Evidence map›Paper›PMID 34207200›Full record

ArticleCancers2021

Tolerance and Effectiveness of Targeted Therapies in Aged Patients with Metastatic Melanoma.

Ondine Becquart, Bastien Oriano, Stéphane Dalle, Laurent Mortier, Marie Thérèse Leccia, Caroline Dutriaux, Sophie Dalac, Henri Montaudié, Julie De Quatrebarbes, Florence Brunet-Possenti and 10 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 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.4field-weighted citation impact, top 41% 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, 6 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Treatment of Metastatic Melanoma in the Elderly.Current oncology reports · 2022
    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

20 authors at 16 institutions in 1 country.

Ondine BecquartCHU de Montpellier, Service de Dermatologie, 34295 Montpellier, France.
Bastien OrianoHôpital St Louis, APHP, Service de Dermatologie, 75010 Paris, France.
Stéphane DalleService de Dermatologie, Hospices Civils de Lyon, Centre de Recherche en Cancérologie de Lyon, 69002 Lyon, France.
Laurent MortierCHRU Lille, Service de Dermatologie, 59000 Lille, France.
Marie Thérèse LecciaCHU Grenoble, Service de Dermatologie, 38000 Grenoble, France.
Caroline DutriauxCHU Bordeaux Saint-André, Service de Dermatologie, 33000 Bordeaux, France.
Sophie DalacCHU Dijon, Service de Dermatologie, 21000 Dijon, France.
Henri MontaudiéCHU Nice, Service de Dermatologie, 06000 Nice, France.
Julie De QuatrebarbesCH d'Annecy-Genevois, Service de Dermatologie, 74370 Annecy, France.
Florence Brunet-PossentiHôpital Bichat, APHP, Paris, Service de Dermatologie, 75018 Paris, France.ORCID 0000-0003-2100-2913
Philippe SaiagHôpital Ambroise Pare, APHP, Service de Dermatologie, 92100 Boulogne-Billancourt, France.
Thierry LesimpleCLCC Eugène Marquis, Service d'Oncologie, 35000 Rennes, France.ORCID 0000-0002-1360-5135
Marie Beylot-BarryCHU Bordeaux Saint-André, Service de Dermatologie, 33000 Bordeaux, France.
Francois AubinCHU Jean Mermoz, Service de Dermatologie, 25000 Besançon, France.ORCID 0000-0002-1421-4996
Pierre-Emmanuel StoebnerCHU Nîmes, Service de Dermatologie, 30000 Nîmes, France.
Jean-Philippe ArnaultCHU Amiens, Service de Dermatologie, 80000 Amiens, France.
Brigitte DrenoCHU Nantes, Service de Dermatologie, 44000 Nantes, France.ORCID 0000-0001-5574-5825
Raphael PorcherHôpital Hôtel-Dieu, APHP, Centre d'Épidémiologie Clinique, 75010 Paris, France.
Celeste LebbeHôpital St Louis, APHP, Service de Dermatologie, 75010 Paris, France.
Bernard GuillotDepartement de Dermatologie, University of Montpellier, 34000 Montpellier, France.
Assistance Publique – Hôpitaux de Paris · FRCentre Hospitalier Universitaire de Bordeaux · FRCentre Eugène Marquis · FRCentre Hospitalier Annecy Genevois · FRCentre Hospitalier Universitaire Amiens-Picardie · FRCentre Hospitalier Universitaire de Besançon · FRCentre Hospitalier Universitaire de Grenoble · FRCentre Hospitalier Universitaire de Lille · FRCentre Hospitalier Universitaire de Montpellier · FRCentre Hospitalier Universitaire de Nantes · FRCentre Hospitalier Universitaire de Nice · FRCHU Dijon Bourgogne · FRHospices Civils de Lyon · FRInserm · FRUniversité Claude Bernard Lyon 1 · FRUniversité de Montpellier · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeMelanoma's incidence is increasing, and elderly people could be significantly impacted since the majority occurs in people over 65 years of age. Combined BRAF and MEK targeted therapies (TT) are current standard regimen for BRAF mutated metastatic melanoma (MM). Except for subgroups of pivotal trials, little data are available for TT in this population. MATERIALS AND

methodsOutcomes were explored in real life patients from MelBase, a French multicentric biobank dedicated to the prospective follow-up of unresectable stage III or IV melanoma. Patients treated by BRAF TT and/or MEK TT combined or not, were included from 2013 to 2017 in 2 groups: group 1 ≤ 65-year-old (yo), group 2 > 65 yo, analyzed for tolerance and efficacy.

results353 patients were included: 231 in group 1, 122 in group 2. Median follow-up was 12 months (M). Median time of treatment was 6.9 M. A total of 80% had at least one Adverse Effect (AE). Most frequent AE (all grades) were mainly skin and subcutaneous, general, and gastrointestinal disorders. A total of 31% of AE were grade 3-4: 28% in group 1 and 39% in group 2 (

conclusionThis study on a large multicentric cohort is the first to assess that TT is well tolerated in elderly BRAF-mutated patients such as in patients younger than 65. Efficacy was similar between groups with outcomes reaching those from pivotal studies. There is thus no argument against using TT in elderly people, although an onco-geriatric opinion is welcome for the most vulnerable.

Indexed as

elderly peoplemelanomaside effectstargeted therapy

Identifiers

PMID34207200
PMCPMC8235702
OpenAlexW3166601590

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.