pathology | treatment | patient | Demonstrated benefit and harm | k | | | |
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melanoma | Interferon alpha | adjuvant | versus placebo or control No demonstrated result for efficacy | 4 trials | meta-analysis | | Trial | control | p<0.05 | harm | NS |
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EORTC18871/DKG 80-1 (Kleeberg), 2004 | rIFN alpha-2b vs observation | | | OS 0.96 [0.76; 1.21] PFS 1.04 [0.84; 1.29] | EORTC18952 (Eggermont), 2005 | ID IFN alpha-2b (I M) vs observation | | | OS 0.84 [0.66; 1.07] PFS 0.84 [0.67; 1.06] DMFS 0.84 [0.66; 1.07] | EORTC18991 (Eggermont), 2008 | PEG IFN alpha-2b (I M) vs observation | PFS 0.87 [0.76; 1.00] | | OS 0.96 [0.83; 1.12] DMFS 0.93 [0.81; 1.07] | Nordic IFN Trial, 2011 | ID IFN alpha-2b (I M) vs observation | PFS 0.77 [0.62; 0.95] | | OS 0.91 [0.72; 1.15] |
Trial | Treatments | Patients | Method |
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EORTC18871/DKG 80-1 (Kleeberg), 2004 | rIFN-alpha2b (n=-9) vs. observation (n=-9) 4 arms: IFN-alpha2b versus rIFN-gamma versus ISCADOR M versus observation | High-risk stage II patients (thickness >3 mm) and stage III patients (positivelymph nodes) without distant metastasis | Sample size: -9/-9 Primary endpoint: FU duration: 8.2 years (median) | EORTC18952 (Eggermont), 2005 | (n=-9) vs. (n=-9) | patients who had had a thick primary tumour (thickness4 mm) resected (stage IIb) or regional lymph node metastases dissected (stage III) | Sample size: -9/-9 Primary endpoint: FU duration: 4.65 years | EORTC18991 (Eggermont), 2008 | pegylated interferon alfa-2b 6 mug/kg per week for 8 weeks (induction) then 3 mug/kg per week (maintenance) for an intended duration of 5 years (n=627) vs. (n=629) | patients with resected stage III melanoma | Sample size: 627/629 Primary endpoint: recurrence-free survival FU duration: 3.8 years | Nordic IFN Trial, 2011 | intermediate-dose interferon alfa-2b duration 1 (n=-9) vs. duration 2 (n=-9) | patients with stage IIB-IIC or III resected cutaneous melanoma. | Sample size: -9/-9 Primary endpoint: FU duration: 72·4 months |
|
melanoma | ipilimumab | adjuvant | versus placebo or control ipilimumab superior to placebo in terms of recurrence free survival in EORTC 18071 (Eggermont), 2015 (adjuvant patients) ipilimumab inferior to placebo in terms of grade 3-4 in EORTC 18071 (Eggermont), 2015 (adjuvant patients) | 1 trial | meta-analysis | | Trial | control | p<0.05 | harm | NS |
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EORTC 18071 (Eggermont), 2015 | ipilimumab vs placebo | recurrence free survival 0.76 [0.64; 0.90] Demonstrated OS 0.72 [0.58; 0.89] PFS 0.76 [0.64; 0.90] distant metastasis free survival 0.76 [0.63; 0.91] | grade 3-4 2.07 [1.74; 2.46] | |
Trial | Treatments | Patients | Method |
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EORTC 18071 (Eggermont), 2015 | ipilimumab at a dose of 10 mg per kilogram every 3 weeks for four doses, then every 3 months for up to 3 years or until disease recurrence or an unacceptable level of toxic effects occurred (n=475) vs. placebo (n=476) | high risk patients who had undergone complete resection of stage III melanoma | double-blind Parallel groups Sample size: 475/476 Primary endpoint: RFS FU duration: 5.3 years phase 3 |
|
melanoma | nivolumab | adjuvant | versus anti-CTLA-4 nivolumab superior to ipilimumab in terms of recurrence free survival in CheckMate 238, 2017 (adjuvant patients) | 1 trial | meta-analysis | | Trial | control | p<0.05 | harm | NS |
