Evidence map›Paper›PMID 40923926›Full record

ArticleImmunotherapy2025

Successful treatment of localized Merkel cell carcinoma with avelumab in a patient with amyotrophic lateral sclerosis.

Lisa Arnold, Dirk Tomsitz, Raquel Buchillon, Julia Leding, Sonja Senner, Surina Frey, Nina Janjic, Lars E French, Lucie Heinzerling

Abstract readCase Reports
In one paragraph

Article in Immunotherapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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

  1. Pooled it
  2. Article
  3. 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

9 authors.

Lisa ArnoldDepartment of Dermatology and Allergology, University Hospital, LMU Munich, Munich, Germany.
Dirk TomsitzDepartment of Dermatology and Allergology, University Hospital, LMU Munich, Munich, Germany.
Raquel BuchillonDepartment of Dermatology and Allergology, University Hospital, LMU Munich, Munich, Germany.
Julia LedingDepartment of Dermatology and Allergology, University Hospital, LMU Munich, Munich, Germany.
Sonja SennerDepartment of Dermatology and Allergology, University Hospital, LMU Munich, Munich, Germany.
Surina FreyDepartment of Dermatology and Allergology, University Hospital, LMU Munich, Munich, Germany.
Nina JanjicDepartment of Dermatology and Allergology, University Hospital, LMU Munich, Munich, Germany.
Lars E FrenchDepartment of Dermatology and Allergology, University Hospital, LMU Munich, Munich, Germany.
Lucie HeinzerlingDepartment of Dermatology and Allergology, University Hospital, LMU Munich, Munich, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Currently, the first-line treatment of non-metastatic Merkel cell carcinoma (MCC) is complete resection. In case of unresectable or metastatic MCC, immune checkpoint inhibitor (ICI) therapy with avelumab (or in the US also pembrolizumab or retifanlimab) is indicated. We report on a patient with a primary, non-metastatic MCC on the left eyelid and amyotrophic lateral sclerosis (ALS). Due to ALS, the patient's communication was limited to eye movement and blinking. Complete resection or definitive radiotherapy of the tumor while preserving the function of the eye muscles was not possible. No prior data was available for patients with ALS under ICI therapy. In agreement with the patient and his family, a monotherapy with avelumab, a programmed death ligand 1 (PD-L1) inhibitor, was initiated. This led to a complete remission of the tumor with a progression-free survival of over 24 months and importantly no deterioration of the ALS.

Indexed as

Amyotrophic Lateral SclerosisAntibodies, Monoclonal, HumanizedAntineoplastic Agents, ImmunologicalCarcinoma, Merkel CellSkin NeoplasmsAgedHumansImmune Checkpoint InhibitorsMaleTreatment OutcomeAntibodies, Monoclonal, HumanizedAntineoplastic Agents, ImmunologicalavelumabImmune Checkpoint Inhibitorsamyotrophic lateral sclerosisavelumabImmune checkpoint inhibitorsmelanomaMerkel cell carcinomaprogrammed death ligand 1

Identifiers

PMID40923926
PMCPMC12439543

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

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.