Oncology Center, Gliwice Branch, Poland.
Maciej NiemiecClinical Oncology Clinic, Maria Sklodowska-Curie Institute - Oncology Center, Cracow Branch, Poland.
Tomasz ZemełkaClinical Oncology Clinic, Maria Sklodowska-Curie Institute - Oncology Center, Cracow Branch, Poland.
Sławomir FalkowskiDepartment of Soft Tissue/Bone Sarcoma and Melanoma, Maria Sklodowska-Curie Institute - Oncology Center, Warsaw, Poland.
Piotr RutkowskiDepartment of Soft Tissue/Bone Sarcoma and Melanoma, Maria Sklodowska-Curie Institute - Oncology Center, Warsaw, Poland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe use of immunotherapy in older patients remains challenging due to very few data on the efficacy and safety of treatment in this group.

aimTo analyse the efficacy and safety of immunotherapy with checkpoint inhibitors in older patients (≥ 70 years) with metastatic melanoma. MATERIAL AND

methodsIn the Maria Skłodowska-Curie Institute - Oncology Centre, between 2011 and 2017, 318 non-resectable or metastatic melanoma patients were treated with immune checkpoint inhibitors: anti-CTLA-4 or/and anti-PD-1. Eighty-two patients were ≥ 70 years (median age: 76 years; range: 70-90 years). Among this group 10% of patients had brain metastases, 24% of patients had BRAF mutant melanoma, and co-morbidities were present in 86% of patients (mainly hypertension, cardiovascular diseases and/or diabetes).

resultsMedian PFS and OS were similar in patients < 70 years and ≥ 70 years. In the group of patients ≥ 70 years old, the 2-year OS rate (from the start of immunotherapy) was 27%, and in patients aged < 70 it was 28% (

conclusionsThe survival and toxicity profile in the older patients treated with immune checkpoint inhibitors are similar to younger patients. Therefore, the age as a clinical factor should not exclude this population from the most effective therapy used nowadays in melanoma treatment.

Indexed as

anti-CTLA-4anti-PD-1anti-PD-L1checkpoint inhibitorsimmunotherapymelanomaolder patients

Identifiers

PMID31839773
PMCPMC6906963

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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.