Evidence map›Paper›PMID 41313559›Full record

ArticleClinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico2026

Response rate and long-term survival in patients with advanced melanoma: data from the prospective cohort study gem-1801.

Enrique Espinosa, Miguel-Ángel Berciano-Guerrero, Eva Muñoz-Couselo, Teresa Puértolas, José Luis Manzano, Ainara Soria, Pablo Ayala de Miguel, Guillermo Crespo, Lourdes Gutiérrez Sanz, Pablo Cerezuela-Fuentes and 23 more

Registry-linked trialAbstract readMulticenter Study
In one paragraph

Article in Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03605771 (Descriptive Observational Study on the Characteristics of Advanced and Metastatic Melanoma in Spain), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT03605771 recruitingnot on this map

Descriptive Observational Study on the Characteristics of Advanced and Metastatic Melanoma in Spain

Typeobservational_patient_registrySponsorGrupo Español Multidisciplinar de MelanomaRan2018 to 2025Enrolled400ConditionsMelanoma Stage Iv, Melanoma Stage Iii, Advanced CancerArmsDaily Clinical Practice
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

33 authors.

Enrique EspinosaUniversidad Autónoma de Madrid, School of Medicine-Hospital Universitario La Paz, CIBERONC, Madrid, Spain. enrique.espinosa@uam.es.ORCID http://orcid.org/0000-0001-6562-7902
Miguel-Ángel Berciano-GuerreroMedical Oncology Department, Hospital Regional Universitario (HRU), Instituto de Investigaciones Biomédicas de Málaga (IBIMA), Málaga, Spain.
Eva Muñoz-CouseloMedical Oncology Department, Hospital Universitari Vall d'Hebron y Vall d'Hebron Institute of Oncology (VHIO), Barcelona, Spain.
Teresa PuértolasMedical Oncology Department, Hospital Universitario Miguel Servet, Zaragoza, Spain.
José Luis ManzanoMedical Oncology Department, Instituto Catalán de Oncología, ICO-Badalona, H. Germans Trias i Pujol, Badalona, Spain.
Ainara SoriaMedical Oncology Department, Hospital Universitario Ramón y Cajal, Madrid, Spain.
Pablo Ayala de MiguelMedical Oncology Department, Hospital Universitario San Pedro de Alcántara, Cáceres, Spain.
Guillermo CrespoMedical Oncology Department, Hospital Universitario de Burgos, Burgos, Spain.
Lourdes Gutiérrez SanzMedical Oncology Department, Hospital Universitario Puerta de Hierro, Madrid, Spain.
Pablo Cerezuela-FuentesMedical Oncology Department, Instituto Murciano de Investigación Sanitaria (IMIB). Hospital Clínico Universitario Virgen de la Arrixaca, Ciudad de Murcia, Spain.
Carlos Aguado de la RosaMedical Oncology Department, Hospital Universitario Clínico San Carlos, Madrid, Spain.
Margarita MajemMedical Oncology Department, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.
Almudena García CastañoMedical Oncology Department, Hospital Universitario Marqués de Valdecilla, Santander, Spain.
Alfonso BerrocalMedical Oncology Department, Hospital General Universitario Valencia, Valencia, Spain.
Francisco Ramon García ArroyoMedical Oncology Department, Complejo Hospitalario Universitario de Pontevedra, Pontevedra, Spain.
María Rodríguez de la BorbollaMedical Oncology Department, Hospital Universitario de Valme, Sevilla, Spain.
Lorena BellidoMedical Oncology Department, SAL), Hospital Universitario Salamanca, Instituto de Investigación Biomédica de Salamanca (IB, Salamanca, Spain.
Javier Medina MartínezMedical Oncology Department, Hospital Universitario de Toledo, Toledo, Spain.
Luis Antonio FernándezMedical Oncology Department, Hospital Universitari Parc Taulí de Sabadell, Sabadell, Spain.
Alfonso Martin CarniceroMedical Oncology Department, Hospital San Pedro de La Rioja, Logroño, Spain.
Rafael López CastroMedical Oncology Department, Hospital Clínico Universitario de Valladolid, Valladolid, Spain.
Aida Bujosa RodríguezMedical Oncology Department, Hospital Son Llátzer, Palma, Spain.
Mª José LecumberriMedical Oncology Department, Hospital Universitario de Navarra, Pamplona, Navarra, Spain.
José Carlos Villa GuzmánMedical Oncology Department, Hospital General de Ciudad Real, Ciudad Real, Spain.
Begoña Campos BaleaMedical Oncology Department, Hospital Lucus Augusti, Lugo, Spain.
Joaquín Fra RodríguezMedical Oncology Department, Hospital Universitario Rio Hortega, Valladolid, Spain.
Javier Valdivia BautistaMedical Oncology Department, Hospital Universitario Virgen de las Nieves, Granada, Spain.
Victor Navarro PérezMedical Oncology Department, Hospital Universitario Costa del Sol, Marbella, Spain.
Karmele MujikaMedical Oncology Department, Onkologikoa Fundazioa, Donosti, Spain.
Mónica Corral SubiasMedical Oncology Department, Hospital Clínico Universitario Lozano Blesa, Zaragoza, Spain.
Berta HernándezMedical Oncology Department, Hospital Universitario de la Princesa, Madrid, Spain.
Salvador Martín AlgarraMedical Oncology Department, Clínica Universidad de Navarra, Pamplona, Spain.
Iván Márquez-RodasMedical Oncology Department, Hospital General Universitario Gregorio Marañón, Madrid, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAnti-PD-1-based immunotherapy and targeted therapies (TT) are the current standard of care for patients with advanced melanoma. However, some patients die in less than a year from diagnosis and others become long-survivors. An accurate description of systemic treatments and patients' characteristics of long-term survivors are needed to guide treatment decisions in clinical practice.

