Evidence map›Paper›PMID 41572830›Full record

SynthesisFuture oncology (London, England)2026

Avelumab real-world use in advanced Merkel cell carcinoma: a systematic review and non-comparative meta-analysis.

Andreas Freitag, Zhiyi Lan, Hoora Moradian, Megan Rutherford, Christina Kwon, Mairead Kearney

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Future oncology (London, England), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

6 authors.

Andreas FreitagEvidence, Value & Access, Cytel, Inc., London, UK.
Zhiyi LanEvidence, Value & Access, Cytel, Inc., Cambridge, MA, USA.
Hoora MoradianEvidence, Value & Access, Cytel, Inc., Cambridge, MA, USA.
Megan RutherfordEvidence, Value & Access, Cytel, Inc., London, UK.
Christina KwonEvidence, Value & Access, Cytel, Inc., Cambridge, MA, USA.
Mairead KearneyGlobal Value Demonstration, Market Access & Pricing, Merck Healthcare KGaA, Darmstadt, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimProgrammed death (ligand) 1 inhibitors (e.g., avelumab, pembrolizumab, and retifanlimab) are first-line treatment options for patients with locally advanced or metastatic Merkel cell carcinoma (MCC). In the absence of comparative and randomized trials, we aimed to systematically identify and synthesize real-world evidence (RWE) on the effectiveness and safety of immunotherapies in patients with advanced MCC. METHODS & MATERIALS: MEDLINE and Embase searches were conducted for observational RWE studies in locally advanced or metastatic MCC from January 2017 to December 2023. Avelumab was the only immunotherapy with sufficient data for analysis. Landmark 12-month overall survival (OS) and progression-free survival (PFS) were assessed by meta-analysis.

resultsScreening of 1731 records identified 37 publications eligible for inclusion (16 unique studies), of which eight were included in the meta-analysis. In line with results from the JAVELIN Merkel 200 trial, pooled 12-month OS rates of 77.7% in stage III and 63.0% in stage IV MCC and 12-month PFS rates of 53.3% and 39.3%, respectively, were estimated. Although safety data were insufficient for meta-analysis, two retrospective studies reported lower adverse event rates than JAVELIN Merkel 200.

conclusionsThe results of this study support broader use of avelumab in advanced MCC.

Indexed as

Antibodies, Monoclonal, HumanizedAntineoplastic Agents, ImmunologicalCarcinoma, Merkel CellSkin NeoplasmsHumansNeoplasm StagingNon-Melanoma Skin NeoplasmsAntibodies, Monoclonal, HumanizedAntineoplastic Agents, ImmunologicalavelumabavelumabeffectivenessMerkel cell carcinomameta-analysisreal-world evidencesafetysystematic literature review

Identifiers

PMID41572830
PMCPMC12977247

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.