Evidence map›Paper›PMID 31869447›Full record

ReviewCancer2020

Considering adjuvant therapy for stage II melanoma.

Andrew S Poklepovic, Jason J Luke

Abstract readReview
In one paragraph

Review in Cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 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

26 citing papers in PubMed, 1 synthesis or guideline 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

2 authors.

Andrew S PoklepovicDepartment of Medicine, Virginia Commonwealth University, Richmond, Virginia.ORCID 0000-0002-4015-5037
Jason J LukeDepartment of Medicine, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.ORCID 0000-0002-1182-4908

Funding

VIRAL ONCOLOGY CORE FACILITYP30CA014599 · NCI · UNIVERSITY OF CHICAGO · PI MARK W. LINGEN · 1985 to 2026
$122.1M
NCI NIH HHS P30 CA014599
6 · The paper itself

Abstract

Melanoma is among the few cancers that demonstrate an increasing incidence over time. Simultaneously, this trend has been marked by an epidemiologic shift to earlier stage at diagnosis. Before 2011, treatment options were limited for patients with metastatic disease, and the median overall survival was less than 1 year. Since then, the field of melanoma therapeutics has undergone major changes. The use of anti-CTLA-4 and anti-PD1 immune checkpoint inhibitors and combination BRAF/MEK inhibitors for patients with BRAF V600 mutations has significantly extended survival and allowed some patients to remain in durable disease remission off therapy. It has now been confirmed that these classes of agents have a benefit for patients with stage III melanoma after surgical resection, and anti-PD1 and BRAF/MEK inhibitors are standards of care in this setting. Some patients with stage II disease (lymph node-negative; American Joint Committee on Cancer stage IIB and IIC) have worse melanoma-specific survival relative to some patients with stage III disease. Given these results, expanding the population of patients who are considered for adjuvant therapy to include those with stage II melanoma has become a priority, and randomized phase 3 clinical trials are underway. Moving into the future, the validation of patient risk-stratification and treatment-benefit prediction models will be important to improve the number needed to treat and limit exposure to toxicity in the large population of patients with early stage melanoma.

Indexed as

Antineoplastic AgentsAntineoplastic Agents, ImmunologicalChemotherapy, AdjuvantHumansImmunotherapyInterferonsMAP Kinase Kinase 1Medical IllustrationMelanomaNeoplasm Recurrence, LocalNeoplasm StagingNumbers Needed To TreatProgrammed Cell Death 1 ReceptorProto-Oncogene Proteins B-rafRisk AssessmentSkin NeoplasmsAntineoplastic AgentsAntineoplastic Agents, ImmunologicalBRAF protein, humanInterferonsMAP2K1 protein, humanMAP Kinase Kinase 1PDCD1 protein, humanProgrammed Cell Death 1 ReceptorProto-Oncogene Proteins B-rafadjuvant therapyBRAFimmunotherapymelanomapd-1PD1risk stratificationstage IItargeted therapy

Identifiers

PMID31869447
PMCPMC7065103

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.