Evidence map›Paper›PMID 37444558›Full record

ReviewCancers2023

Medical Needs and Therapeutic Options for Melanoma Patients Resistant to Anti-PD-1-Directed Immune Checkpoint Inhibition.

Jessica C Hassel, Lisa Zimmer, Thomas Sickmann, Thomas K Eigentler, Friedegund Meier, Peter Mohr, Tobias Pukrop, Alexander Roesch, Dirk Vordermark, Christina Wendl and 1 more

Erratum issuedOpen access · goldAbstract readReview
In one paragraph

Review in Cancers, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing 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

16 citing papers in PubMed, 15 citations in OpenAlex.

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  12. Bioinformatics-based prognostic value andFrontiers in oncology · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 9 institutions in 1 country.

Jessica C HasselSkin Cancer Center, Department of Dermatology and National Center for Tumor Diseases (NCT), University Hospital Heidelberg, 69120 Heidelberg, Germany.ORCID 0000-0001-7575-6230
Lisa ZimmerDepartment of Dermatology, University Hospital Essen, 45147 Essen, Germany.
Thomas SickmannBristol-Myers Squibb GmbH & Co. KGaA, 80636 Munich, Germany.
Thomas K EigentlerDepartment of Dermatology, Venereology and Allergology, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, 10117 Berlin, Germany.ORCID 0000-0003-0019-2770
Friedegund MeierDepartment of Dermatology, Skin Cancer Center at the University Cancer Centre and National Center for Tumor Diseases, Faculty of Medicine and University Hospital Carl Gustav Carus, Technical University Dresden, 01062 Dresden, Germany.
Peter MohrDepartment of Dermatology, Elbe-Kliniken, 21614 Buxtehude, Germany.
Tobias PukropDepartment of Internal Medicine III, Hematology and Oncology, University Hospital Regensburg, 93053 Regensburg, Germany.
Alexander RoeschDepartment of Dermatology, University Hospital Essen, 45147 Essen, Germany.
Dirk VordermarkDepartment for Radiation Oncology, Martin-Luther University Halle-Wittenberg, 06108 Halle, Germany.
Christina WendlDepartment of Radiology, University Hospital Regensburg, 93053 Regensburg, Germany.
Ralf GutzmerDepartment of Dermatology, Johannes Wesling Medical Center, Ruhr University Bochum, 32429 Minden, Germany.ORCID 0000-0001-7921-2820
German Cancer Research Center · DEUniversity Hospital Regensburg · DEBristol-Myers Squibb (Germany) · DEElbe Kliniken Stade-Buxtehude · DEHeidelberg University · DEHumboldt-Universität zu Berlin · DEJohannes Wesling Klinikum Minden · DEMartin Luther University Halle-Wittenberg · DENational Center for Tumor Diseases · DE

Funding

Medical writing support was provided by Ecc-Oncology, Trier, Germany, and editing support was provided by Sergey Sulima, PhD, of Bristol Myers Squibb and funded by Bristol Myers Squibb. none
6 · The paper itself

Abstract

Available 4- and 5-year updates for progression-free and for overall survival demonstrate a lasting clinical benefit for melanoma patients receiving anti-PD-directed immune checkpoint inhibitor therapy. However, at least one-half of the patients either do not respond to therapy or relapse early or late following the initial response to therapy. Little is known about the reasons for primary and/or secondary resistance to immunotherapy and the patterns of relapse. This review, prepared by an interdisciplinary expert panel, describes the assessment of the response and classification of resistance to PD-1 therapy, briefly summarizes the potential mechanisms of resistance, and analyzes the medical needs of and therapeutic options for melanoma patients resistant to immune checkpoint inhibitors. We appraised clinical data from trials in the metastatic, adjuvant and neo-adjuvant settings to tabulate frequencies of resistance. For these three settings, the role of predictive biomarkers for resistance is critically discussed, as well as are multimodal therapeutic options or novel immunotherapeutic approaches which may help patients overcome resistance to immune checkpoint therapy. The lack of suitable biomarkers and the currently modest outcomes of novel therapeutic regimens for overcoming resistance, most of them with a PD-1 backbone, support our recommendation to include as many patients as possible in novel or ongoing clinical trials.

Indexed as

brain metastasesimmune checkpoint inhibitionmelanomaPD-1resistance

Identifiers

PMID37444558
PMCPMC10341224
OpenAlexW4382982501

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.