Evidence map›Paper›PMID 39928191›Full record

SynthesisClinical & experimental metastasis2025

The clinical benefit of adding radiotherapy to ipilimumab in patients with melanoma brain metastasis: a systematic review and meta-analysis.

Mohammad Amin Habibi, Pouria Delbari, Farhang Rashidi, Bardia Hajikarimloo, Ali Allahdadi, Saghar Rouzrokh, Mohammad Shahir Eftekhar, Adrina Habibzadeh, Amir Khanmirzaei, Pouya Ebrahimi and 2 more

Abstract readSystematic ReviewMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in Clinical & experimental metastasis, 2025. 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. Review
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

12 authors.

Mohammad Amin HabibiDepartment of Neurosurgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran. Mohammad.habibi1392@yahoo.com.ORCID 0000-0001-7600-6925
Pouria DelbariSchool of Medicine, Tehran University of Medical Sciences, Tehran, Iran.ORCID 0009-0004-6964-8101
Farhang RashidiSchool of Medicine, Tehran University of Medical Sciences, Tehran, Iran.ORCID 0000-0002-2174-5752
Bardia HajikarimlooDepartment of Neurological Surgery, University of Virginia, Charlottesville, VA, USA.
Ali AllahdadiSchool of Medicine, Tehran University of Medical Sciences, Tehran, Iran.ORCID 0009-0008-6408-9223
Saghar RouzrokhSchool of Medicine, Tehran University of Medical Sciences, Tehran, Iran.ORCID 0009-0001-9489-6869
Mohammad Shahir EftekharDepartment of Surgery, School of Medicine, Shahid Beheshti Hospital, Qom University of Medical Sciences, Qom, Iran.
Adrina HabibzadehDepartment of Neurosurgery, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.ORCID 0000-0003-2537-3279
Amir KhanmirzaeiFaculty of Medicine, Shahroud University of Medical Sciences, Shahroud, Iran.ORCID 0000-0003-4949-0306
Pouya EbrahimiCardiovascular Disease Research Institute, Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran.ORCID 0009-0005-3694-6863
Ibrahim MohammadzadehSkull Base Research Center, Loghman-Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.ORCID 0000-0002-8862-0778
Seyed Ahmad Naseri AlaviDepartment of Neurosurgery, School of Medicine, Emory University, Atlanta, GA, USA. dr.arsalan2010@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Combining radiotherapy (RT) with Ipilimumab, a CTLA-4 inhibitor, holds promise in treating metastatic brain melanoma (MBM). Despite promising preclinical evidence, clinical studies evaluating their combined efficacy are limited and varied, necessitating a systematic review and meta-analysis to consolidate evidence and identify predictors of response or resistance in this challenging patient population. This study was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). The electronic databases of PubMed, Embase, Scopus, and Web of science were searched on July 9th, 2024, using the relevant key terms without filters. All statistical analysis was performed by STATA v.17. A total of 26 studies with 1059 participants were included. The 1, 2, and 3-year overall survival rates were 0.44 [95% CI: 0.32-0.55], 0.28 [95% CI: 0.17, 0.39], and 0.19 [95% CI: 0.06-0.32], respectively. The pooled 12-month local control and 1-year progression-free survival rate were 0.53 [95% CI: 0.34-0.71] and 0.20 [95%CI: 0.10-0.30]. The pooled overall response rate, partial response rates, and stable disease rate were 0.26 [95% CI: 0.10-0.41], 0.10 [95% CI:0.05-0.15], 0.17 [95%CI:0.10-0.23], and 0.58 [95%CI: 0.45-0.70]. This study demonstrated promising results regarding adding RT to ipilimumab which was associated with significantly higher 1-year OS, 18-month OS, 2-year OS, 3-year OS, overall radiological response rate, and stable disease rate and significantly lower rate of progressive disease rate compared to ipilimumab without RT. However, no significant difference was observed between two groups in 6-month OS, 12-month LC, 1-year PFS, and partial response rate.

Indexed as

Antineoplastic Agents, ImmunologicalBrain NeoplasmsChemoradiotherapyIpilimumabMelanomaHumansSurvival RateAntineoplastic Agents, ImmunologicalIpilimumabBrain metastasisIpilimumabMelanomaRadiotherapy

Identifiers

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Registered trials

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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.