Evidence map›Paper›PMID 39378385›Full record

Trial reportJournal of clinical oncology : official journal of the American Society of Clinical Oncology2025

Estimating Long-Term Survivorship Rates Among Patients With Resected Stage III/IV Melanoma: Analyses From CheckMate 238 and European Organization for Research and Treatment of Cancer 18071 Trials.

Jeffrey S Weber, Mark R Middleton, Georgia Yates, Daniel J Sharpe, Murat Kurt, Maurice Lobo, Andriy Moshyk, Jacqueline Vanderpuye-Orgle, Peter Mohr

2 registry-linked trialsAbstract readClinical Trial, Phase IIIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing 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.

NCT00636168 phase3completednot on this map

Adjuvant Immunotherapy With Anti-CTLA-4 Monoclonal Antibody (Ipilimumab) Versus Placebo After Complete Resection of High Risk Stage III Melanoma: A Randomized, Double-blind Phase 3 Trial of the EORTC Melanoma Group

TypeinterventionalSponsorBristol-Myers SquibbRan2008 to 2018Enrolled1,211ConditionsHigh Risk Stage III MelanomaArmsipilimumab, Placebo
NCT02388906 phase3completednot on this map

A Phase 3, Randomized, Double-blind Study of Adjuvant Immunotherapy With Nivolumab Versus Ipilimumab After Complete Resection of Stage IIIb/c or Stage IV Melanoma in Subjects Who Are at High Risk for Recurrence (CheckMate 238: CHECKpoint Pathway and nivoluMAb Clinical Trial Evaluation 238)

TypeinterventionalSponsorBristol-Myers SquibbRan2015 to 2024Enrolled906ConditionsMelanomaArmsIpilimumab, Nivolumab, Placebo matching Ipilimumab, Placebo matching Nivolumab
3 · Its place in the literature

Who cites it

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

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

9 authors.

Jeffrey S WeberNew York University Perlmutter Cancer Center, New York, NY.ORCID 0000-0002-4962-2957
Mark R MiddletonUniversity of Oxford, Oxford, United Kingdom.ORCID 0000-0003-0167-1685
Georgia YatesParexel International, London, United Kingdom.ORCID 0009-0006-9996-1961
Daniel J SharpeParexel International, London, United Kingdom.ORCID 0000-0003-2079-2677
Murat KurtBristol Myers Squibb, Princeton, NJ.
Maurice LoboBristol Myers Squibb, Princeton, NJ.ORCID 0009-0008-4674-6744
Andriy MoshykBristol Myers Squibb, Princeton, NJ.ORCID 0000-0003-4895-7103
Jacqueline Vanderpuye-OrgleParexel International, Los Angeles, CA.
Peter MohrElbe Kliniken Buxtehude, Buxtehude, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeStandard-of-care treatments for patients with resected stage III/IV melanoma include the immuno-oncology (IO) agents nivolumab (NIVO) and ipilimumab (IPI). This study used mixture cure models (MCMs) to estimate cure rates among patients treated with NIVO or IPI in the phase III CheckMate 238 (ClinicalTrials.gov identifier: NCT02388906) and European Organization for Research and Treatment of Cancer (EORTC) 18071 (ClinicalTrials.gov identifier: NCT00636168) trials, and to assess the impact of use of adjuvant immunotherapy on cure rates versus watchful waiting.

methodsMCMs were applied to patient-level recurrence-free survival data from CheckMate 238 and EORTC 18071. Cured patients were assumed to experience no disease recurrence and mortality risks similar to the general population. Uncured patients were at risk of disease recurrence and all-cause death. The survival trend of the cured patients was estimated using life expectancy data for a general population with the same baseline demographic characteristics. A regression model assessed the odds ratios (ORs) of cure across key subgroups on the basis of baseline characteristics of the study populations.

resultsIn CheckMate 238, estimated cure rates were 48.3% (95% CI, 41.8 to 54.9) with NIVO and 38.2% (95% CI, 32.7 to 44.1) with IPI. In EORTC 18071, estimated cure rates were 38.0% (95% CI, 32.1 to 44.2) with IPI and 29.2% (95% CI, 24.4 to 34.6) with placebo. In the indirect comparison of the two trials, the odds of cure were significantly higher with NIVO than with placebo (OR, 2.33 [95% CI, 1.49 to 3.65]).

conclusionAnalyses involving two large phase III trials investigating adjuvant IO treatment for resected melanoma demonstrate higher cure rates for both NIVO and IPI than placebo, with NIVO providing the highest cure rate. Similar cure rates were estimated for patients treated with IPI in both trials, despite staging and dosing differences.

Indexed as

MelanomaSkin NeoplasmsAdultAgedFemaleHumansImmune Checkpoint InhibitorsIpilimumabMaleMiddle AgedNeoplasm StagingNivolumabWatchful WaitingImmune Checkpoint InhibitorsIpilimumabNivolumab

Identifiers

PMID39378385
PMCPMC11895827

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Registered trials

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.