Evidence map›Paper›PMID 33932099›Full record

ArticleCancer medicine2021

Decreased survival in patients treated by chemotherapy after targeted therapy compared to immunotherapy in metastatic melanoma.

Marie-Alix Mangin, Amélie Boespflug, Delphine Maucort Boulch, Charles-Hervé Vacheron, Isabelle Carpentier, Luc Thomas, Stéphane Dalle

Open access · goldAbstract read
In one paragraph

Article in Cancer medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.6field-weighted citation impact, top 29% 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

5 citing papers in PubMed, 11 citations in OpenAlex.

  1. Review
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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

7 authors at 2 institutions in 1 country.

Marie-Alix ManginDermatology Unit, Lyon Sud University Hospital, Pierre Bénite, France.ORCID 0000-0001-8531-7223
Amélie BoespflugDermatology Unit, Lyon Sud University Hospital, Pierre Bénite, France.
Delphine Maucort BoulchBiostatistics-Bioinformatics Department, Public Health Pole, Hospices Civils de Lyon, Evolutive biology and biometry laboratory, Université Lyon 1, CNRS UMR 5558, Villeurbanne, France.
Charles-Hervé VacheronBiostatistics-Bioinformatics Department, Public Health Pole, Hospices Civils de Lyon, Evolutive biology and biometry laboratory, Université Lyon 1, CNRS UMR 5558, Villeurbanne, France.
Isabelle CarpentierPharmacy Unit, Lyon Sud University Hospital, Pierre Bénite, France.
Luc ThomasDermatology Unit, Lyon Sud University Hospital, Pierre Bénite, France.
Stéphane DalleDermatology Unit, Lyon Sud University Hospital, Pierre Bénite, France.
Université Claude Bernard Lyon 1 · FRHôpital Lyon Sud · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCytotoxic chemotherapy (CC) is currently used in metastatic melanoma after patients have developed resistance to immune checkpoint inhibitors (ICI) and/or Mitogen-Activated Protein Kinase inhibitors (MAPKi). We sought to evaluate if a previous treatment by ICI or MAPKi influences clinical outcomes in patients treated by CC in metastatic melanoma.

methodsEighty-eight patients with a metastatic melanoma, treated by CC after a previous treatment by ICI or MAPKi between January 2009 and October 2019, were retrospectively analyzed. Progression-Free-Survival (PFS), Overall Survival (OS), Overall Response Rate (ORR), and Disease Control Rate (DCR) were evaluated in patients treated by CC according to their prior treatment by ICI or MAPKi.

resultsPatients treated by CC after ICI tended to have a better median PFS (2.81 months (2.39-5.30) versus 2.40 months (0.91-2.75), p = 0.023), median OS (6.03 months (3.54-11.54) versus 4.44 months (1.54-8.59), p = 0.27), DCR (26.0% vs. 10.5%, p = 0.121) and ORR (22.0% vs. 7.9% p = 0.134) than those previously treated by MAPKi.

conclusionsA prior treatment by an MAPKi may be associated with a worse response to CC than ICI, and further investigations should be performed to confirm if there is a clinical benefit to propose CC in this setting.

Indexed as

AgedAntineoplastic Combined Chemotherapy ProtocolsFemaleHumansImmune Checkpoint InhibitorsImmunotherapyMaleMelanomaProgression-Free SurvivalProtein Kinase InhibitorsRetrospective StudiesImmune Checkpoint InhibitorsProtein Kinase Inhibitorscytotoxic chemotherapyimmunotherapymelanomanivolumabpembrolizumabtargeted therapy

Identifiers

PMID33932099
PMCPMC8124115
OpenAlexW3158602895

What OpenQuestion holds

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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.