Evidence map›Paper›PMID 39485529›Full record

SynthesisArchives of dermatological research2024

New emerging treatment options for metastatic melanoma: a systematic review and meta-analysis of skin cancer therapies.

Anan S Jarab, Walid A Al-Qerem, Lina M Khdour, Yousef A Mimi, Maher R Khdour

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Archives of dermatological research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

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, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. 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

5 authors.

Anan S JarabCollege of Pharmacy, Al Ain University, Abu Dhabi, United Arab Emirates.ORCID https://orcid.org/0000-0003-2052-439X
Walid A Al-QeremDepartment of Pharmacy, Faculty of Pharmacy, Al-Zaytoonah University of Jordan, Amman, 11733, Jordan.ORCID https://orcid.org/0000-0001-9831-7572
Lina M KhdourFaculty of Medicine, Al-Quds University, Abu Deis, P.O. Box 20002, West Bank, Palestine.ORCID https://orcid.org/0009-0000-8725-1993
Yousef A MimiDepartment of Health Sciences, Faculty of Graduated Studies, Arab American University, Jenin, Palestine.ORCID https://orcid.org/0009-0000-0209-3050
Maher R KhdourFaculty of Pharmacy, Al-Quds University, Abu Deis, P.O. Box 20002, Jerusalem, Palestine. mkhdour@staff.alquds.edu.ORCID https://orcid.org/0000-0003-0193-7922

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Skin cancer, notably melanoma, poses a significant global health burden, with rising incidence and mortality rates. While therapeutic advancements have improved outcomes, metastatic melanoma remains challenging to treat. This study aims to systematically review systemic treatment options for advanced melanoma, focusing on efficacy and safety in the first-line setting. Through a comprehensive search and meta-analysis of randomized controlled trials conducted from 2013 to 2023, 11 studies encompassing 2816 participants were analyzed. Treatment options included BRAF inhibitors (vemurafenib, dabrafenib), MEK inhibitors (trametinib, cobimetinib), and immune checkpoint inhibitors (ipilimumab). Combined therapy with vemurafenib, cobimetinib, and ipilimumab demonstrated superior overall survival (OS) and progression-free survival (PFS) compared to monotherapy, with a significant odds ratio (OR) of 6.95 (95% CI: 4.25-9.64, p < 0.00001) for OS and 2.49 (95% CI: 1.42-3.56, p < 0.00001) for PFS. Additionally, dabrafenib and trametinib combination therapy showed improved outcomes with favorable tolerability, including a significant reduction in adverse event (AE) risk, with an OR of 2.20 (95% CI: 1.72-2.81). Furthermore, our analysis highlighted vemurafenib-associated dermatological toxicities, emphasizing the need for effective management strategies. The study underscores the evolving treatment landscape in melanoma management, with a potential shift towards immune checkpoint inhibitors in the adjuvant setting, particularly for BRAF-mutated disease. However, limitations in meta-analysis methodologies and the need for long-term investigations into treatment implications on survival and quality of life underscore the importance of continued research.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsImmune Checkpoint InhibitorsMelanomaProtein Kinase InhibitorsSkin NeoplasmsAzetidinesHumansImidazolesIpilimumabOximesPiperidinesProgression-Free SurvivalProto-Oncogene Proteins B-rafPyridonesPyrimidinonesRandomized Controlled Trials as TopicAzetidinesBRAF protein, humancobimetinibdabrafenibImidazolesImmune Checkpoint InhibitorsIpilimumabOximesPiperidinesProtein Kinase InhibitorsProto-Oncogene Proteins B-rafPyridonesPyrimidinonestrametinibVemurafenibChemotherapyCytokinesImmune checkpoint inhibitorImmunotherapyMelanoma

Identifiers

What OpenQuestion holds

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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.