Evidence map›Paper›PMID 36230498›Full record

ArticleCancers2022

Clinical Presentation and Prognostic Features in Patients with Immunotherapy-Induced Vitiligo-like Depigmentation: A Monocentric Prospective Observational Study.

Nicola Hermann, Lara Valeska Maul, Milad Ameri, Stephan Traidl, Reihane Ziadlou, Karolina Papageorgiou, Isabel Kolm, Mitchell Levesque, Julia-Tatjana Maul, Marie-Charlotte Brüggen

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 20% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Vitiligo-like depigmentation as an accessible readout of antitumour immunity in melanoma immunotherapy.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Review
  3. Article
  4. Review
  5. Article
  6. Review
  7. [Advances in Predictive Research of Immune Checkpoint Inhibitors-related 
Adverse Events].Zhongguo fei ai za zhi = Chinese journal of lung cancer · 2023
    Article
  8. Review
  9. Article
  10. Article
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

10 authors at 4 institutions in 2 countries.

Nicola HermannDepartment of Dermatology, University Hospital of Zurich, 8091 Zurich, Switzerland.
Lara Valeska MaulDepartment of Dermatology, University Hospital of Basel, 4031 Basel, Switzerland.ORCID 0000-0001-9202-0073
Milad AmeriDepartment of Dermatology, University Hospital of Zurich, 8091 Zurich, Switzerland.
Stephan TraidlDepartment of Dermatology, University Hospital of Zurich, 8091 Zurich, Switzerland.ORCID 0000-0003-4806-599X
Reihane ZiadlouDepartment of Dermatology, University Hospital of Zurich, 8091 Zurich, Switzerland.ORCID 0000-0001-7016-6725
Karolina PapageorgiouDepartment of Dermatology, University Hospital of Zurich, 8091 Zurich, Switzerland.
Isabel KolmDepartment of Dermatology, University Hospital of Zurich, 8091 Zurich, Switzerland.
Mitchell LevesqueDepartment of Dermatology, University Hospital of Zurich, 8091 Zurich, Switzerland.ORCID 0000-0001-5902-9420
Julia-Tatjana MaulDepartment of Dermatology, University Hospital of Zurich, 8091 Zurich, Switzerland.ORCID 0000-0002-9914-1545
Marie-Charlotte BrüggenDepartment of Dermatology, University Hospital of Zurich, 8091 Zurich, Switzerland.ORCID 0000-0002-8607-6254
University of Zurich · CHMedizinische Hochschule Hannover · DEUniversity Hospital of Basel · CHUniversity Hospital of Zurich · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Vitiligo-like depigmentation (VLD) is an immune-related adverse event (irAE) of checkpoint-inhibitor (CPI) treatment, which has previously been associated with a favourable outcome. The aim of this study was to explore clinical, biological and prognostic features of melanoma patients with VLD under CPI-treatment and to explore whether they exhibit a characteristic immune response profile in peripheral blood. Melanoma patients developing VLD under CPI were included in a prospective observational single-center cohort study. We collected and analysed clinical parameters, photographs and serum from 28 VLD patients. They received pembrolizumab (36%), nivolumab (11%), ipilimumab/nivolumab (32%) or clinical trial medications (21%). We performed a high-throughput proteomics assay (Olink), in which we identified a distinct proteomic signature in VLD patients in comparison to non-VLD CPI patients. Our clinical assessments revealed that VLD lesions had a predominantly symmetrical distribution pattern, with mostly smaller "freckle-like" macules and a preferential distribution in UV-exposed areas. Patients with previous targeted therapy showed a significantly longer time lapse between CPI initiation and VLD onset compared to non-pre-treated patients (12.5 vs. 6.25 months). Therapy responders exhibited a distinct proteomic profile when compared with non-responders in VLD such as upregulation of EDAR and downregulation of LAG3. ITGA11 was elevated in the VLD-group when compared to non-VLD-CPI-treated melanoma patients. Our findings demonstrate that on a proteomic level, VLD is characterized by a distinct immune signature when compared to CPI-treated patients without VLD and that therapy responsiveness is reflected by a characteristic immune profile. The pathomechanisms underlying these findings and how they could relate to the antitumoral response in melanoma remain to be elucidated.

Indexed as

BRAFcheckpoint inhibitorsimmune-related toxicityLDHmelanomasurvivalvitiligovitiligo-like depigmentation

Identifiers

PMID36230498
PMCPMC9558529
OpenAlexW4296991782

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.