Evidence map›Paper›PMID 38254778›Full record

ArticleCancers2024

The 31-Gene Expression Profile Test Outperforms AJCC in Stratifying Risk of Recurrence in Patients with Stage I Cutaneous Melanoma.

Sebastian Podlipnik, Brian J Martin, Sonia K Morgan-Linnell, Christine N Bailey, Jennifer J Siegel, Valentina I Petkov, Susana Puig

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.3field-weighted citation impact, top 11% 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

6 citing papers in PubMed, 8 citations in OpenAlex.

  1. Review
  2. Review
  3. Ocular Melanoma: A Comprehensive Review with a Focus on Molecular Biology.International journal of molecular sciences · 2025
    Review
  4. Review
  5. Review
  6. 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

7 authors at 2 institutions in 2 countries.

Sebastian PodlipnikDermatology Department, IDIBAPS, Hospital Clínic de Barcelona, Universitat de Barcelona, 08036 Barcelona, Spain.ORCID 0000-0003-4150-0522
Brian J MartinCastle Biosciences, Inc., Friendswood, TX 77546, USA.
Sonia K Morgan-LinnellCastle Biosciences, Inc., Friendswood, TX 77546, USA.
Christine N BaileyCastle Biosciences, Inc., Friendswood, TX 77546, USA.
Jennifer J SiegelCastle Biosciences, Inc., Friendswood, TX 77546, USA.
Valentina I PetkovSurveillance Research Program, National Cancer Institute, Bethesda, MD 20892, USA.
Susana PuigDermatology Department, IDIBAPS, Hospital Clínic de Barcelona, Universitat de Barcelona, 08036 Barcelona, Spain.
Hospital Clínic de Barcelona · ESNational Cancer Institute · US

Funding

Castle Biosciences, Inc. FundingNCI SEER Program Support for linkage
6 · The paper itself

Abstract

backgroundPatients with stage I cutaneous melanoma (CM) are considered at low risk for metastasis or melanoma specific death; however, because the majority of patients are diagnosed with stage I disease, they represent the largest number of melanoma deaths annually. The 31-gene expression profile (31-GEP) test has been prospectively validated to provide prognostic information independent of staging, classifying patients as low (Class 1A), intermediate (Class 1B/2A), or high (Class 2B) risk of poor outcomes.

methodsPatients enrolled in previous studies of the 31-GEP were combined and evaluated for recurrence-free (RFS) and melanoma-specific survival (MSS) (n = 1261, "combined"). A second large, unselected real-world cohort (n = 5651) comprising clinically tested patients diagnosed 2013-2018 who were linked to outcomes data from the NCI Surveillance, Epidemiology, and End Results (SEER) Program registries was evaluated for MSS.

resultsCombined cohort Class 1A patients had significantly higher RFS than Class 1B/2A or Class 2B patients (97.3%, 88.6%, 77.3%,

conclusionsThe 31-GEP test significantly improved patient risk stratification, independent of AJCC8 staging in patients with stage I CM. The 31-GEP provided greater separation between high- (Class 2B) and low-risk (Class 1A) groups than seen between AJCC stage IA and IB. These data support integrating the 31-GEP into clinical decision making for more risk-aligned management plans.

Indexed as

31-gene expression profileAJCCcutaneous melanomagene expression profilingprognosisstaging

Identifiers

PMID38254778
PMCPMC10814308
OpenAlexW4390780387

What OpenQuestion holds

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LicenceCC BY
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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.