Evidence map›Paper›PMID 37730278›Full record

ArticleJournal for immunotherapy of cancer2023

Treatment management for

Maximilian Haist, Henner Stege, Friederike Rogall, Yuqi Tan, Imke von Wasielewski, Kai Christian Klespe, Friedegund Meier, Peter Mohr, Katharina C Kähler, Michael Weichenthal and 30 more

Abstract readMulticenter Study
In one paragraph

Article in Journal for immunotherapy of cancer, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Circulating Tumor DNA as a Biomarker for Melanoma Prognosis and Therapy.American journal of clinical dermatology · 2026
    Review
  5. Review
  6. Real-world management of adjuvant systemic melanoma therapy: Multi-center survey of 51 DeCOG skin cancer centers.Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG · 2026
    Article
  7. Review
  8. Observational
  9. Review
  10. Review
  11. Article
  12. Spatially organized inflammatory myeloid-CD8bioRxiv : the preprint server for biology · 2025
    Article
  13. Article
  14. Article
  15. Article
  16. 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

40 authors.

Maximilian HaistDepartment of Dermatology, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany Maximilian.Haist@unimedizin-mainz.de.ORCID 0000-0002-6720-7570
Henner StegeDepartment of Dermatology, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany.
Friederike RogallDepartment of Dermatology, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany.
Yuqi TanDepartment of Microbiology and Immunology, Stanford University School of Medicine, Stanford, California, USA.
Imke von WasielewskiSkin Cancer Center Hannover, Department of Dermatology and Allergy, Hannover Medical School, Hannover, Germany.
Kai Christian KlespeSkin Cancer Center Hannover, Department of Dermatology and Allergy, Hannover Medical School, Hannover, Germany.
Friedegund MeierDepartment of Dermatology, University Hospital Carl Gustav Carus, Dresden, Germany.
Peter MohrDepartment of Dermatology, Elbe Kliniken Buxtehude, Buxtehude, Germany.
Katharina C KählerDepartment of Dermatology, Skin Cancer Center, University Hospital Schleswig-Holstein - Campus Kiel, Kiel, Germany.
Michael WeichenthalDepartment of Dermatology, Skin Cancer Center, University Hospital Schleswig-Holstein - Campus Kiel, Kiel, Germany.ORCID 0000-0002-9060-4961
Axel HauschildDepartment of Dermatology, Skin Cancer Center, University Hospital Schleswig-Holstein - Campus Kiel, Kiel, Germany.
Dirk SchadendorfDepartment of Dermatology, Venerology and Allergology, University Hospital Essen and German Cancer Consortium (DKTK), Partner Site Essen/Düsseldorf, Essen, Germany.ORCID 0000-0003-3524-7858
Selma UgurelDepartment of Dermatology, Venerology and Allergology, University Hospital Essen and German Cancer Consortium (DKTK), Partner Site Essen/Düsseldorf, Essen, Germany.ORCID 0000-0002-9384-6704
Georg LoddeDepartment of Dermatology, Venerology and Allergology, University Hospital Essen and German Cancer Consortium (DKTK), Partner Site Essen/Düsseldorf, Essen, Germany.
Lisa ZimmerDepartment of Dermatology, Venerology and Allergology, University Hospital Essen and German Cancer Consortium (DKTK), Partner Site Essen/Düsseldorf, Essen, Germany.ORCID 0000-0002-3680-3521
Ralf GutzmerDepartment of Dermatology, Muelenkreiskliniken Minden and Ruhr University Bochum, Minden, Germany.
Dirk DebusDepartment of Dermatology, Nuremberg Hospital, Nurnberg, Germany.
Bastian SchillingDepartment of Dermatology, University Hospital Würzburg, Würzburg, Germany.ORCID 0000-0001-8859-4103
Alexander KreuterDepartment of Dermatology, Venerology and Allergology, Helios St. Elisabeth Klinik Oberhausen, University Witten-Herdecke, Oberhausen, Germany.
Jens UlrichDepartment of Dermatology and Allergy, Harzklinikum Dorothea Christiane Erxleben GmbH, Quedlinburg, Germany.
Frank MeissDepartment of Dermatology and Venerology, Medical Center - University of Freiburg, Faculty of Medicine, Freiburg, Germany.
Rudolf HerbstDepartment of Dermatology, HELIOS Hospital Erfurt, Erfurt, Germany.
Andrea ForschnerCenter for Dermatooncology, Department of Dermatology, Eberhard-Karls University of Tübingen, Tubingen, Germany.ORCID 0000-0002-6185-4945
Ulrike LeiterCenter for Dermatooncology, Department of Dermatology, Eberhard-Karls University of Tübingen, Tubingen, Germany.
Claudia PfoehlerDepartment of Dermatology, Saarland University Hospital and Saarland University Faculty of Medicine, Homburg, Germany.
Martin KaatzDepartment of Dermatology, DRK Hospital Chemnitz-Rabenstein, Rabenstein, Germany.
Fabian ZillerDepartment of Dermatology, DRK Hospital Chemnitz-Rabenstein, Chemnitz, Germany.
Jessica C HasselNational Center for Tumor Diseases (NCT), Department of Dermatology, University Hospital Heidelberg, Heidelberg, Germany.ORCID 0000-0001-7575-6230
Michael TronnierDepartment of Dermatology, HELIOS Hospital Hildesheim, Hildesheim, Germany.
Michael SachseDepartment of Dermatology, Hospital Bremerhaven Reinkenheide, Bremerhaven, Germany.
Edgar DippelDepartment of Dermatology, Ludwigshafen City Hospital, Ludwigshafen, Germany.
Patrick TerheydenDepartment of Dermatology, Allergology and Venerology, University Medical Center Schleswig Holstein Lübeck Campus, Lubeck, Germany.ORCID 0000-0002-5894-1677
Carola BerkingDepartment of Dermatology, Uniklinikum Erlangen, Friedrich-Alexander University Erlangen-Nürnberg (FAU), Erlangen, Germany.
Markus V HepptDepartment of Dermatology, Uniklinikum Erlangen, Friedrich-Alexander University Erlangen-Nürnberg (FAU), Erlangen, Germany.
Felix KieckerDepartment of Dermatology, Vivantes Hospital Neukölln, Berlin, Germany.
Sebastian HaferkampDepartment of Dermatology, University Hospital Regensburg, Regensburg, Germany.
Christoffer GebhardtDepartment of Dermatology and Venerology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.ORCID 0000-0001-7090-9584
Jan Christoph SimonDepartment of Dermatology, University Hospital Leipzig, Leipzig, Germany.
Stephan GrabbeDepartment of Dermatology, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany.
Carmen LoquaiDepartment of Dermatology, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdjuvant therapy with immune-checkpoint inhibitors (CPI) or BRAF/MEK-directed targeted therapy (TT) improves recurrence-free survival (RFS) for patients with advanced,

