Evidence map›Paper›PMID 34065877›Full record

ArticleCancers2021

Discontinuation of BRAF/MEK-Directed Targeted Therapy after Complete Remission of Metastatic Melanoma-A Retrospective Multicenter ADOReg Study.

Henner Stege, Maximilian Haist, Michael Schultheis, Maria Isabel Fleischer, Peter Mohr, Friedegund Meier, Dirk Schadendorf, Selma Ugurel, Elisabeth Livingstone, Lisa Zimmer and 18 more

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 23% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  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

28 authors at 16 institutions in 1 country.

Henner StegeDepartment of Dermatology, University Medical Center Mainz, 55131 Mainz, Germany.
Maximilian HaistDepartment of Dermatology, University Medical Center Mainz, 55131 Mainz, Germany.ORCID 0000-0002-6720-7570
Michael SchultheisDepartment of Dermatology, University Medical Center Mainz, 55131 Mainz, Germany.ORCID 0000-0002-2957-074X
Maria Isabel FleischerDepartment of Dermatology, University Medical Center Mainz, 55131 Mainz, Germany.
Peter MohrDepartment of Dermatology, Elbe Kliniken Buxtehude, 21614 Buxtehude, Germany.
Friedegund MeierSkin Cancer Center at the University Cancer Center Dresden and National Center for Tumor Diseases, 01307 Dresden, Germany.
Dirk SchadendorfDepartment of Dermatology, University Hospital Essen, 45122 Essen, Germany.
Selma UgurelDepartment of Dermatology, University Hospital Essen, 45122 Essen, Germany.
Elisabeth LivingstoneDepartment of Dermatology, University Hospital Essen, 45122 Essen, Germany.ORCID 0000-0001-8279-9239
Lisa ZimmerDepartment of Dermatology, University Hospital Essen, 45122 Essen, Germany.
Rudolf HerbstDepartment of Dermatology, Helios-Hospital Erfurt, 99089 Erfurt, Germany.
Claudia PföhlerDepartment of Dermatology, Saarland University Medical Center, 66421 Homburg/Saar, Germany.ORCID 0000-0003-0384-114X
Katharina KählerDepartment of Dermatology, Campus Kiel, University Hospital of Schleswig-Holstein Hospital, 24105 Kiel, Germany.
Michael WeichenthalDepartment of Dermatology, Campus Kiel, University Hospital of Schleswig-Holstein Hospital, 24105 Kiel, Germany.
Patrick TerheydenDepartment of Dermatology, Allergology, and Venereology, University of Lübeck, 23538 Lübeck, Germany.
Dorothée NashanDepartment of Dermatology, Hospital Dortmund, 44137 Dortmund, Germany.
Dirk DebusDepartment of Dermatology, Paracelsus Medical University Nuremberg, City Hospital of Nuremberg, 90408 Nuremberg, Germany.
Martin KaatzDepartment of Dermatology, Wald-Klinikum Gera, 07548 Gera, Germany.
Fabian ZillerDepartment of Dermatology, DRK Krankenhaus Rabenstein, 09117 Chemnitz, Germany.
Sebastian HaferkampDepartment of Dermatology, University Hospital Regensburg, 93053 Regensburg, Germany.
Andrea ForschnerDepartment of Dermatology, University Hospital Tübingen, 72076 Tübingen, Germany.ORCID 0000-0002-6185-4945
Ulrike LeiterDepartment of Dermatology, University Hospital Tübingen, 72076 Tübingen, Germany.
Alexander KreuterDepartment of Dermatology, Venereology and Allergology, Helios St. Elisabeth Klinik Oberhausen, University Witten-Herdecke, 46045 Oberhausen, Germany.ORCID 0000-0003-2275-499X
Jens UlrichDepartment of Dermatology, Klinikum Quedlinburg, 06484 Quedlinburg, Germany.
Johannes KleemannDepartment of Dermatology, Venereology and Allergy, Johann Wolfgang Goethe University, 60590 Frankfurt/Main, Germany.ORCID 0000-0002-2005-5282
Fabienne BradfischDepartment of Dermatology, Venereology and Allergy, Johann Wolfgang Goethe University, 60590 Frankfurt/Main, Germany.
Stephan GrabbeDepartment of Dermatology, University Medical Center Mainz, 55131 Mainz, Germany.ORCID 0000-0002-6863-8719
Carmen LoquaiDepartment of Dermatology, University Medical Center Mainz, 55131 Mainz, Germany.
Johannes Gutenberg University Mainz · DEEssen University Hospital · DEChristian-Albrechts-Universität zu Kiel · DEGoethe University Frankfurt · DEUniversity Children's Hospital Tübingen · DEElbe Kliniken Stade-Buxtehude · DEHelios Klinikum Erfurt · DEHELIOS St. Elisabeth Klinik Oberhausen · DEKlinikum Coburg · DEKlinikum Dortmund · DENational Center for Tumor Diseases · DENuremberg Hospital · DESaarland University · DESRH Wald-Klinikum Gera · DEUniversity Hospital Regensburg · DEUniversity of Lübeck · DE

Funding

Else Kröner-Fresenius-Stiftung TransMed Jumpstart Program: 2019_A72Universitätsmedizin der Johannes Gutenberg-Universität Mainz Intramural research funding (Stufe 1)
6 · The paper itself

Abstract

The advent of BRAF/MEK inhibitors (BRAFi/MEKi) has significantly improved progression-free (PFS) and overall survival (OS) for patients with advanced BRAF-V600-mutant melanoma. Long-term survivors have been identified particularly among patients with a complete response (CR) to BRAF/MEK-directed targeted therapy (TT). However, it remains unclear which patients who achieved a CR maintain a durable response and whether treatment cessation might be a safe option in these patients. Therefore, this study investigated the impact of treatment cessation on the clinical course of patients with a CR upon BRAF/MEK-directed-TT. We retrospectively selected patients with BRAF-V600-mutant advanced non-resectable melanoma who had been treated with BRAFi ± MEKi therapy and achieved a CR upon treatment out of the multicentric skin cancer registry ADOReg. Data on baseline patient characteristics, duration of TT, treatment cessation, tumor progression (TP) and response to second-line treatments were collected and analyzed. Of 461 patients who received BRAF/MEK-directed TT 37 achieved a CR. TP after initial CR was observed in 22 patients (60%) mainly affecting patients who discontinued TT (n = 22/26), whereas all patients with ongoing TT (n = 11) maintained their CR. Accordingly, patients who discontinued TT had a higher risk of TP compared to patients with ongoing treatment (

Indexed as

advanced melanomacomplete responsediscontinuationdisease progressionsecond-line immunotherapytargeted therapy

Identifiers

PMID34065877
PMCPMC8151093
OpenAlexW3163826882

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.