Evidence map›Paper›PMID 36828138›Full record

ArticleJournal of the American Academy of Dermatology2023

Influence of melanoma type on incidence and downstream implications of cutaneous immune-related adverse events in the setting of immune checkpoint inhibitor therapy.

Nga Nguyen, Guihong Wan, Pearl Ugwu-Dike, Nora A Alexander, Neel Raval, Shijia Zhang, Ruple Jairath, Jordan Phillipps, Bonnie Leung, Katie Roster and 23 more

Open access · greenAbstract read
In one paragraph

Article in Journal of the American Academy of Dermatology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
3.5field-weighted citation impact, top 7% 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, 15 citations in OpenAlex.

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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

33 authors at 7 institutions in 1 country.

Nga NguyenDepartment of Dermatology, Massachusetts General Hospital, Boston, Massachusetts.
Guihong WanDepartment of Dermatology, Massachusetts General Hospital, Boston, Massachusetts; Department of Biomedical Informatics, Harvard Medical School, Boston, Massachusetts.
Pearl Ugwu-DikeDepartment of Dermatology, Massachusetts General Hospital, Boston, Massachusetts.
Nora A AlexanderDepartment of Dermatology, Massachusetts General Hospital, Boston, Massachusetts.
Neel RavalDepartment of Dermatology, Massachusetts General Hospital, Boston, Massachusetts.
Shijia ZhangDepartment of Dermatology, Massachusetts General Hospital, Boston, Massachusetts; Department of Biomedical Informatics, Harvard Medical School, Boston, Massachusetts.
Ruple JairathDepartment of Dermatology, Massachusetts General Hospital, Boston, Massachusetts.
Jordan PhillippsDepartment of Dermatology, Massachusetts General Hospital, Boston, Massachusetts.
Bonnie LeungDepartment of Dermatology, Massachusetts General Hospital, Boston, Massachusetts; Department of Dermatology, Brigham and Women's Hospital, Boston, Massachusetts.
Katie RosterDepartment of Dermatology, Massachusetts General Hospital, Boston, Massachusetts.
Jayhyun SeoDepartment of Dermatology, Massachusetts General Hospital, Boston, Massachusetts.
Chenyue LuDepartment of Dermatology, Massachusetts General Hospital, Boston, Massachusetts; Department of Biomedical Informatics, Harvard Medical School, Boston, Massachusetts.
Kimberly TangDepartment of Dermatology, Massachusetts General Hospital, Boston, Massachusetts.
Min Seok ChoiDepartment of Dermatology, Massachusetts General Hospital, Boston, Massachusetts.
Mia S DeSimoneDepartment of Pathology, Brigham and Women's Hospital, Boston, Massachusetts.
Nicholas TheodosakisDepartment of Dermatology, Massachusetts General Hospital, Boston, Massachusetts.
Munachimso AmadifeDepartment of Dermatology, Massachusetts General Hospital, Boston, Massachusetts.
Nevada CoxDepartment of Dermatology, Massachusetts General Hospital, Boston, Massachusetts.
Thomas K LeDepartment of Dermatology, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Feng LiuSchool of Systems and Enterprises, Stevens Institute of Technology, Hoboken, New Jersey.
Wenxin ChenDepartment of Dermatology, Massachusetts General Hospital, Boston, Massachusetts; Department of Biomedical Informatics, Harvard Medical School, Boston, Massachusetts.
Xue BaiDepartment of Medicine, Dana-Farber Cancer Institute, Boston, Massachusetts.
Genevieve BolandDepartment of Surgery, Massachusetts General Hospital, Boston, Massachusetts.
David LiuDepartment of Medicine, Dana-Farber Cancer Institute, Boston, Massachusetts.
Marc S HurlbertMelanoma Research Alliance, Washington, District of Columbia.
Nicole LeBoeufDepartment of Dermatology, Brigham and Women's Hospital, Boston, Massachusetts.
Kerry L ReynoldsDepartment of Medicine, Massachusetts General Hospital Cancer Center, Boston, Massachusetts.
Kun-Hsing YuDepartment of Biomedical Informatics, Harvard Medical School, Boston, Massachusetts.
Hensin TsaoDepartment of Dermatology, Massachusetts General Hospital, Boston, Massachusetts.
Maryam AsgariDepartment of Dermatology, Massachusetts General Hospital, Boston, Massachusetts; Department of Population Medicine, Harvard Medical School, Boston, Massachusetts.
Alexander GusevDepartment of Medicine, Dana-Farber Cancer Institute, Boston, Massachusetts.
Shawn G KwatraDepartment of Dermatology, Johns Hopkins University School of Medicine, Baltimore, Maryland; Department of Oncology, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Yevgeniy R SemenovDepartment of Dermatology, Massachusetts General Hospital, Boston, Massachusetts. Electronic address: ysemenov@mgh.harvard.edu.
Massachusetts General Hospital · USHarvard University · USBrigham and Women's Hospital · USDana-Farber Cancer Institute · USJohns Hopkins University · USMelanoma Research Alliance · USStevens Institute of Technology · US

