Evidence map›Paper›PMID 39673834›Full record

SynthesisEuropean journal of cancer (Oxford, England : 1990)2025

A comparison of real-world data on adjuvant treatment in patients with stage III BRAF V600 mutated melanoma - Results of systematic literature research.

Teresa Amaral, Lena Nanz, Lina Maria Serna Higuita, Paolo Ascierto, Carola Berking, Eva Muñoz Couselo, Marco Donia, Reinhard Dummer, Ralf Gutzmer, Axel Haushild and 12 more

Abstract readSystematic ReviewComparative Study
In one paragraph

Synthesis in European journal of cancer (Oxford, England : 1990), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. TargetingBiotechnologia · 2025
    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

22 authors.

Teresa AmaralCenter for Dermato-oncology, Department of Dermatology, Eberhard Karls University of Tübingen, 72076 Tübingen, Germany; Cluster of Excellence iFIT (EXC 2180) "Image-Guided and Functionally Instructed Tumor Therapies", Tübingen, Germany. Electronic address: teresa.amaral@med.uni-tuebingen.de.
Lena NanzCenter for Dermato-oncology, Department of Dermatology, Eberhard Karls University of Tübingen, 72076 Tübingen, Germany.
Lina Maria Serna HiguitaClinical Epidemiology and Applied Biostatistics, Eberhard Karls University of Tübingen, 72076 Tübingen, Germany.
Paolo AsciertoMelanoma, Cancer Immunotherapy and Development Therapeutics Unit, Instituto Nazionale Tumori IRCCS Fondazione Pascale, Napoli, Italy.
Carola BerkingDepartment of Dermatology, Uniklinikum Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg, Deutsches Zentrum Immuntherapie and Comprehensive Cancer Center Erlangen-European Metropolitan Area of Nuernberg, (CCC ER-EMN), Erlangen, Germany.
Eva Muñoz CouseloVall d'Hebrón Universisty Hospital, Barcelona, Spain & Vall d'Hebrón Institute of Oncology (VHIO), Barcelona, Spain.
Marco DoniaNational Center for Cancer Immune Therapy, Department of Oncology, Copenhagen University Hospital, Herlev, Denmark.
Reinhard DummerUniversity Hospital Zurich, Department of Dermatology, Switzerland.
Ralf GutzmerDepartment of Dermatology, Johannes Wesling Medical Center Minden, Ruhr University Bochum, 32429 Minden, Germany.
Axel HaushildDepartment of Dermatology, University Hospital (UKSH), Kiel, Germany.
Mathilde JalvingDepartment of Medical Oncology, University Medical Centre Groningen, the Netherlands.
Rebecca LeeFaculty of Biology, Medicine and Health, The University of Manchester, Oxford Road, Manchester M13 9PL, UK; Department of Medical Oncology, The Christie NHS Foundation Trust, Manchester M20 4BX, UK.
Paul LoriganFaculty of Biology, Medicine and Health, The University of Manchester, Oxford Road, Manchester M13 9PL, UK; Department of Medical Oncology, The Christie NHS Foundation Trust, Manchester M20 4BX, UK.
Ivan Marquez-RodasMedical Oncology Department, Hospital General Universitario Gregorio Marañon, Madrid, Spain.
Olivier MichelinDepartment of Oncology, Geneva University Hospital, Geneva, Switzerland.
Paul NathanMount Vernon Cancer Center, Northwood, UK.
Caroline RobertDepartment of Oncology, Institute Gustave Roussy and Paris-Saclay University, Villejiuf, France.
Dirk SchadendorfDepartment of Dermatology, Comprehensive Cancer Center (Westdeutsches Tumorzentrum), University Hospital Essen & National Center for Tumor Diseases (NCT-West), Campus Essen & Research Alliance Ruhr, Research Center One Health, University Duisburg-Essen, Essen, Germany.
Pawel SobczukDepartment of Soft Tissue/Bone Sarcoma and Melanoma, Maria Sklodowska-Curie National Research Institute of Oncology in Warsaw, 02-781 Warsaw, Poland.
Lukas FlatzCenter for Dermato-oncology, Department of Dermatology, Eberhard Karls University of Tübingen, 72076 Tübingen, Germany; Cluster of Excellence iFIT (EXC 2180) "Image-Guided and Functionally Instructed Tumor Therapies", Tübingen, Germany.
Ulrike LeiterCenter for Dermato-oncology, Department of Dermatology, Eberhard Karls University of Tübingen, 72076 Tübingen, Germany.
Claus GarbeCenter for Dermato-oncology, Department of Dermatology, Eberhard Karls University of Tübingen, 72076 Tübingen, Germany.

Funding

Wellcome Trust 225724
6 · The paper itself

Abstract

backgroundOver the past decade, PD-1-based immune checkpoint inhibitors (ICI) and targeted therapies (TT) with BRAF and MEK inhibitors transformed melanoma treatment. Both are widely used in the adjuvant setting. However, for patients with a BRAF V600 mutation, the optimal adjuvant therapy remains unclear due to the lack of head-to-head comparison studies.

methodsWe conducted a systematic review of real-world data on adjuvant therapy in stage III melanoma to determine the best option for patients with BRAF V600 mutations. Kaplan-Meier curves were generated for TT and ICI using Digitizelt software.

resultsNine publications with 3625 patients were included. TT showed better relapse-free survival (RFS) at 6, 12, 24, and 36 months than ICI. A similar trend was observed for distant metastasis-free survival (DMFS), with no apparent difference in overall survival.

conclusionReal-world data suggest that adjuvant TT may be associated with better RFS and DMFS in stage III BRAF V600-mutated melanoma compared to ICI.

Indexed as

Immune Checkpoint InhibitorsMelanomaMutationProto-Oncogene Proteins B-rafChemotherapy, AdjuvantHumansMolecular Targeted TherapyNeoplasm StagingProtein Kinase InhibitorsSkin NeoplasmsBRAF protein, humanImmune Checkpoint InhibitorsProtein Kinase InhibitorsProto-Oncogene Proteins B-rafAdjuvant therapyCheckpoint inhibitorsDistant metastasis-free survivalOverall survivalRelapse-free survivalStage IIITargeted therapy

Identifiers

PMID39673834
PMCPMC7618644

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.