Evidence map›Paper›PMID 35797609›Full record

ArticleAnnals of surgery2023

Multicenter Experience with Neoadjuvant Therapy in Melanoma Highlights Heterogeneity in Contemporary Practice.

Kristen E Rhodin, Elizabeth M Gaughan, Vignesh Raman, April K Salama, Brent A Hanks, Riddhishkumar Shah, Douglas S Tyler, Craig L Slingluff, Georgia M Beasley

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in Annals of surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.4field-weighted citation impact, top 37% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. A Review of Neoadjuvant PD-1 Inhibitors in the Setting of Cutaneous Malignancies.The Journal of clinical and aesthetic dermatology · 2025
    Review
  3. 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

9 authors at 3 institutions in 1 country.

Kristen E RhodinDepartment of Surgery, Duke University Medical Center, Durham, NC.
Elizabeth M GaughanDepartment of Medicine, UVA, Charlottesville, VA.
Vignesh RamanDepartment of Surgery, Duke University Medical Center, Durham, NC.
April K SalamaDepartment of Medicine, Duke University Medical Center, Durham, NC.
Brent A HanksDepartment of Medicine, Duke University Medical Center, Durham, NC.
Riddhishkumar ShahDepartment of Medicine, Duke University Medical Center, Durham, NC.
Douglas S TylerDepartment of Surgery, UTMB, Galveston, TX.
Craig L SlingluffDepartment of Surgery, UVA, Charlottesville, VA.
Georgia M BeasleyDepartment of Surgery, Duke University Medical Center, Durham, NC.
Duke Medical Center · USUrology of Virginia · USGalveston College · US

Funding

Translational Research in Surgical OncologyT32CA093245 · NCI · DUKE UNIVERSITY · PI ALLEN, PETER J, HARPOLE, DAVID H. · 2002 to 2020
$5.2M
PVSRIPO in melanomaK08CA237726 · NCI · DUKE UNIVERSITY · PI BEASLEY, GEORGIA · 2020 to 2024
$1.0M
NCI NIH HHS K08 CA237726NCI NIH HHS T32 CA093245
6 · The paper itself

Abstract

objectiveTo determine the feasibility and impact of neoadjuvant therapy (NT) in patients who present with advanced melanoma amenable to surgical resection. SUMMARY BACKGROUND DATA: Given current effective systemic therapy for melanoma, the use of NT is being explored in patients with advanced melanoma with disease amenable to surgical resection.

methodsProspective data from 3 institutions was obtained in patients with clinically evident Stage III/IV melanoma who underwent NT. The primary objective was to compare recurrence-free survival between patients who had pathologic complete response (pCR) to those with persistent disease.

resultsNT was offered to 45 patients, with 43 patients initiating various NT regimens including PD-1 antagonist (PD-1) therapy (N = 16), PD-1 plus ipilimumab (N = 10), BRAF/MEK inhibitor therapy (N = 14), a combination of those three (N = 1), and talimogene laherparepvec (TVEC) (N = 2). Thirty-two (74.1%) patients underwent surgery whereas 11 patients did not undergo surgery for these reasons: clinical CR (N = 7), progressive disease not amenable to resection (N = 3), and ongoing therapy (N = 1). 12 of 32 patients (37.5%) had pCR with these therapies: PD-1 (N = 4), PD-1 plus ipilimumab (N = 2), BRAF/MEK (N = 4), combination (N = 1), and TVEC (N = 1). At median follow-up of 16.4 months there was only 1 recurrence in the pCR group and patients with a pCR had significantly improved recurrence-free survival compared to patients without pCR (p = 0.004).

conclusionsDespite variability in NT regimens across institutions, NT for melanoma is feasible and associated with improved prognosis in patients who achieve a pCR. Maximizing rates of pCR could improve prognosis for patients with advanced melanoma.

Indexed as

MelanomaOncolytic VirotherapySkin NeoplasmsCutaneous Malignant MelanomaHumansIpilimumabMitogen-Activated Protein Kinase KinasesNeoadjuvant TherapyProgrammed Cell Death 1 ReceptorProspective StudiesProto-Oncogene Proteins B-rafIpilimumabMitogen-Activated Protein Kinase KinasesProgrammed Cell Death 1 ReceptorProto-Oncogene Proteins B-raf

Identifiers

PMID35797609
PMCPMC9823148
OpenAlexW4284707712

What OpenQuestion holds

Textmetadata
LicenceTDM
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.