Evidence map›Paper›PMID 39910579›Full record

ArticleJournal of experimental & clinical cancer research : CR2025

Developing a risk score using liquid biopsy biomarkers for selecting Immunotherapy responders and stratifying disease progression risk in metastatic melanoma patients.

Amalia Azzariti, Simona De Summa, Tommaso M Marvulli, Ivana De Risi, Giuseppe De Palma, Roberta Di Fonte, Rossella Fasano, Simona Serratì, Sabino Strippoli, Letizia Porcelli and 1 more

Abstract read
In one paragraph

Article in Journal of experimental & clinical cancer research : CR, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

11 authors.

Amalia AzzaritiExperimental Pharmacology Laboratory, IRCCS Istituto Tumori Giovanni Paolo II, V.le O. Flacco, 65, Bari, 70124, Italy. a.azzariti@oncologico.bari.it.
Simona De SummaBiostatistic and Bioinformatic Laboratory, IRCCS Istituto Tumori Giovanni Paolo II, Bari, Italy.
Tommaso M MarvulliMolecular Diagnostics and Pharmacogenetics Unit, IRCCS Istituto Tumori Giovanni Paolo II, Bari, Italy.
Ivana De RisiRare Tumors and Melanoma Unit, IRCCS Istituto Tumori Giovanni Paolo II, Bari, Italy.
Giuseppe De PalmaBiobank, IRCCS Istituto Tumori Giovanni Paolo II, Bari, Italy.
Roberta Di FonteExperimental Pharmacology Laboratory, IRCCS Istituto Tumori Giovanni Paolo II, V.le O. Flacco, 65, Bari, 70124, Italy.
Rossella FasanoExperimental Pharmacology Laboratory, IRCCS Istituto Tumori Giovanni Paolo II, V.le O. Flacco, 65, Bari, 70124, Italy.
Simona SerratìExperimental Pharmacology Laboratory, IRCCS Istituto Tumori Giovanni Paolo II, V.le O. Flacco, 65, Bari, 70124, Italy.
Sabino StrippoliRare Tumors and Melanoma Unit, IRCCS Istituto Tumori Giovanni Paolo II, Bari, Italy.
Letizia PorcelliExperimental Pharmacology Laboratory, IRCCS Istituto Tumori Giovanni Paolo II, V.le O. Flacco, 65, Bari, 70124, Italy.
Michele GuidaRare Tumors and Melanoma Unit, IRCCS Istituto Tumori Giovanni Paolo II, Bari, Italy.

Funding

Ministero della Salute RC 2022-2024: Identificazione di fattori circolanti per la diagnosi, prognosi e/o predizione della risposta alle terapie in patologie tumorali solideRegione Puglia (IT) Tecnopolo per la Medicina di Precisione
6 · The paper itself

Abstract

backgroundDespite the high response rate to PD-1 blockade therapy in metastatic melanoma (MM) patients, a significant proportion of patients do not respond. Identifying biomarkers to predict patient response is crucial, ideally through non-invasive methods such as liquid biopsy.

methodsSoluble forms of PD1, PD-L1, LAG-3, CTLA-4, CD4, CD73, and CD74 were quantified using ELISA assay in plasma of a cohort of 110 MM patients, at baseline, to investigate possible correlations with clinical outcomes. A clinical risk prediction model was applied and validated in pilot studies.

resultsNo biomarker showed statistically significant differences between responders and non-responders. However, high number of significant correlations were observed among certain biomarkers in non-responders. Through univariate and multivariate Cox analyses, we identified sPD-L1, sCTLA-4, sCD73, and sCD74 as independent biomarkers predicting progression-free survival and overall survival. According to ROC analysis we discovered that, except for sCD73, values of sPD-L1, sCTLA-4, and sCD74 lower than the cut-off predicted lower disease progression and reduced mortality. A comprehensive risk score for predicting progression-free survival was developed by incorporating the values ​​of the two identified independent factors, sCTLA-4 and sCD74, which significantly improved the accuracy of outcome prediction. Pilot validations highlighted the potential use of the risk score in treatment-naive individuals and long responders.

conclusionIn summary, risk score based on circulating sCTLA-4 and sCD74 reflects the response to immune checkpoint inhibitor (ICI) therapy in MM patients. If confirmed, through further validation, these findings could assist in recommending therapy to patients likely to experience a long-lasting response.

Indexed as

Biomarkers, TumorImmunotherapyMelanomaAdultAgedDisease ProgressionFemaleHumansImmune Checkpoint InhibitorsLiquid BiopsyMaleMiddle AgedNeoplasm MetastasisPrognosisBiomarkers, TumorImmune Checkpoint InhibitorsAnd sCD74Anti-PD1 resistanceMetastatic melanomaPredictor of anti-PD1 responsesCD4sCD73sCTLA-4sLAG-3sPD1sPD-L1

Identifiers

PMID39910579
PMCPMC11796275

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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.