Evidence map›Paper›PMID 38672534›Full record

ArticleCancers2024

A Retrospective Review and Comprehensive Tumour Profiling of Advanced Non-Melanomatous Cutaneous Spindle Cell Neoplasms Treated with Immune-Checkpoint Inhibitors.

Luke S McLean, Annette M Lim, Christopher Angel, Richard J Young, Angela Pizzolla, Stuart Archer, Benjamin J Solomon, Alesha A Thai, Jeremy Lewin, Danny Rischin

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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.8field-weighted citation impact, top 27% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. 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

10 authors at 2 institutions in 1 country.

Luke S McLeanThe Sir Peter MacCallum Department of Oncology, University of Melbourne, Melbourne, VIC 3052, Australia.
Annette M LimThe Sir Peter MacCallum Department of Oncology, University of Melbourne, Melbourne, VIC 3052, Australia.ORCID 0000-0002-0777-2279
Christopher AngelDepartment of Pathology, Peter MacCallum Cancer Centre, Melbourne, VIC 3052, Australia.
Richard J YoungResearch Division, Peter MacCallum Cancer Centre, Melbourne, VIC 3052, Australia.
Angela PizzollaResearch Division, Peter MacCallum Cancer Centre, Melbourne, VIC 3052, Australia.
Stuart ArcherMonash Bioinformatics Platform, Melbourne, VIC 3168, Australia.
Benjamin J SolomonThe Sir Peter MacCallum Department of Oncology, University of Melbourne, Melbourne, VIC 3052, Australia.
Alesha A ThaiThe Sir Peter MacCallum Department of Oncology, University of Melbourne, Melbourne, VIC 3052, Australia.
Jeremy LewinThe Sir Peter MacCallum Department of Oncology, University of Melbourne, Melbourne, VIC 3052, Australia.ORCID 0000-0002-4305-117X
Danny RischinThe Sir Peter MacCallum Department of Oncology, University of Melbourne, Melbourne, VIC 3052, Australia.
The University of Melbourne · AUPeter MacCallum Cancer Centre · AU

Funding

National Health and Medical Research Council APP1175929
6 · The paper itself

Abstract

Non-melanomatous cutaneous spindle cell neoplasms are a rare group of malignancies that present a diagnostic challenge, and for which there is a lack of consensus on how to best manage patients with advanced disease and only limited reports of immune-checkpoint inhibitor (ICI) responses. In this study, we performed a single-center retrospective review of treatment outcomes for all advanced non-melanomatous cutaneous spindle cell neoplasms treated with ICIs. Blinded histopathology reviews occurred to confirm each diagnosis. Comprehensive tumour profiling included whole exome sequencing for tumour mutational burden (TMB) and ultraviolet(UV) signatures, and immunohistochemistry for immune-cell infiltration (CD4/CD3/CD8/CD103/CD20) and immune-checkpoint expression (PD-L1/LAG3/TIGIT). Seven patients were identified. The objective response rate was 86% (6/7) with five complete responses (CR). Responses were durable with two patients in CR > 30 months after ICI commencement. All patients had high TMB and UV signatures. One patient had PD-L1 100% (combined positive score) with abundant immune-cell infiltration and LAG3 expression. In advanced non-melanomatous cutaneous spindle cell neoplasms, excellent responses to ICIs with durable disease control were observed. ICIs are worthy of further exploration in these patients. UV signatures and high TMB could be used to help select patients for treatment.

Indexed as

biomarkerscutaneous spindle cell neoplasmimmune-checkpoint inhibitorsimmunotherapy

Identifiers

PMID38672534
PMCPMC11048307
OpenAlexW4394689430

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.