Evidence map›Paper›PMID 34764195›Full record

Trial reportCancer discovery2022

Adjuvant Pembrolizumab versus IFNα2b or Ipilimumab in Resected High-Risk Melanoma.

Kenneth F Grossmann, Megan Othus, Sapna P Patel, Ahmad A Tarhini, Vernon K Sondak, Michael V Knopp, Teresa M Petrella, Thach-Giao Truong, Nikhil I Khushalani, Justine V Cohen and 21 more

Registry-linked trialOpen access · bronzeAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in Cancer discovery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06365619 (Phase II Study of Neoadjuvant Ipilimumab/Nivolumab for Patients With Recurrent, High Risk, Resectable Melanoma), which is not on this map. Cited by 76 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
76citing papers in PubMed, 9 pooled it
5.5field-weighted citation impact, top 3% 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.

NCT06365619 phase2recruitingnot on this mapstarted 2026, after this paper: background citation

Phase II Study of Neoadjuvant Ipilimumab/Nivolumab for Patients With Recurrent, High Risk, Resectable Melanoma

TypeinterventionalSponsorUniversity of UtahRan2026 to 2030Enrolled25ConditionsMelanomaArmsIpilimumab, Nivolumab
3 · Its place in the literature

Who cites it

76 citing papers in PubMed, 9 syntheses or guidelines pooled it, 96 citations in OpenAlex.

  1. Pooled it
  2. Cancer-related fatigue during treatment with neoadjuvant and/or adjuvant immune checkpoint inhibitors: a systematic review and meta-analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Cutaneous melanoma: ESMO Clinical Practice Guideline for diagnosis, treatment and follow-up.Annals of oncology : official journal of the European Society for Medical Oncology · 2025
    Guideline
  8. Pooled it
  9. Pooled it
  10. Trial
  11. Trial
  12. Article
  13. Article
  14. Article
  15. Review
  16. Complete lymph node dissection versus selective lymph node extirpation in melanoma patients with nodal macrometastasis and adjuvant systemic therapy.Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG · 2026
    Article
  17. Article
  18. Article
  19. Review
  20. Review

16 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

31 authors at 19 institutions in 4 countries.

Kenneth F Grossmann *Huntsman Cancer Institute, University of Utah, Salt Lake City, Utah.ORCID 0000-0002-8523-7407
Megan Othus *SWOG Statistics and Data Management Center, Seattle, Washington.
Sapna P Patel *The University of Texas MD Anderson Cancer Center, Houston, Texas.ORCID 0000-0003-1339-1517
Ahmad A TarhiniH. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida.ORCID 0000-0002-3193-9702
Vernon K SondakH. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida.ORCID 0000-0003-1090-484X
Michael V KnoppOhio State University, Columbus, Ohio.
Teresa M PetrellaOdette Cancer Center, Sunnybrook Health Sciences Centre, Toronto, Canada.
Thach-Giao TruongKaiser Permanente NCAL, Vallejo, California.
Nikhil I KhushalaniH. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida.
Justine V CohenMassachusetts General Hospital, Boston, Massachusetts.
Elizabeth I BuchbinderDana-Farber Cancer Institute, Boston, Massachusetts.
Kari KendraOhio State University, Columbus, Ohio.ORCID 0000-0001-5936-6689
Pauline FunchainCleveland Clinic, Cleveland, Ohio.ORCID 0000-0002-7568-8626
Karl D LewisUniversity of Colorado Cancer Center, Aurora, Colorado.
Robert M ConryUniversity of Alabama at Birmingham Cancer Center, Birmingham, Alabama.
Bartosz ChmielowskiUniversity of California, Los Angeles, Jonsson Comprehensive Cancer Center, Los Angeles, California.ORCID 0000-0002-2374-3320
Ragini R KudchadkarEmory University Winship Cancer Institute, Atlanta, Georgia.
Douglas B JohnsonVanderbilt University Medical Center, Nashville, Tennessee.
Hongli LiSWOG Statistics and Data Management Center, Seattle, Washington.
James MoonSWOG Statistics and Data Management Center, Seattle, Washington.
Zeynep ErogluH. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida.
Brian GastmanCleveland Clinic, Cleveland, Ohio.
Magdalena Kovacsovics-BankowskiHuntsman Cancer Institute, University of Utah, Salt Lake City, Utah.
Krishna S GunturuLahey Hospital and Medical Center, Burlington, New Jersey.
Scot W EbbinghausMerck & Co., Inc., Kenilworth, UK.
Sama AhsanMerck & Co., Inc., Kenilworth, UK.
Nageatte IbrahimMerck & Co., Inc., Kenilworth, UK.ORCID 0000-0003-0794-949X
Elad SharonNational Cancer Institute, Cancer Therapy Evaluation Program, Bethesda, Maryland.ORCID 0000-0002-0044-9719
Larissa A KordeNational Cancer Institute, Cancer Therapy Evaluation Program, Bethesda, Maryland.
John M KirkwoodUniversity of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.ORCID 0000-0002-3570-4476
Antoni RibasUniversity of California, Los Angeles, Jonsson Comprehensive Cancer Center, Los Angeles, California.ORCID 0000-0003-3669-8458
Moffitt Cancer Center · USAGCO (United Kingdom) · GBData Management (Italy) · ITCleveland Clinic · USNational Cancer Institute · USOhio University · USUniversity of California, Los Angeles · USUniversity of Utah · USDana-Farber Cancer Institute · USEmory University · USKaiser Permanente Vallejo Medical Center · USLahey Medical Center · USMassachusetts General Hospital · USSunnybrook Health Science Centre · CAThe University of Texas MD Anderson Cancer Center · USUniversity of Alabama at Birmingham · USUniversity of Colorado Cancer Center · USUniversity of Pittsburgh Medical Center · USVanderbilt University Medical Center · US