methodsGEM-1801 is a multi-cohort prospective study from the Spanish Multidisciplinary Melanoma Group that includes patients with resectable stage III or unresectable stage III/IV melanoma. Patients surviving at least 5 years and patients surviving less than 1 year since diagnosis were selected. Baseline characteristics and first and second-line systemic treatments are described and compared between groups.

resultsFrom Aug 2018 to Dec 2023, 60 patients with long-term survival and 216 patients with short-term survival were included. Long-term survivors received immunotherapy (65%), including anti-PD-1 in 86% and combination of an anti-PD-1 and anti-CTLA-4 in 14%; and TT (35%). The Objective Response Rate (ORR) was 76% for anti-PD-1, 80% for combination immunotherapy and 83% for TT. Short-term survivors received immunotherapy (58%), including anti-PD-1 (70%), anti-CTLA-4 (1%), and anti-PD-1 plus anti-CTLA-4 (29%); TT (36%); and chemotherapy (2%). ORR was 7% for anti-PD-1, 0% for anti-CTLA-4, 14% for combination immunotherapy, 53% for TT and 0% for chemotherapy.

conclusionsResponse to first or second-line systemic treatment may be a surrogate for long-term survival patients with advanced melanoma. CLINICAL TRIAL IDENTIFICATION: Clinicaltrials.gov: NCT03605771.

Indexed as

Immune Checkpoint InhibitorsImmunotherapyMelanomaSkin NeoplasmsAdultAgedAged, 80 and overCancer SurvivorsCTLA-4 AntigenFemaleHumansMaleMiddle AgedMolecular Targeted TherapyProgrammed Cell Death 1 ReceptorProspective StudiesCTLA-4 AntigenImmune Checkpoint InhibitorsPDCD1 protein, humanProgrammed Cell Death 1 ReceptorChemotherapyImmunotherapyLong-term survivalMelanomaReal-worldTargeted therapy

Identifiers

PMID41313559
PMCPMC13099804

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Registered trials

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.