Evidence map›Paper›PMID 39690735›Full record

ArticleActa oncologica (Stockholm, Sweden)2024

From trials to practice: Immune checkpoint inhibitor therapy for melanoma patients in Norway.

Denise Reis Costa, Anna K Winge-Main, Anna Skog, Kaitlyn M Tsuruda, Trude Eid Robsahm, Bettina Kulle Andreassen

Abstract read
In one paragraph

Article in Acta oncologica (Stockholm, Sweden), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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

2 citing papers in PubMed.

  1. Review
  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

6 authors.

Denise Reis CostaDepartment of Research, The Cancer Registry of Norway, Norwegian Institute of Public Health, Oslo, Norway; Norwegian Research Centre for Women's Health, Oslo University Hospital, Oslo, Norway.ORCID 0000-0001-6533-7905
Anna K Winge-MainDepartment of Oncology, Oslo University Hospital, Oslo, Norway; Oslo University, Faculty of Medicine, Oslo, Norway.ORCID 0000-0002-7399-2990
Anna SkogRegistry Department, The Cancer Registry of Norway, Norwegian Institute of Public Health, Oslo, Norway.
Kaitlyn M TsurudaDepartment of Research, The Cancer Registry of Norway, Norwegian Institute of Public Health, Oslo, Norway.ORCID 0000-0001-8749-6237
Trude Eid RobsahmDepartment of Research, The Cancer Registry of Norway, Norwegian Institute of Public Health, Oslo, Norway.ORCID 0000-0002-1652-7734
Bettina Kulle AndreassenDepartment of Research, The Cancer Registry of Norway, Norwegian Institute of Public Health, Oslo, Norway. b.k.andreassen@kreftregisteret.no.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeNorway has one of the highest rates of cutaneous melanoma (CM) incidence and mortality globally. Immune checkpoint inhibitor (ICI) therapy for CM was introduced between 2014 and 2017 to improve treatment and patient prognosis, but knowledge about its clinical usage is limited. This study investigates patient's characteristics and treatment patterns in real-world practice compared to clinical trial results. MATERIAL AND

methodsAll adult (≥18) CM patients treated with ICI therapy in Norway from 2014 to 2021 were included, utilizing high-coverage data from multiple national registries to describe patients' health, socioeconomic factors, and treatment management, stratified by first ICI therapy. We compared patient and tumour characteristics with findings from five randomized controlled trials (RCTs).

resultsAmong 2,083 patients receiving ICI therapy, 975 (47%) received nivolumab as their first treatment in the metastatic setting. Patients on combination therapy were younger and had higher education and income levels compared to those on monotherapy. Overall, real-world patients were older and had a higher incidence of brain metastases than those in RCTs. Approximately, 1 in 5 patients would have been excluded from RCTs due to pre-existing autoimmune diseases. Targeted therapy was the most common secondary systemic treatment after first-line PD-1 inhibitors.

interpretationThis study details ICI therapy in Norway, highlighting differences between real-world ICI users and clinical trial participants, raising questions about the effectiveness of this treatment for patients not eligible for trials.

Indexed as

Immune Checkpoint InhibitorsMelanomaSkin NeoplasmsAdultAgedAged, 80 and overCutaneous Malignant MelanomaFemaleHumansMaleMiddle AgedNivolumabNorwayRandomized Controlled Trials as TopicRegistriesYoung AdultImmune Checkpoint InhibitorsNivolumab

Identifiers

PMID39690735
PMCPMC11681278

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.