methodsFor this multicenter cohort study, we identified 515

resultsAmong 515 eligible patients, 273 patients received adjuvant anti-PD1 and 242 adjuvant TT. At a median follow-up of 21 months, 54.6% of anti-PD1 patients and 36.4% of TT patients recurred, while 39.6% (anti-PD1) and 29.3% (TT) developed DM. Risk of recurrence was significantly reduced in patients treated with TT compared with anti-PD1 (adjusted HR 0.52; 95% CI 0.40 to 0.68, p<0.001). Likewise, median RFS was significantly longer in TT-treated patients (31 vs 17 months, p<0.001). Patients who received TT as second adjuvant treatment upon locoregional recurrence had a longer RFS2 as compared with adjuvant CPI (41 vs 6 months, p=0.009). Patients who recurred at distant sites following adjuvant TT showed favorable response rates (42.9%) after switching to 1L ipilimumab+nivolumab (ipi+nivo). Patients with DM during adjuvant anti-PD1 achieved response rates of 58.7% after switching to 1L TT and 35.3% for 1L ipi+nivo. Overall, median PFS was significantly longer in patients who switched treatments for stage IV disease (median PFS 9 vs 5 months, p=0.004).

conclusions

Indexed as

MelanomaSkin NeoplasmsAdjuvants, ImmunologicCohort StudiesHumansNeoplasm Recurrence, LocalProspective StudiesProto-Oncogene Proteins B-rafRegistriesAdjuvants, ImmunologicBRAF protein, humanProto-Oncogene Proteins B-rafAdjuvant Drug TherapyImmune Checkpoint InhibitorsMelanomaMolecular Targeted TherapyRecurrence

Identifiers

PMID37730278
PMCPMC10510881

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.