Evidence map›Paper›PMID 36690728›Full record

ArticleEye (London, England)2023

Primary cemiplimab treatment for orbital squamous cell carcinoma is effective and may alleviate the need for orbital exenteration.

Alon Tiosano, Meydan Ben-Ishai, Yaacov Cnaany, Gal Markel, Noga Kurman, Aron Popovtzer, Gil Bar Sela, Guy Ben Simon, Assaf Gershoni, Iftach Yassur

Open access · greenAbstract readComment
In one paragraph

Article in Eye (London, England), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
5.4field-weighted citation impact, top 4% 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

8 citing papers in PubMed, 25 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 1 country.

Alon TiosanoOphthalmology Division, Rabin Medical Center-Beilinson Hospital, Petach Tikva, Israel.ORCID 0000-0001-7714-4799
Meydan Ben-IshaiOphthalmology Division, Rabin Medical Center-Beilinson Hospital, Petach Tikva, Israel.
Yaacov CnaanyOphthalmology Department, Hadassah Hebrew University Medical Center, Jerusalem, Israel.
Gal MarkelSackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Noga KurmanSackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Aron PopovtzerSharett Institute of Oncology, Hebrew University Hadassah Medical Center, Jerusalem, Israel.
Gil Bar SelaOncology and Hematology Division, Emek Medical Center, Afula, Israel.
Guy Ben SimonGoldschleger Eye Institute, Sheba Medical Center, Tel Hashomer, Israel.ORCID 0000-0002-3967-2694
Assaf Gershoni *Ophthalmology Division, Rabin Medical Center-Beilinson Hospital, Petach Tikva, Israel.
Iftach Yassur *Ophthalmology Division, Rabin Medical Center-Beilinson Hospital, Petach Tikva, Israel. yassurdoc@gmail.com.
Tel Aviv University · ILHadassah Medical Center · ILEmek Medical Center · ILSheba Medical Center · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the effectiveness of cemiplimab, a Programmed-cell-death-1(PD-1) protein inhibitor, for the treatment of cutaneous periocular-locally-advanced squamous-cell-carcinoma (POLA-SCC) with orbital-invasion.

methodsMulticentre real-world retrospective study. Demographic and clinical data were collected and analysed for patients with biopsy-proven POLA-SCC(AJCC-T4) with orbital-invasion who were treated with cemiplimab at one of four tertiary medical centres in 2019-2022.

resultsThe cohort included 13 patients, 8 males and 5 females, of median age 76 years (IQR65-86). The median duration of treatment was 5.0months (IQR3.5-10.5) and the median follow-up time, 15.0 months (IQR10.5-30). The overall response rate was 69.2%. Complete response was documented in seven patients (53.8%), partial response in two (15.4%), stable disease in one (7.7%), and progressive disease in two (15.4%); in one patient (7.7%), response was not evaluable. Six complete responders (46.1% of the cohort) received no further treatment and did not have a recurrence during an average follow-up of 6.14 (±6.9) months from treatment cessation. None of the patients underwent orbital-exenteration. The majority of adverse events were mild (grade-1), except for a moderate increase in creatinine level (grade-2), severe bullous dermatitis (grade-3), and myocarditis (grade-5) in one patient each. Four patients (30.7%) died during the follow-up period, all of whom had an Eastern-Cooperative-Oncology-Group score of 4 at presentation.

conclusionsTo our knowledge, this is the largest study to date on cemiplimab therapy for cutaneous POLA-SCC with orbital-invasion. Treatment was shown to be effective, with an overall response rate of 69.2%. Cemiplimab holds promise for the treatment of patients with tumours invading the orbit as it may alleviate the need for orbital exenteration.

Indexed as

Carcinoma, Squamous CellOrbital NeoplasmsAgedAntibodies, Monoclonal, HumanizedFemaleHumansMaleRetrospective StudiesAntibodies, Monoclonal, Humanizedcemiplimab

Identifiers

PMID36690728
PMCPMC10397183
OpenAlexW4317805685

What OpenQuestion holds

Textmetadata
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.