Funding

Systems Pharmacology of Therapeutic and Adverse Responses to ImmuneCheckpoint and Small Molecule DrugsU54CA225088 · NCI · HARVARD MEDICAL SCHOOL · PI HAIGIS, MARCIA · 2018 to 2022
$10.8M
Robust, Generalizable, and Fair Machine Learning Models for BiomedicineR35GM142879 · NIGMS · HARVARD MEDICAL SCHOOL · PI YU, KUN-HSING · 2021 to 2025
$2.4M
Mitigating Hematologic Adverse Events in Patients with Myeloid Malignancies: A Novel Causal Artificial Intelligence ApproachR01HL174679 · NHLBI · HARVARD MEDICAL SCHOOL · PI Kun-Hsing Yu · 2024 to 2026
$2.3M
Racial Differences in Biomarkers and Therapeutic Targets for Chronic ItchK23AR077073 · NIAMS · UNIVERSITY OF MARYLAND BALTIMORE · PI KWATRA, SHAWN GAURAV · 2021 to 2025
$873k
Predictive modeling of cutaneous immune checkpoint inhibitor toxicitiesK23AR080791 · NIAMS · MASSACHUSETTS GENERAL HOSPITAL · PI Yevgeniy R Semenov · 2023 to 2026
$704k
NCI NIH HHS L30 CA264747NCI NIH HHS U54 CA225088NHLBI NIH HHS R01 HL174679NIAMS NIH HHS K23 AR077073NIAMS NIH HHS K23 AR080791NIGMS NIH HHS R35 GM142879
6 · The paper itself

Abstract

backgroundEmerging evidence suggests that cutaneous immune-related adverse events (cirAEs) are associated with a survival benefit in the setting of advanced melanoma treated with immune checkpoint inhibitor (ICI) therapy. Previous studies have not examined the role of melanoma subtypes on cirAE development and downstream therapeutic outcomes.

objectiveExamine the impact of melanoma subtypes on cirAE onset and survival among ICI recipients.

methodsRetrospective multi-institutional cohort study. Multivariate time-series regressions were utilized to assess relationships between melanoma subtype, cirAE development, and survival.

resultsAmong 747 ICI recipients, 236 (31.6%) patients developed a cirAE. Patients with acral melanoma were less likely to develop a cirAE (hazard ratio [HR] = 0.41, P = .016) compared to patients with nonacral cutaneous melanoma. Across all melanoma subtypes, cirAEs were associated with reduced mortality (HR = 0.76, P = .042). Patients with acral (HR = 2.04, P = .005), mucosal (HR = 2.30, P < .001), and uveal (HR = 4.09, P < .001) primaries exhibited the worst survival. LIMITATIONS: Retrospective cohort study.

conclusionThis is the first study to demonstrate differences in cirAE development among melanoma subtypes. The presence of cirAEs was associated with better survival. Further, the lower incidence of cirAEs may be a marker of immunotherapy response, which is reflected in the association between acral melanoma and mortality.

Indexed as

MelanomaSkin NeoplasmsCohort StudiesCutaneous Malignant MelanomaHumansImmune Checkpoint InhibitorsIncidenceRetrospective StudiesImmune Checkpoint Inhibitorscutaneous immune-related adverse eventsimmune checkpoint inhibitorimmunotherapyrare melanomaskin toxicity

Identifiers

PMID36828138
PMCPMC10260279
OpenAlexW4321503216

What OpenQuestion holds

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Registered trials

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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.