Evidence map›Paper›PMID 37568785›Full record

ArticleCancers2023

Therapeutic and Adverse Effect of Anti-PD1 Immunotherapy in Melanoma: A Retrospective, Single-Institute Study of 222 Patients.

Grethe Eikenes, Gabriella Liszkay, Tímea Balatoni, Kata Czirbesz, Karen Hunyadi, Zsófia Kozéki, Mihály Tamás Kispál, Fanni Baranyai, Tímea Danyi, Katalin Bőcs and 1 more

Abstract read
In one paragraph

Article in Cancers, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
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

11 authors.

Grethe EikenesDepartment of Dermato-Oncology, National Institute of Oncology, H1122 Budapest, Hungary.
Gabriella LiszkayDepartment of Dermato-Oncology, National Institute of Oncology, H1122 Budapest, Hungary.
Tímea BalatoniDepartment of Dermato-Oncology, National Institute of Oncology, H1122 Budapest, Hungary.
Kata CzirbeszDepartment of Dermato-Oncology, National Institute of Oncology, H1122 Budapest, Hungary.
Karen HunyadiDepartment of Dermato-Oncology, National Institute of Oncology, H1122 Budapest, Hungary.
Zsófia KozékiDepartment of Dermato-Oncology, National Institute of Oncology, H1122 Budapest, Hungary.
Mihály Tamás KispálDepartment of Dermato-Oncology, National Institute of Oncology, H1122 Budapest, Hungary.
Fanni BaranyaiDepartment of Dermato-Oncology, National Institute of Oncology, H1122 Budapest, Hungary.
Tímea DanyiDepartment of Dermato-Oncology, National Institute of Oncology, H1122 Budapest, Hungary.
Katalin BőcsDepartment of Diagnostic Radiology, National Institute of Oncology, H1122 Budapest, Hungary.
István KenesseyNational Tumor Laboratory Project, H1122 Budapest, Hungary.ORCID 0000-0002-6963-8489

Funding

National Research, Development and Innovation Fund "Befektetés a jövőbe" (2020-1.1.6-JÖVŐ-2021-00008)National Research, Development and Innovation Fund Hungarian Thematic Excellence Program (under project TKP2021-EGA-44)National Research, Development and Innovation Fund National Tumor Biology Laboratory (2022-2.1.1-NL-2022-00010
6 · The paper itself

Abstract

backgroundThe introduction of immuno- and targeted therapeutic modalities meant a breakthrough step in the therapy of melanoma. As a checkpoint inhibitor, the more effective and less toxic anti-PD1 therapy followed an anti-CTLA4 approach.

methodsFrom our patient pool, 222 advanced melanoma cases were selected, where anti-PD1 (pembrolizumab, nivolumab) therapy was initiated between March 2015 and December 2020. During our retrospective analysis, the efficacy and safety of the therapy were assessed.

resultsThe median follow-up was 16 months (interval: 0-64 months), and 150 patients (67.6%) received therapy in the first line, while second and third line therapy was performed among 72 patients (32.4%) for the median of 7.0 months (0-60). In 50 cases, BRAF mutations were detected. Ninety-six patients showed objective response (11.3% CR, 32.0% PR). The median PFS was 10.0 months (0-60), and the median OS was 23.0 months (0-64). Autoimmune side effects were found in 79 patients (35.5%); grade 3 occurred in 6.3% of the cases, while 1 patient died due to fulminant pneumonitis (0.25%).

conclusionAlthough the range of immunotherapeutic options is getting wider, in the management of melanoma patients, anti-PD1 monotherapy remains an important, effective, and safe method. However, significant correlation was found between the immune-related side effects and therapeutic efficacy.

Indexed as

anti-PD1immune-related side effectsmelanomaoutcometherapy

Identifiers

PMID37568785
PMCPMC10417734

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.