Evidence map›Paper›PMID 32503946›Full record

Trial reportJournal for immunotherapy of cancer2020

Overall survival at 5 years of follow-up in a phase III trial comparing ipilimumab 10 mg/kg with 3 mg/kg in patients with advanced melanoma.

Paolo Antonio Ascierto, Michele Del Vecchio, Andrzej Mackiewicz, Caroline Robert, Vanna Chiarion-Sileni, Ana Arance, Céleste Lebbé, Inge Marie Svane, Catriona McNeil, Piotr Rutkowski and 20 more

Erratum issued Registry-linked trialAbstract readClinical Trial, Phase IIIComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal for immunotherapy of cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT01515189 (A Randomized Double-Blind Phase III Study of Ipilimumab Administered at 3 mg/kg Versus at 10 mg /kg in Subjects With Previously Treated or Untreated Unresectable or Metastatic Melanoma), which is not on this map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
–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.

NCT01515189 phase3completednot on this map

A Randomized Double-Blind Phase III Study of Ipilimumab Administered at 3 mg/kg Versus at 10 mg /kg in Subjects With Previously Treated or Untreated Unresectable or Metastatic Melanoma

TypeinterventionalSponsorBristol-Myers SquibbRan2012 to 2017Enrolled831ConditionsMelanomaArmsIpilimumab
3 · Its place in the literature

Who cites it

33 citing papers in PubMed.

  1. Trial
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  3. COLUMBUS 5-Year Update: A Randomized, Open-Label, Phase III Trial of Encorafenib Plus Binimetinib Versus Vemurafenib or Encorafenib in Patients WithJournal of clinical oncology : official journal of the American Society of Clinical Oncology · 2022
    Trial
  4. Review
  5. Tailored FcγR blockade enhances immune checkpoint therapy and overcomes resistance.Journal of experimental & clinical cancer research : CR · 2026
    Article
  6. Advances in Cancer Immunotherapy for Solid Tumors.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

30 authors.

