Evidence map›Paper›PMID 39166495›Full record

ArticleCancer medicine2024

Efficacy and safety of PD-1 monoclonal antibody combined with interferon-alpha 1b and anlotinib hydrochloride as the second-line therapy in patients with unresectable advanced melanoma: A retrospective study.

Bolun Zhao, Mengyu Zhang, Jingyi Tang, Daopei Zou, Fang Liu, Qiong Shi, Tianwen Gao, Chunying Li, Guannan Zhu

Abstract read
In one paragraph

Article in Cancer medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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.

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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

9 authors.

Bolun ZhaoDepartment of Dermatology, Xijing Hospital, Fourth Military Medical University, Xi'an, China.
Mengyu ZhangDepartment of Dermatology, Xijing Hospital, Fourth Military Medical University, Xi'an, China.
Jingyi TangDepartment of Dermatology, Xijing Hospital, Fourth Military Medical University, Xi'an, China.
Daopei ZouDepartment of Dermatology, Xijing Hospital, Fourth Military Medical University, Xi'an, China.
Fang LiuDepartment of Dermatology, Xijing Hospital, Fourth Military Medical University, Xi'an, China.
Qiong ShiDepartment of Dermatology, Xijing Hospital, Fourth Military Medical University, Xi'an, China.
Tianwen GaoDepartment of Dermatology, Xijing Hospital, Fourth Military Medical University, Xi'an, China.
Chunying LiDepartment of Dermatology, Xijing Hospital, Fourth Military Medical University, Xi'an, China.ORCID 0000-0003-3004-5376
Guannan ZhuDepartment of Dermatology, Xijing Hospital, Fourth Military Medical University, Xi'an, China.ORCID 0000-0002-2980-0074

Funding

the National Natural Science Foundation of China 82103718the National Natural Science Foundation of China 82172607the National Natural Science Foundation of China 82273716
6 · The paper itself

Abstract

backgroundImmune-checkpoint inhibitors are now used more commonly in combination than monotherapy as the first-line choice in patients with unresectable advanced melanoma. Nevertheless, for cases that progressed after the initial combination therapy, the subsequent regimen option can be very difficult. Herein, we reported the efficacy and safety of a triple combination regimen in Chinese unresectable advanced melanoma patients who had poor responses to the first-line immune therapy.

methodsWe reviewed the clinical profiles of patients diagnosed with stage IIIC-IV melanoma between June 1, 2020, and September 30, 2023. The patients who failed the prior immune therapies and received anti-PD-1 mono antibody plus interferon(IFN)-alpha 1b and anlotinib hydrochloride as the second-line therapy were enrolled in the retrospective analysis. Additionally, we examined the exhaustion of T-cells using mIHC staining in available tumor samples.

resultsFifty-five patients were included in this study. The median follow-up period was 13.6 months. The objective response rate evaluated by the investigators was 9.1%(1CR, 4PR). The disease control rate was 47.3%. The median overall survival was 17.6 months, and the median progression-free survival was 2.8 months. The adverse events rate of any grade was 100%. Grade 3 or 4 irAEs were observed in 29.1% of cases. Multiplex immunohistochemical staining revealed an increased trend of TIM3 expression on tumor-infiltrating T cells in patients without objective response.

conclusionPD-1 monoclonal antibody plus interferon-alpha 1b plus anlotinib showed acceptable tolerability and anticancer benefits in Chinese metastatic melanoma patients as a second-line therapy.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsIndolesMelanomaProgrammed Cell Death 1 ReceptorQuinolinesAdultAgedFemaleHumansImmune Checkpoint InhibitorsInterferon-alphaMaleMiddle AgedNeoplasm StagingRetrospective StudiesTreatment OutcomeanlotinibImmune Checkpoint InhibitorsIndolesInterferon-alphaPDCD1 protein, humanProgrammed Cell Death 1 ReceptorQuinolinesadvanced melanomaanlotinibIFN‐α1bPD‐1second‐line therapy

Identifiers

PMID39166495
PMCPMC11337113

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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.