Evidence map›Paper›PMID 37432641›Full record

Trial reportFrontiers of medicine2023

Liver-directed treatment is associated with improved survival and increased response to immune checkpoint blockade in metastatic uveal melanoma: results from a retrospective multicenter trial.

Elias A T Koch, Anne Petzold, Anja Wessely, Edgar Dippel, Markus Eckstein, Anja Gesierich, Ralf Gutzmer, Jessica C Hassel, Harald Knorr, Nicole Kreuzberg and 16 more

Open access · hybridAbstract readClinical TrialMulticenter Study
PubMed Publisher
In one paragraph

Trial report in Frontiers of medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 14% 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, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. The Current State of Systemic Therapy of Metastatic Uveal Melanoma.American journal of clinical dermatology · 2024
    Review
  8. 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

26 authors at 18 institutions in 1 country.

Elias A T KochDepartment of Dermatology, Uniklinikum Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg (FAU), 91054, Erlangen, Germany.
Anne PetzoldDepartment of Dermatology, Uniklinikum Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg (FAU), 91054, Erlangen, Germany.
Anja WesselyDepartment of Dermatology, Uniklinikum Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg (FAU), 91054, Erlangen, Germany.
Edgar DippelDepartment of Dermatology, Ludwigshafen Medical Center, 67059, Ludwigshafen, Germany.
Markus EcksteinComprehensive Cancer Center Erlangen-European Metropolitan Area of Nürnberg (CCC ER-EMN), 91054, Erlangen, Germany.
Anja GesierichDepartment of Dermatology, University Hospital Würzburg, 97080, Würzburg, Germany.
Ralf GutzmerSkin Cancer Center Minden, Department of Dermatology, Mühlenkreiskliniken AöR, Ruhr University, Bochum Campus Minden, 32423, Minden, Germany.
Jessica C HasselSkin Cancer Center, Department of Dermatology and National Center for Tumor Diseases (NCT), University Hospital Heidelberg, 69120, Heidelberg, Germany.
Harald KnorrDepartment of Ophthalmology, Uniklinikum Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg (FAU), 91054, Erlangen, Germany.
Nicole KreuzbergDepartment of Dermatology and Venereology, Skin Cancer Center at the Center of Integrated Oncology (CIO) Köln Bonn, University Hospital of Cologne, 50937, Cologne, Germany.
Ulrike LeiterDepartment of Dermatology, Center for Dermatooncology, University Hospital Tübingen, 72056, Tübingen, Germany.
Carmen LoquaiDepartment of Dermatology, University Medical Center Mainz, 55131, Mainz, Germany.
Friedegund MeierSkin Cancer Center at the University Cancer Center Dresden and National Center for Tumor Diseases & Department of Dermatology, University Hospital Carl Gustav Carus, 01307, Dresden, Germany.
Markus MeissnerDepartment of Dermatology, Venereology and Allergology, Goethe University, 60590, Frankfurt am Main, Germany.
Peter MohrDepartment of Dermatology, Elbeklinikum, 21614, Buxtehude, Germany.
Claudia PföhlerDepartment of Dermatology, Saarland University Medical School, 66421, Homburg/Saar, Germany.
Farnaz RahimiDepartment of Dermatology and Allergy, Munich University Hospital (LMU), 81377, Munich, Germany.
Dirk SchadendorfDepartment of Dermatology, University Hospital Essen, University Duisburg-Essen, and German Cancer Consortium (DKTK), partner site, Essen/Düsseldorf, Germany, 45147.
Max SchlaakDepartment of Dermatology, Venerology and Allergology, Charité -Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, 10117, Berlin, Germany.
Kai-Martin ThomsDepartment of Dermatology, University Medical Center Goettingen, 37075, Goettingen, Germany.
Selma UgurelDepartment of Dermatology, University Hospital Essen, University Duisburg-Essen, and German Cancer Consortium (DKTK), partner site, Essen/Düsseldorf, Germany, 45147.
Jochen UtikalSkin Cancer Unit, German Cancer Research Center (DKFZ) and Department of Dermatology, Venereology and Allergology, University Medical Center Mannheim, Ruprecht-Karl University of Heidelberg, and DKFZ Hector Cancer Institute at the University Medical Center Mannheim, Mannheim, Germany.
Michael WeichenthalDepartment of Dermatology, University Hospital Schleswig-Holstein, Campus Kiel, 24105, Kiel, Germany.
Beatrice Schuler-ThurnerDepartment of Dermatology, Uniklinikum Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg (FAU), 91054, Erlangen, Germany.
Carola BerkingDepartment of Dermatology, Uniklinikum Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg (FAU), 91054, Erlangen, Germany.
Markus V HepptDepartment of Dermatology, Uniklinikum Erlangen, Friedrich-Alexander-University Erlangen-Nürnberg (FAU), 91054, Erlangen, Germany. markus.heppt@uk-erlangen.de.
Universitätsklinikum Erlangen · DEComprehensive Cancer Center Erlangen · DEFriedrich-Alexander-Universität Erlangen-Nürnberg · DEHeinrich Heine University Düsseldorf · DEElbe Kliniken Stade-Buxtehude · DEGoethe University Frankfurt · DEHumboldt-Universität zu Berlin · DEJohannes Gutenberg University Mainz · DEKlinikum Ludwigshafen · DELMU Klinikum · DENational Center for Tumor Diseases · DESaarland University · DEUniversitätsklinikum Würzburg · DEUniversity Children's Hospital Tübingen · DEUniversity Hospital Carl Gustav Carus · DEUniversity Hospital Cologne · DEUniversity Hospital Heidelberg · DEUniversity Hospital Schleswig-Holstein · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Metastases of uveal melanoma (UM) spread predominantly to the liver. Due to low response rates to systemic therapies, liver-directed therapies (LDT) are commonly used for tumor control. The impact of LDT on the response to systemic treatment is unknown. A total of 182 patients with metastatic UM treated with immune checkpoint blockade (ICB) were included in this analysis. Patients were recruited from prospective skin cancer centers and the German national skin cancer registry (ADOReg) of the German Dermatologic Cooperative Oncology Group (DeCOG). Two cohorts were compared: patients with LDT (cohort A, n = 78) versus those without LDT (cohort B, n = 104). Data were analyzed for response to treatment, progression-free survival (PFS), and overall survival (OS). The median OS was significantly longer in cohort A than in cohort B (20.1 vs. 13.8 months; P = 0.0016) and a trend towards improved PFS was observed for cohort A (3.0 vs. 2.5 months; P = 0.054). The objective response rate to any ICB (16.7% vs. 3.8%, P = 0.0073) and combined ICB (14.1% vs. 4.5%, P = 0.017) was more favorable in cohort A. Our data suggest that the combination of LDT with ICB may be associated with a survival benefit and higher treatment response to ICB in patients with metastatic UM.

Indexed as

Immune Checkpoint InhibitorsSkin NeoplasmsCTLA-4 AntigenHumansLiverMelanomaProspective StudiesUveal MelanomaUveal NeoplasmsCTLA-4 AntigenImmune Checkpoint Inhibitorsanti-CTLA-4anti-PD-1immune checkpoint blockadeliver-directed therapySIRTuveal melanoma

Identifiers

PMID37432641
OpenAlexW4383872091

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.