Evidence map›Paper›PMID 32196516›Full record

ArticlePloS one2020

Assessment of clinical outcomes with immune checkpoint inhibitor therapy in melanoma patients with CDKN2A and TP53 pathogenic mutations.

Thomas T DeLeon, Daniel R Almquist, Benjamin R Kipp, Blake T Langlais, Aaron Mangold, Jennifer L Winters, Heidi E Kosiorek, Richard W Joseph, Roxana S Dronca, Matthew S Block and 8 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 16% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Interferon Epsilon Loss Is Elusive 9p21 Link to Immune-Cold Tumors, Resistant to Immune Checkpoint Therapy, and Endogenous CXCL9/10 Induction.Journal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer · 2025
    Review
  5. Review
  6. Article
  7. Genetic study of thePractical laboratory medicine · 2024
    Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Review
  13. Epigenetics in the Diagnosis and Therapy of Malignant Melanoma.International journal of molecular sciences · 2022
    Review
  14. Article
  15. Clinical cancer research : an official journal of the American Association for Cancer Research · 2021
    Article
  16. Review
  17. Review
  18. Article
  19. 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

18 authors at 2 institutions in 1 country.

Thomas T DeLeonDepartment of Hematology & Oncology, Mayo Clinic Arizona, Scottsdale, Arizona, United States of America.
Daniel R AlmquistDepartment of Hematology & Oncology, Mayo Clinic Arizona, Scottsdale, Arizona, United States of America.ORCID 0000-0002-2541-0685
Benjamin R KippDepartment of Laboratory Medicine and Pathology, Mayo Clinic Rochester, Rochester, Minnesota, United States of America.
Blake T LanglaisDepartment of Biostatistics, Mayo Clinic Arizona, Scottsdale, Arizona, United States of America.
Aaron MangoldDepartment of Dermatology, Mayo Clinic Arizona, Scottsdale, Arizona, United States of America.ORCID 0000-0001-6873-1705
Jennifer L WintersDepartment of Laboratory Medicine and Pathology, Mayo Clinic Rochester, Rochester, Minnesota, United States of America.
Heidi E KosiorekDepartment of Biostatistics, Mayo Clinic Arizona, Scottsdale, Arizona, United States of America.
Richard W JosephDepartment of Hematology & Oncology, Mayo Clinic Rochester, Rochester, Minnesota, United States of America.
Roxana S DroncaDepartment of Hematology & Oncology, Mayo Clinic Rochester, Rochester, Minnesota, United States of America.
Matthew S BlockDepartment of Hematology & Oncology, Mayo Clinic Rochester, Rochester, Minnesota, United States of America.ORCID 0000-0001-5692-4219
Robert R McWilliamsDepartment of Hematology & Oncology, Mayo Clinic Rochester, Rochester, Minnesota, United States of America.
Lisa A KottschadeDepartment of Hematology & Oncology, Mayo Clinic Rochester, Rochester, Minnesota, United States of America.
Kandelaria M RumillaDepartment of Laboratory Medicine and Pathology, Mayo Clinic Rochester, Rochester, Minnesota, United States of America.
Jesse S VossDepartment of Laboratory Medicine and Pathology, Mayo Clinic Rochester, Rochester, Minnesota, United States of America.
Mahesh SeetharamDepartment of Hematology & Oncology, Mayo Clinic Arizona, Scottsdale, Arizona, United States of America.
Aleksandar SekulicDepartment of Dermatology, Mayo Clinic Arizona, Scottsdale, Arizona, United States of America.
Svetomir N MarkovicDepartment of Hematology & Oncology, Mayo Clinic Rochester, Rochester, Minnesota, United States of America.
Alan H BryceDepartment of Hematology & Oncology, Mayo Clinic Arizona, Scottsdale, Arizona, United States of America.ORCID 0000-0002-0206-3895
Mayo Clinic · USMayo Clinic in Arizona · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCDKN2A and TP53 mutations are recurrent events in melanoma, occurring in 13.3% and 15.1% of cases respectively and are associated with poorer outcomes. It is unclear what effect CDKN2A and TP53 mutations have on the clinical outcomes of patients treated with checkpoint inhibitors.

methodsAll patients with cutaneous melanoma or melanoma of unknown primary who received checkpoint inhibitor therapy and underwent genomic profiling with the 50-gene Mayo Clinic solid tumor targeted cancer gene panel were included. Patients were stratified according to the presence or absence of mutations in BRAF, NRAS, CDKN2A, and TP53. Patients without mutations in any of these genes were termed quadruple wild type (QuadWT). Clinical outcomes including median time to progression (TTP), median overall survival (OS), 6-month and 12-month OS, 6-month and 12-month without progression, ORR and disease control rate (DCR) were analyzed according to the mutational status of CDKN2A, TP53 and QuadWT.

resultsA total of 102 patients were included in this study of which 14 had mutations of CDKN2A (CDKN2Amut), 21 had TP53 mutations (TP53mut), and 12 were QuadWT. TP53mut, CDKN2Amut and QuadWT mutational status did not impact clinical outcomes including median TTP, median OS, 6-month and 12-month OS, 6-month and 12-month without progression, ORR and DCR. There was a trend towards improved median TTP and DCR in CDKN2Amut cohort and a trend towards worsened median TTP in the QuadWT cohort.

conclusionCell cycle regulators such as TP53 and CDKN2A do not appear to significantly alter clinical outcomes when immune checkpoint inhibitors are used.

Indexed as

ImmunotherapyAdultAgedAged, 80 and overAntibodies, Monoclonal, HumanizedAntineoplastic Agents, ImmunologicalCTLA-4 AntigenCyclin-Dependent Kinase Inhibitor p16FemaleHumansIpilimumabMaleMelanomaMiddle AgedMutationNivolumab1-methyltryptophanAntibodies, Monoclonal, HumanizedAntineoplastic Agents, ImmunologicalCDKN2A protein, humanCTLA-4 AntigenCyclin-Dependent Kinase Inhibitor p16IpilimumabNivolumabpembrolizumabProgrammed Cell Death 1 ReceptorTP53 protein, humanTryptophanTumor Suppressor Protein p53

Identifiers

PMID32196516
PMCPMC7083309
OpenAlexW3011070425

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.