Evidence map›Paper›PMID 40295727›Full record

ArticleBritish journal of cancer2025

Rechallenge of ipilimumab and nivolumab in advanced melanoma patients after previous ipilimumab-based therapy.

E J van Dijk, H H Nienhuis, A J M van den Eertwegh, M J Boers-Sonderen, M Bloem, A M Kamphuis, M M Ros, C Bos, M J B Aarts, F W P J van den Berkmortel and 13 more

Abstract read
In one paragraph

Article in British journal of cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Bridging the Gap: Incorporating Lifileucel Into Management of Advanced PD-1 Blockade Resistant Melanomas.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2025
    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

23 authors.

E J van DijkDepartment of Medical Oncology, University Medical Center Utrecht, Utrecht University, Utrecht, Netherlands. E.J.vandijk-9@umcutrecht.nl.ORCID http://orcid.org/0009-0002-2403-3600
H H NienhuisDepartment of Medical Oncology, University Medical Center Utrecht, Utrecht University, Utrecht, Netherlands.
A J M van den EertweghDepartment of Medical Oncology, Amsterdam UMC, VU University Medical Center, Cancer Center, Amsterdam, Netherlands.
M J Boers-SonderenDepartment of Medical Oncology, Radboud University Medical Centre, Nijmegen, Netherlands.
M BloemScientific Bureau, Dutch Institute for Clinical Auditing, Nijmegen, Netherlands.
A M KamphuisDepartment of Medical Oncology, University Medical Center Utrecht, Utrecht University, Utrecht, Netherlands.
M M RosDepartment of Medical Oncology, University Medical Center Utrecht, Utrecht University, Utrecht, Netherlands.
C BosDepartment of Radiology and Nuclear Medicine, Division of Imaging & Oncology, University Medical Center Utrecht, Utrecht University, Utrecht, Netherlands.
M J B AartsDepartment of Medical Oncology, GROW School for Oncology and Reproduction, Maastricht University Medical Centre, Utrecht, Netherlands.
F W P J van den BerkmortelDepartment of Medical Oncology, Zuyderland Medical Centre Sittard, Sittard, Netherlands.
C U BlankDepartment of Molecular Oncology & Immunology, Netherlands Cancer Institute, Amsterdam, Netherlands.ORCID http://orcid.org/0000-0002-7945-5846
W A M BlokxDepartment of Pathology, University Medical Center Utrecht, Utrecht, Netherlands.
J W B de GrootIsala Oncology Center, Isala Hospital, Isala, Netherlands.
G A P HospersDepartment of Medical Oncology, University Medical Centre Groningen, University of Groningen, Groningen, Netherlands.
D PiersmaDepartment of Internal Medicine, Medisch Spectrum Twente, Enschede, Netherlands.
R S van RijnDepartment of Internal Medicine, Medical Centre Leeuwarden, Leeuwarden, Netherlands.
A M Stevense-den BoerDepartment of Internal Medicine, Amphia Hospital, Breda, Netherlands.
G VreugdenhilDepartment of Internal Medicine, Maxima Medical Centre, Eindhoven, Netherlands.
M W J M WoutersScientific Bureau, Dutch Institute for Clinical Auditing, Nijmegen, Netherlands.
E KapiteijnDepartment of Medical Oncology, Leiden University Medical Centre, Leiden, Netherlands.ORCID http://orcid.org/0000-0002-4814-6426
J B HaanenDepartment of Molecular Oncology & Immunology, Netherlands Cancer Institute, Amsterdam, Netherlands.
A A M van der VeldtDepartment of Medical Oncology and Radiology & Nuclear Medicine, Erasmus Medical Centre, Rotterdam, Netherlands.ORCID http://orcid.org/0000-0003-0446-1907
K P M SuijkerbuijkDepartment of Medical Oncology, University Medical Center Utrecht, Utrecht University, Utrecht, Netherlands.ORCID http://orcid.org/0000-0003-3604-5430

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIpilimumab+nivolumab (IPINIVO) can induce durable responses in advanced melanoma, but many patients experience progression at some point. It is currently unknown to what extent these patients benefit from IPINIVO rechallenge. This study describes efficacy and safety of IPINIVO rechallenge.

methodsData from advanced melanoma patients rechallenged with IPINIVO after previous ipilimumab-containing treatment were retrieved from the nationwide Dutch Melanoma Treatment Registry. Patient characteristics, responses, survival, and safety were analyzed.

resultsAmong 3.759 patients receiving ipilimumab-containing treatment, 73 received rechallenge IPINIVO. 41 received IPINIVO, 32 ipilimumab monotherapy (IPI) as initial therapy. Objective response to rechallenge IPINIVO was seen in 36.1% (initial IPINIVO) and 40.0% (initial IPI) of patients. Median progression-free survival after rechallenge was 2.8 months (initial IPINIVO) and 5.6 months (initial IPI), but reached 18.4 months for responders to rechallenge therapy. Grade ≥3 immune-related adverse events occurred in 40.5% (initial IPINIVO) and 38.7% (initial IPI) of patients. Objective responses to initial and rechallenge treatment were discordant in 48.6% (initial IPINIVO) and 53.3% (initial IPI) of patients. Fifteen patients (20.5%) responded to rechallenge therapy but not to initial treatment.

conclusionsRechallenge IPINIVO after previous ipilimumab-based therapy had a considerable response rate, acceptable safety profile, and potential for a durable response.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsIpilimumabMelanomaNivolumabSkin NeoplasmsAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedProgression-Free SurvivalIpilimumabNivolumab

Identifiers

PMID40295727
PMCPMC12238564

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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.