Evidence map›Paper›PMID 39609824›Full record

ArticleJournal of translational medicine2024

Monitoring circulating tumor DNA liquid biopsy in stage III BRAF-mutant melanoma patients undergoing adjuvant treatment.

Sara Marchisio, Alessia Andrea Ricci, Gabriele Roccuzzo, Eleonora Bongiovanni, Erika Ortolan, Luca Bertero, Enrico Berrino, Valentina Pala, Renata Ponti, Paolo Fava and 9 more

Abstract read
In one paragraph

Article in Journal of translational medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing 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

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

  1. Pooled it
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  4. Circulating Tumor DNA as a Biomarker for Melanoma Prognosis and Therapy.American journal of clinical dermatology · 2026
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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

19 authors.

Sara Marchisio *Laboratory of Immunogenetics, Department of Medical Sciences, University of Turin, Turin, Italy.
Alessia Andrea Ricci *Pathology Unit, Department of Medical Sciences, University of Turin, Turin, Italy.
Gabriele RoccuzzoSection of Dermatology, Department of Medical Sciences, University of Turin, Turin, Italy.
Eleonora BongiovanniSection of Dermatology, Department of Medical Sciences, University of Turin, Turin, Italy.
Erika OrtolanLaboratory of Immunogenetics, Department of Medical Sciences, University of Turin, Turin, Italy.
Luca BerteroPathology Unit, Department of Medical Sciences, University of Turin, Turin, Italy.
Enrico BerrinoDepartment of Medical Sciences, University of Turin, Turin, Italy.
Valentina PalaSection of Dermatology, Department of Medical Sciences, University of Turin, Turin, Italy.
Renata PontiDepartment of Oncology, Città della Salute e della Scienza of Turin, University Hospital, Turin, Italy.
Paolo FavaSection of Dermatology, Department of Medical Sciences, University of Turin, Turin, Italy.
Simona Osella-AbateDepartment of Laboratory Medicine, Città della Salute e della Scienza, University Hospital, Turin, Italy.
Silvia DeaglioDepartment of Medical Sciences, University of Turin, Turin, Italy.
Caterina MarchiòDepartment of Medical Sciences, University of Turin, Turin, Italy.
Anna SapinoDepartment of Medical Sciences, University of Turin, Turin, Italy.
Rebecca SenettaPathology Unit, Department of Oncology, University of Turin, Turin, Italy.
Ada FunaroLaboratory of Immunogenetics, Department of Medical Sciences, University of Turin, Turin, Italy.
Simone RiberoSection of Dermatology, Department of Medical Sciences, University of Turin, Turin, Italy.
Pietro QuaglinoSection of Dermatology, Department of Medical Sciences, University of Turin, Turin, Italy. pietro.quaglino@unito.it.
Paola CassoniPathology Unit, Department of Medical Sciences, University of Turin, Turin, Italy. paola.cassoni@unito.it.

Funding

IMMUNO-CANCER_PRIN CET 191/2023TESEO-Progetto strategico di Eccellenza D15D18000410001
6 · The paper itself

Abstract

backgroundThe introduction of adjuvant therapies for patients with resected cutaneous melanoma (CM) has increased the need for sensitive biomarkers for risk stratification and disease monitoring. This study aims to investigate the utility of circulating tumor DNA (ctDNA) assessment in predicting and reflecting disease status during adjuvant therapy.

methodsWe enrolled 32 patients with resected BRAF-mutated stage III CM receiving adjuvant targeted therapy or immunotherapy. Plasma samples of patients were collected at the baseline (treatment initiation) and during the therapy, and BRAF-mutated ctDNA was quantified by droplet digital PCR (ddPCR).

resultsBaseline ctDNA was detected in 11/32 (34.4%) patients and predicted postoperative high risk of relapse [HR 3.79, 95% CI 1.20-12.00, p = 0.023]. The three-year overall survival (OS) rate was 54.6% (95% CI 22.9-77.9) versus 95% (95% CI 69.5-99.3) in ctDNA-positive and negative groups, respectively, with significantly worse OS for ctDNA-positive patients [HR 7.92, 95% CI 1.56-40.36, p = 0.013]. Among the baseline ctDNA-positive group (high-risk patients), longitudinal ctDNA detection during adjuvant therapy reflected the clinical outcomes. Only non-relapsing patients cleared their plasma ctDNA by the end of the treatment, while persistent ctDNA detection provided early evidence of disease recurrence.

conclusionsctDNA detection shows promising results in the post-operative setting for identifying cutaneous melanoma patients at the highest risk of relapse and for real-time monitoring of patients' clinical status and treatment response.

Indexed as

Circulating Tumor DNAMelanomaMutationNeoplasm StagingProto-Oncogene Proteins B-rafAdultAgedChemotherapy, AdjuvantFemaleHumansLiquid BiopsyMaleMiddle AgedSkin NeoplasmsBRAF protein, humanCirculating Tumor DNAProto-Oncogene Proteins B-rafAdjuvant therapyCutaneous melanomaddPCRDisease monitoringLiquid biopsy

Identifiers

PMID39609824
PMCPMC11603725

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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.