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CheckMate 238, 2017 | nivolumab vs ipilimumab | recurrence free survival 0.65 [0.51; 0.83] Demonstrated PFS 0.65 [0.51; 0.83] Adverse events leading to discontinuation of drug 0.23 [0.17; 0.31] Grade 3 or 4 drug-related adverse events 0.31 [0.24; 0.40] | | |
Trial | Treatments | Patients | Method |
---|
CheckMate 238, 2017 | nivolumab at a dose of 3 mg per kilogram of body weight every 2 weeks (n=453) vs. ipilimumab at a dose of 10 mg per kilogram every 3 weeks for four doses and then every 12 weeks (n=453) | patients with Complete Resection of Stage IIIb/c or Stage IV Melanoma | double-blind Parallel groups Sample size: 453/453 Primary endpoint: Recurrence free survival FU duration: 18 months (median) |
|
melanoma | pembrolizumab | adjuvant | versus placebo or control pembrolizumab superior to placebo in terms of recurrence free survival in KEYNOTE-054, 2018 (adjuvant patients) pembrolizumab inferior to placebo in terms of Grade 3 or 4 drug-related adverse events in KEYNOTE-054, 2018 (adjuvant patients) pembrolizumab inferior to placebo in terms of Vitiligo any grade in KEYNOTE-054, 2018 (adjuvant patients) | 1 trial | meta-analysis | | Trial | control | p<0.05 | harm | NS |
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KEYNOTE-054, 2018 | pembrolizumab vs placebo | recurrence free survival 0.57 [0.43; 0.75] Demonstrated PFS LP-D1 positif 0.54 [0.42; 0.69] PFS PD-L1 negatif 0.47 [0.26; 0.85] PFS 0.57 [0.43; 0.75] | Grade 3 or 4 drug-related adverse events 4.35 [2.61; 7.26] Vitiligo any grade 2.96 [1.34; 6.52] | Vitiligo grade 3-4 NaN [NaN; NaN] |
Trial | Treatments | Patients | Method |
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KEYNOTE-054, 2018 | Pembrolizumab (Participants receive pembrolizumab 200 mg intravenously (IV) on Day 1 of each 21-day cycle for up to 1 year)
(n=514) vs. placebo (n=505) | patients with complete Resection of High-Risk Stage III Melanoma | double-blind Parallel groups Sample size: 514/505 Primary endpoint: Recurrence-free survival , FU duration: 15 months (median) |
|
melanoma | trametinib + dabrafenib | adjuvant | versus placebo or control No demonstrated result for efficacy | 2 trials | meta-analysis | | Trial | control | p<0.05 | harm | NS |
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COMBI-AD, 2017 | trametinib and dabrafenib vs placebo | OS 0.57 [0.42; 0.78] PFS 0.47 [0.39; 0.57] distant metastasis free survival 0.51 [0.40; 0.65] | | | COMBI neo, 2018 | trametinib and dabrafenib vs SOC | | | |
Trial | Treatments | Patients | Method |
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COMBI-AD, 2017 | dabrafenib (150 mg twice daily) and trametinib (2 mg once daily) orally for 12 months (n=-9) vs. placebo (n=-9) | Patients with completely resected, histologically confirmed, BRAF V600E/K mutation-positive, high-risk [Stage IIIa (lymph node metastasis >1 mm), IIIb or IIIc] cutaneous melanoma | double-blind Sample size: -9/-9 Primary endpoint: Relapse-free survival FU duration: | COMBI neo, 2018 | (n=-9) vs. (n=-9) | | Sample size: -9/-9 Primary endpoint: FU duration: |
|
melanoma | vemurafenib | adjuvant | versus placebo or control No demonstrated result for efficacy | 1 trial | meta-analysis | | Trial | control | p<0.05 | harm | NS |
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BRIM 8, 2018 | vemurafenib vs placebo | PFS 0.65 [0.50; 0.85] | | OS 0.72 [0.49; 1.08] |
Trial | Treatments | Patients | Method |
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BRIM 8, 2018 | e twice-daily adjuvant oral vemurafenib 960 mg tablets for52 weeks (13×28-day cycles) (n=-9) vs. placebo (n=-9) | patients with resected,BRAFV600 mutation-positive melanoma: IC–IIIA–IIIB (cohort 1) or stage IIIC (cohort 2) | Sample size: -9/-9 Primary endpoint: FU duration: |
|