Evidence map›Paper›PMID 36497270›Full record

ArticleCancers2022

Prognostic Hematologic Biomarkers Following Immune Checkpoint Inhibition in Metastatic Uveal Melanoma.

Jessica J Waninger, Leslie A Fecher, Christopher Lao, Sarah Yentz, Michael D Green, Hakan Demirci

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 29% of its field
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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Ferroptosis-induced immune modulation: a new frontier in glioblastoma therapy.Naunyn-Schmiedeberg's archives of pharmacology · 2026
    Review
  3. Review
  4. 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 at 2 institutions in 1 country.

Jessica J WaningerMedical Scientist Training Program, University of Michigan, Ann Arbor, MI 48109, USA.ORCID 0000-0002-5172-5779
Leslie A FecherDepartment of Internal Medicine, Division of Hematology Oncology, Rogel Cancer Center, Ann Arbor, MI 48109, USA.
Christopher LaoDepartment of Internal Medicine, Division of Hematology Oncology, Rogel Cancer Center, Ann Arbor, MI 48109, USA.
Sarah YentzDepartment of Internal Medicine, Division of Hematology Oncology, Rogel Cancer Center, Ann Arbor, MI 48109, USA.
Michael D GreenDepartment of Radiation Oncology, University of Michigan, Ann Arbor, MI 48109, USA.ORCID 0000-0003-4951-7118
Hakan DemirciDepartment of Ophthalmology and Visual Sciences, University of Michigan, Ann Arbor, MI 48105, USA.
U-M Rogel Cancer Center · USUniversity of Michigan · US

Funding

Enhancing Ferroptosis to Augment Responses to Immune Checkpoint BlockadeI01BX005267 · VA · VETERANS HEALTH ADMINISTRATION · PI GREEN, MICHAEL DANIEL · 2022 to 2025
–
BLRD VA I01 BX005267LUNGevity, Breast Cancer Research Foundation, Melanoma Research Alliance MRA689853Lung Precision Oncology Program VA 150CU000182Medical Scientist Training program GM007863NCI NIH HHS CA252010Richard N and Marilyn K Witham professorship naUniversity of Michigan Rackham Merit Fellowship na
6 · The paper itself

Abstract

Background: There is no standardized treatment for metastatic uveal melanoma (MUM) but immune checkpoint inhibitors (ICI) are increasingly used. While ICI has transformed the survival of metastatic cutaneous melanoma, MUM patients do not equally benefit. Factors known to affect ICI response include the hematologic markers, lactate dehydrogenase (LDH) and neutrophil:lymphocyte ratio (NLR). We evaluated the prognostic value of LDH and NLR at the start of ICI and on treatment in MUM. Methods: MUM patients were treated between August 2006 and May 2022 with combination ipilimumab/nivolumab or ipilimumab/nivolumab/pembrolizumab single-agent therapy. Univariable (UVA) and multivariable (MVA) analyses were used to assess the prognostic value of predefined baseline factors on progression-free (PFS) and overall survival (OS). Results: In forty-six patients with MUM treated with ICI, elevated baseline and on-treatment LDH was prognostic for OS (start of ICI, HR (95% CI): 3.6 (1.9−7.0), p < 0.01; on-treatment, HR (95% CI): 3.7 (1.6−8.8), p < 0.01) and PFS (start of ICI, (HR (95% CI): 2.8 (1.5−5.4), p < 0.0001); on-treatment LDH (HR (95% CI): 2.2 (1.1−4.3), p < 0.01). On-treatment NLR was prognostic for PFS (HR (95% CI): 1.9 (1.0−3.9), p < 0.01). On-treatment LDH remained an important contributor to survival on MVA (OS: HR (95% CI): 1.001 (1.00−1.002), p < 0.05); PFS: HR (95% CI): 1.001 (1.00−1.002), p < 0.01). Conclusions: This study demonstrates that LDH and NLR could be useful in the prognostication of MUM patients treated with ICI. Additional studies are needed to confirm the importance of these and other prognostic biomarkers.

Indexed as

immune checkpoint inhibitorsLDHNLRocular melanomaprognosisuveal melanoma

Identifiers

PMID36497270
PMCPMC9738244
OpenAlexW4310044555

What Socratic holds

Textmetadata
LicenceCC BY
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 Socratic graph.