Evidence map›Paper›PMID 39958328›Full record

SynthesisFrontiers in immunology2025

Discontinuation of immune checkpoint inhibitors for reasons other than disease progression and the impact on relapse and survival of advanced melanoma patients. A systematic review and meta-analysis.

Konstantinos Lallas, Eftychia Chatziioannou, Derya Durak, Georg Frey, Lina Maria Serna-Higuita, Marie-Lena Rasch, Athanassios Kyrgidis, Eleni Timotheadou, Zoe Apalla, Ulrike Leiter and 3 more

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Frontiers in immunology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–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

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. The Immune Checkpoint Inhibitors Journey: From Early Promise to Lasting Impact.Journal of immunotherapy and precision oncology · 2026
    Review
  3. Cancer survivorship in malignant melanoma.Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG · 2026
    Review
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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

13 authors.

Konstantinos LallasDepartment of Medical Oncology, School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Eftychia ChatziioannouCenter for Dermato-oncology, Department of Dermatology, Eberhard Karls University of Tübingen, Tübingen, Germany.
Derya DurakCenter for Dermato-oncology, Department of Dermatology, Eberhard Karls University of Tübingen, Tübingen, Germany.
Georg FreyCenter for Dermato-oncology, Department of Dermatology, Eberhard Karls University of Tübingen, Tübingen, Germany.
Lina Maria Serna-HiguitaClinical Epidemiology and Applied Biostatistics, Eberhard Karls University of Tübingen, Tübingen, Germany.
Marie-Lena RaschCenter for Dermato-oncology, Department of Dermatology, Eberhard Karls University of Tübingen, Tübingen, Germany.
Athanassios KyrgidisOral and Maxillofacial Surgery, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Eleni TimotheadouDepartment of Medical Oncology, School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Zoe ApallaSecond Department of Dermatology, School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Ulrike LeiterCenter for Dermato-oncology, Department of Dermatology, Eberhard Karls University of Tübingen, Tübingen, Germany.
Lukas FlatzCenter for Dermato-oncology, Department of Dermatology, Eberhard Karls University of Tübingen, Tübingen, Germany.
Aimilios LallasFirst Department of Dermatology, School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Teresa AmaralCenter for Dermato-oncology, Department of Dermatology, Eberhard Karls University of Tübingen, Tübingen, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Despite durable responses achieved with Immune Checkpoint Inhibitors (ICIs), data about optimal duration of treatment, especially in the context of adverse events, remain scarce. Objective: To systematically review the evidence concerning the impact of treatment discontinuation with ICIs for reasons other than progressive disease (PD) on relapse rates and survival of melanoma patients. Methods: A systematic literature search was conducted in three electronic databases until July 2024. Studies referring to melanoma patients who ceased ICIs electively (i.e. due to complete response (CR), protocol completion or patient/physician's wish) or due to treatment-limiting toxicities (TLTs) were selected. Relapse rates (RRs) post cessation, time to PD, rechallenge and disease control rate (DCR) after 2 Results: 38 and 35 studies were included in qualitative and quantitative synthesis, respectively. From 2542 patients discontinued treatment with ICIs electively or due to TLTs, 495 experienced progression [number of studies (n)=34, RR 20.9%, 95%CI 17.1 - 24.7%, I Conclusion: Discontinuation of ICIs in patients without progression is possible. Outcomes to rechallenge with ICIs may differ depending on the reason for discontinuation, but remains a considerable option. Systematic review registration: https://www.crd.york.ac.uk/prospero/, identifier CRD42024547792.

Indexed as

Immune Checkpoint InhibitorsMelanomaWithholding TreatmentDisease ProgressionHumansNeoplasm Recurrence, LocalImmune Checkpoint Inhibitorsimmune checkpoint inhibitorsimmunotherapymelanomaoverall survivalstage IVtherapy discontinuation

Identifiers

PMID39958328
PMCPMC11825796

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.