Evidence map›Paper›PMID 41014139›Full record

ReviewHead & neck2025

Merkel Cell Carcinoma: Evolving Therapeutics, Continued Challenges.

Hunter A Holley, Maria Lyons, Barry O'Sullivan, Neville Shine, Robbie Woods, Orla McArdle, James Paul O'Neill

Abstract readReview
In one paragraph

Review in Head & neck, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. 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

7 authors.

Hunter A HolleyDepartment of Graduate Entry Medicine, Royal College of Surgeons in Ireland (RCSI), Dublin, Ireland.ORCID 0000-0003-4458-5680
Maria LyonsDepartment of Otorhinolaryngology, Head and Neck Surgery, Beaumont Hospital, Dublin, Ireland.
Barry O'SullivanDepartment of Plastic Surgery, Beaumont Hospital, Dublin, Ireland.
Neville ShineDepartment of Otorhinolaryngology, Head and Neck Surgery, Beaumont Hospital, Dublin, Ireland.
Robbie WoodsDepartment of Otorhinolaryngology, Head and Neck Surgery, Beaumont Hospital, Dublin, Ireland.
Orla McArdleSt. Luke's Radiation Oncology Network, Dublin, Ireland.
James Paul O'NeillDepartment of Otorhinolaryngology, Head and Neck Surgery, Beaumont Hospital, Dublin, Ireland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMerkel Cell Carcinoma (MCC) is a rare, aggressive neuroendocrine malignancy with rising incidence, influenced by ultraviolet (UV) radiation and Merkel cell polyomavirus (MCPyV).

methodsThis review summarizes recent advances in MCC management, based on an analysis of current literature, focusing on immune checkpoint inhibitors (ICIs), viral status implications, and evolving multimodal treatment strategies.

resultsMCPyV-positive MCC has a median overall survival (OS) of 6.6 years compared to 1.2 years for virus-negative cases. The 5-year OS rate for localized MCC is approximately 50%. Historically, the 5-year OS for metastatic MCC was ~14%, but has significantly improved with ICIs. First-line treatment with avelumab achieved a median OS of 20.3 months and a 5-year OS of approximately 26%. Pembrolizumab demonstrated a median OS of 24.3 months, a median progression-free survival (PFS) of 9.3 months, and a durable response with a median duration of response (DOR) of 39.8 months.

conclusionDespite advances, MCC recurrence rates remain high (16.4% local, 32.1% regional, 9.5% distant), necessitating vigilant long-term surveillance. Future research should focus on optimizing combination therapies, identifying predictive biomarkers, and refining treatment sequencing to further improve survival and quality of life.

Indexed as

Carcinoma, Merkel CellImmune Checkpoint InhibitorsSkin NeoplasmsAntibodies, Monoclonal, HumanizedCombined Modality TherapyHumansMerkel cell polyomavirusAntibodies, Monoclonal, HumanizedavelumabImmune Checkpoint InhibitorspembrolizumabimmunotherapyMerkel Cell Carcinomapathogenesisprognosistherapeutics

Identifiers

PMID41014139
PMCPMC12617483

What OpenQuestion holds

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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.