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Fabien Delerue · 1985 to 2026
$290.8M
Project-006U10CA180820 · NCI · ECOG-ACRIN MEDICAL RESEARCH FOUNDATION · PI Peter J ODwyer · 2014 to 2026
$167.6M
SWOG Network Group Operations Center of the NCTNU10CA180888 · NCI · UNIVERSITY OF CALIFORNIA AT DAVIS · PI PRIMO N. LARA · 2014 to 2026
$152.1M
SWOG Statistics & Data Management Center complex - extension supplement for GY06U10CA180819 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI Catherine M. Tangen · 2014 to 2026
$115.2M
Kaiser Permanente NCI National Community Oncology Research Program, NCORPUG1CA189821 · NCI · KAISER FOUNDATION RESEARCH INSTITUTE · PI Jennifer Marie Suga · 2014 to 2026
$44.4M
NCIC Clinical Trials Group - Canadian Collaborating Clinical Trials NetworkU10CA180863 · NCI · QUEEN'S UNIVERSITY AT KINGSTON · PI Janet Ellen Dancey · 2014 to 2026
$40.4M
Project 3: Modeling and overcoming resistance to melanoma immunotherapyP01CA244118 · NCI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI MORICEAU, GATIEN P · 2020 to 2024
$12.8M
UT MD Anderson Cancer Center Network Lead Academic Participating Site (LAP) UG1UG1CA233329 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI KELLY K HUNT, CHELSEA Camille PINNIX · 2019 to 2026
$11.1M
Next Generation Cancer Immunotherapies to Defeat MelanomaR35CA197633 · NCI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ANTONI RIBAS · 2015 to 2026
$10.4M
OSU as a Network Lead Academic Participating Site for the NCI NCTNUG1CA233331 · NCI · OHIO STATE UNIVERSITY · PI John L. Hays, Dwight H. Owen · 2019 to 2026
$8.9M
NCI National Clinical Trials Network - Lead Academic Participating SiteUG1CA233324 · NCI · UNIVERSITY OF COLORADO DENVER · PI ANTHONY D ELIAS · 2019 to 2026
$5.2M
Huntsman Cancer Institute/ University of Utah Network Lead Academic Participating Site ApplicationUG1CA233178 · NCI · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI Matthew Poppe, Heloisa Prado Soares · 2019 to 2026
$4.9M
NCI NIH HHS P01 CA244118NCI NIH HHS P30 CA016672NCI NIH HHS R35 CA197633NCI NIH HHS U10 CA180819NCI NIH HHS U10 CA180820NCI NIH HHS U10 CA180863NCI NIH HHS U10 CA180888NCI NIH HHS UG1 CA189821NCI NIH HHS UG1 CA233178NCI NIH HHS UG1 CA233324NCI NIH HHS UG1 CA233329NCI NIH HHS UG1 CA233330NCI NIH HHS UG1 CA233331
6 · The paper itself

Abstract

We conducted a randomized phase III trial to evaluate whether adjuvant pembrolizumab for one year (647 patients) improved recurrence-free survival (RFS) or overall survival (OS) in comparison with high-dose IFNα-2b for one year or ipilimumab for up to three years (654 patients), the approved standard-of-care adjuvant immunotherapies at the time of enrollment for patients with high-risk resected melanoma. At a median follow-up of 47.5 months, pembrolizumab was associated with significantly longer RFS than prior standard-of-care adjuvant immunotherapies [HR, 0.77; 99.62% confidence interval (CI), 0.59-0.99; P = 0.002]. There was no statistically significant association with OS among all patients (HR, 0.82; 96.3% CI, 0.61-1.09; P = 0.15). Proportions of treatment-related adverse events of grades 3 to 5 were 19.5% with pembrolizumab, 71.2% with IFNα-2b, and 49.2% with ipilimumab. Therefore, adjuvant pembrolizumab significantly improved RFS but not OS compared with the prior standard-of-care immunotherapies for patients with high-risk resected melanoma. SIGNIFICANCE: Adjuvant PD-1 blockade therapy decreases the rates of recurrence, but not survival, in patients with surgically resectable melanoma, substituting the prior standard-of-care immunotherapies for this cancer. See related commentary by Smithy and Shoushtari, p. 599. This article is highlighted in the In This Issue feature, p. 587.

Indexed as

Antibodies, Monoclonal, HumanizedIpilimumabMelanomaAdjuvants, ImmunologicAntineoplastic Agents, ImmunologicalHumansRisk AssessmentAdjuvants, ImmunologicAntibodies, Monoclonal, HumanizedAntineoplastic Agents, ImmunologicalIpilimumabpembrolizumab

Identifiers

PMID34764195
PMCPMC8904282
OpenAlexW3214653934

What OpenQuestion holds

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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.