Evidence map›Paper›PMID 41357581›Full record

ArticleFrontiers in oncology2025

Outcomes and toxicity of concomitant radioimmunotherapy following PD-1 blockade for locally advanced and metastatic cutaneous squamous cell carcinoma.

Ari A Kassardjian, Colton J Ladbury, Andrew Tam, Sean Maroongroge, Yan Xing, Ramya Muddasani, Badri Modi, Arya Amini

Abstract read
In one paragraph

Article in Frontiers in oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

1 citing paper in PubMed.

  1. 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

8 authors.

Ari A KassardjianDepartment of Radiation Oncology, City of Hope, Duarte, CA, United States.
Colton J LadburyDepartment of Radiation Oncology, City of Hope, Duarte, CA, United States.
Andrew TamDepartment of Radiation Oncology, City of Hope, Duarte, CA, United States.
Sean MaroongrogeDepartment of Radiation Oncology, City of Hope, Duarte, CA, United States.
Yan XingDepartment of Medical Oncology, City of Hope, Duarte, CA, United States.
Ramya MuddasaniDepartment of Medical Oncology, City of Hope, Duarte, CA, United States.
Badri ModiDepartment of Dermatology, City of Hope, Duarte, CA, United States.
Arya AminiDepartment of Radiation Oncology, City of Hope, Duarte, CA, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Immune checkpoint inhibitors (ICI) effectively treat advanced cutaneous squamous cell carcinoma (cSCC), yet some patients continue to have disease progression. Combining radiation therapy (RT) with ICI represents a potential therapeutic option, yet limited data exist regarding oncologic outcomes and safety profile. Methods: This retrospective cohort study examined patients treated with concurrent ICI and RT between April 2019 and November 2022 and stratified by locally advanced or metastatic status. Outcomes included locoregional control (LRC), freedom from distant metastases (FFDM), progression-free survival (PFS), overall survival (OS), and toxicity. Statistical analysis was performed using Kaplan-Meier or Fine-Gray competing risk survival analyses. Results: Thirteen patients (median age 77 years) with locally advanced (53.8%) or metastatic (46.2%) cSCC on cemiplimab (84.6%) or pembrolizumab (15.4%) received concomitant RT using intensity-modulated radiotherapy (69.2%) or stereotactic body radiotherapy (30.8%). With median follow-up of 15.4 months, overall 1-year and 2-year outcomes were OS: 75.2% and 62.7%; PFS: 59.8% and 25.6%; FFDM: 83.8% and 62.4%; LRC 100% and 84.3%, respectively. Locally advanced patients had significantly greater LRC than metastatic patients (100% Conclusion: Radioimmunotherapy demonstrated favorable oncologic outcomes with minimal toxicity. Addition of consolidative RT to ICI therapy may represent a safe and effective approach for this challenging patient population, warranting further prospective investigation.

Indexed as

concurrent radiation therapycutaneous squamous cell carcinoma (cSCC)immune checkpoint inhibitor (ICI)immunotherapyintensity modulated radiation therapy (IMRT)stereotactic body radiation therapy (SBRT)

Identifiers

PMID41357581
PMCPMC12675198

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