Evidence map›Paper›PMID 39954389›Full record

ArticleESMO open2025

Adjuvant immunotherapy in the modern management of resectable melanoma: current status and outlook to 2028.

M Donia, H Jespersen, M Jalving, R Lee, H Eriksson, C Hoeller, M Hernberg, I Gavrilova, L Kandolf, G Liszkay and 10 more

Erratum issuedAbstract read
In one paragraph

Article in ESMO open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors.

M DoniaNational Center for Cancer Immune Therapy, Department of Oncology, Copenhagen University Hospital, Herlev, Denmark. Electronic address: marco.donia@regionh.dk.
H JespersenDepartment of Oncology, Oslo University Hospital, Oslo, Norway.
M JalvingUniversity Medical Centre Groningen, Groningen, The Netherlands.
R LeeFaculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK; Department of Medical Oncology, The Christie NHS Foundation Trust, Manchester, UK.
H ErikssonDepartment of Oncology-Pathology, Karolinska Institutet, Stockholm, Sweden; Theme Cancer Skin Cancer Center, Karolinska University Hospital, Stockholm, Sweden.
C HoellerDepartment of Dermatology, Medical University of Vienna, Vienna, Austria.
M HernbergHelsinki University Hospital Comprehensive Cancer Center, Helsinki, Finland; Helsinki University, Helsinki, Finland.
I GavrilovaUniversity Hospital for Active Treatment of Oncology, Sofia, Bulgaria.
L KandolfFaculty of Medicine, Military Medical Academy, Belgrade, Serbia.
G LiszkayNational Institute of Oncology, Budapest, Hungary; Middle-Eastern European Academy, Budapest, Hungary.
H HelgadottirDepartment of Oncology-Pathology, Karolinska Institutet, Stockholm, Sweden; Theme Cancer Skin Cancer Center, Karolinska University Hospital, Stockholm, Sweden.
A ZhukavetsDepartment of Oncology, Belarusian State Medical University, Minsk, Belarus.
D PianovaRiga Stradins University, Riga, Latvia.
I Marquez-RodasMedical Oncology Department, Hospital General Universitario Gregorio Marañón, Universidad Complutense, Madrid, Spain.
B NeynsUniversitair Ziekenhuis Brussel (UZ Brussel), Department of Medical Oncology, Brussels, Belgium.
H WestgeestAmphia Hospital, Department of Internal Medicine, Breda, The Netherlands.
I PourmirEuropean Georges Pompidou Hospital, Department of Thoracic Oncology, Paris, France; INSERM U970, Immunotherapy and Antiangiogenic Treatment in Oncology, Paris, France.
P SobczukMaria Slodowska-Curie National Research Institute of Oncology in Warsaw, Department of Soft Tissue/Bone Sarcoma and Melanoma, Warsaw, Poland.
E EllebaekNational Center for Cancer Immune Therapy, Department of Oncology, Copenhagen University Hospital, Herlev, Denmark.
T AmaralCenter for Dermato-oncology, Department of Dermatology, Eberhard Karls University of Tübingen, 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.

Funding

Wellcome Trust 225724
6 · The paper itself

Abstract

backgroundTherapeutic advances have reshaped the treatment landscape for patients with resectable melanoma, particularly for those with stage IIB/C and stage III disease. In this article, we discuss the current status and future outlook of adjuvant immunotherapy for melanoma in Europe.

resultsAdjuvant immunotherapy offers significant benefits in terms of recurrence-free survival and distant metastasis-free survival. Uncertainties regarding overall survival (OS) benefits, however, remain. Trials such as Keynote-054, which are expected to provide crucial OS information, have delayed their final analyses until 2027. Additionally, real-world studies have raised questions about the correlation between recurrence-free survival/distant metastasis-free survival improvements observed in clinical trials and OS outcomes in routine clinical practice. These uncertainties have led to ongoing debates about the cost-effectiveness of adjuvant therapies, with disparities in reimbursement policies across Europe reflecting these concerns.

conclusionLooking ahead to 2028, adjuvant immunotherapy will remain a key option of comprehensive melanoma care, particularly for patients with stage IIB/C and stage III with micrometastatic disease, where neoadjuvant immunotherapy is not feasible.

Indexed as

ImmunotherapyMelanomaChemotherapy, AdjuvantEuropeHumansadjuvant therapyapprovalimmunotherapymelanomaneoadjuvant therapy

Identifiers

PMID39954389
PMCPMC11872484

What OpenQuestion holds

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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.