Paolo Antonio AsciertoMelanoma, Cancer Immunotherapy and Innovative Therapy Unit, Istituto Nazionale Tumori IRCCS Fondazione Pascale, Napoli, Italy paolo.ascierto@gmail.com.ORCID 0000-0002-8322-475X
Michele Del VecchioUnit of Melanoma Medical Oncology, Fondazione IRCCS Istituto Nazionale dei Tumori, Milano, Lombardia, Italy.
Andrzej MackiewiczDepartment of Diagnostics and Cancer Immunology, Greater Poland Cancer Center, Poznan Medical University, Poznan, Poland.
Caroline RobertDepartment of Medicine, Dermatology Service, Gustave Roussy, Villejuif and Paris-Sud-University, Le Kremlin-Bicêtre, France.
Vanna Chiarion-SileniMelanoma Oncology Unit, Istituto Oncologico Veneto-IRCCS, Padova, Italy.
Ana AranceHospital Clinic and Institut D'Investigacions Biomèdiques August Pi i Sunyer, Barcelona, Spain.
Céleste LebbéUniversité de Paris, INSERM, Dermatology and CIC, Saint Louis Hospital, Paris, France.
Inge Marie SvaneCenter for Cancer Immune Therapy, Herlev Hospital, Herlev, Denmark.
Catriona McNeilChris O'Brien Lifehouse and Royal Prince Alfred Hospital, Camperdown, New South Wales, Australia.
Piotr RutkowskiDepartment of Soft Tissue/Bone Sarcoma and Melanoma, Maria Skłodowska-Curie Institute-Oncology Center, Warsaw, Poland.ORCID 0000-0002-8920-5429
Carmen LoquaiDepartment of Dermatology, University Medical Center, Mainz, Germany.
Laurent MortierClinique de Dermatologie, Unité d'Onco-Dermatologie, INSERM U1189, Centre Hospitalier Régional Universitaire de Lille, Hôpital Claude Huriez, Lille, France.
Omid HamidMelanoma Center, The Angeles Clinic and Research Institute, Los Angeles, California, USA.
Lars BastholtDepartment of Oncology, Odense University Hospital, Odense, Denmark.
Brigitte DrenoDepartment of Oncodermatology, University Hospital Centre Nantes, Nantes, Pays de la Loire, France.
Dirk SchadendorfDepartment of Dermatology, University Hospital Essen, Essen, Nordrhein-Westfalen, Germany.
Claus GarbeDepartment of Dermatology, Eberhard Karls Universitat Tübingen, Tübingen, Baden-Württemberg, Germany.
Marta NyakasDepartment of Oncology, Oslo University Hospital, Oslo, Norway.
Jean-Jacques GrobDermatology and Skin Cancers Department, Aix-Marseille University, APHM, Marseille, France.
Luc ThomasDepartment of Dermatology, Centre Hospitalier Lyon-Sud, Pierre-Bénite, France.
Gabriella LiszkayDepartment of Oncodermatology, National Institute of Oncology, Budapest, Hungary.
Michael SmylieDepartment of Oncology, Cross Cancer Institute, Edmonton, Alberta, Canada.
Christoph HoellerDivision of General Dermatology and Dermato-Oncology, Medical University of Vienna, Vienna, Austria.
Virginia FerraresiUnit of Medical Oncology, IRCCS-Regina Elena National Cancer Institute, Rome, Italy.
Florent GrangeDepartment of Dermatology, University Hospital Centre Reims, Reims, Champagne-Ardenne, France.
Ralf GutzmerOperative Dermatology and Dermato-Oncology, Medizinische Hochschule Hannover, Hannover, Niedersachsen, Germany.
Joanna PikielDepartment of Oncology, Wojewodzkie Centrum Oncologii, Gdańsk, Poland.
Fareeda HoseinOncology Clinical Development, Bristol-Myers Squibb Co, Princeton, New Jersey, USA.
Burcin SimsekOncology Clinical Development, Bristol-Myers Squibb Co, Princeton, New Jersey, USA.
Michele MaioCenter for Immuno-Oncology, University Hospital of Siena, Instituto Toscano Tumori, Siena, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe have previously reported significantly longer overall survival (OS) with ipilimumab 10 mg/kg versus ipilimumab 3 mg/kg in patients with advanced melanoma, with higher incidences of adverse events (AEs) at 10 mg/kg. This follow-up analysis reports a 5-year update of OS and safety.

methodsThis randomized, multicenter, double-blind, phase III trial included patients with untreated or previously treated unresectable stage III or IV melanoma. Patients were randomly assigned (1:1) to ipilimumab 10 mg/kg or 3 mg/kg every 3 weeks for 4 doses. The primary end point was OS.

resultsAt a minimum follow-up of 61 months, median OS was 15.7 months (95% CI 11.6 to 17.8) at 10 mg/kg and 11.5 months (95% CI 9.9 to 13.3) at 3 mg/kg (HR 0.84, 95% CI 0.71 to 0.99; p=0.04). In a subgroup analysis, median OS of patients with asymptomatic brain metastasis was 7.0 months (95% CI 4.0 to 12.8) in the 10 mg/kg group and 5.7 months (95% CI 4.2 to 7.0) in the 3 mg/kg group. In patients with wild-type or mutant

conclusionsThis 61-month follow-up of a phase III trial showed sustained long-term survival in patients with advanced melanoma who started metastatic treatment with ipilimumab monotherapy, and confirmed the significant benefit for those who received ipilimumab 10 mg/kg vs 3 mg/kg. These results suggest the emergence of a plateau in the OS curve, consistent with previous ipilimumab studies. TRIAL REGISTRATION NUMBER: NCT01515189.

Indexed as

AdultAgedDose-Response Relationship, DrugDouble-Blind MethodDrug-Related Side Effects and Adverse ReactionsFollow-Up StudiesHumansImmune Checkpoint InhibitorsIncidenceIpilimumabMelanomaMiddle AgedProgression-Free SurvivalSkin NeoplasmsSurvival RateYoung AdultImmune Checkpoint InhibitorsIpilimumabimmunologyoncologyrandomized trials

Identifiers

PMID32503946
PMCPMC7279645

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Registered trials

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.