TY - JOUR AU - Reinhard, Sören AU - Utikal, Jochen Sven AU - Zaremba, Anne AU - Lodde, Georg AU - von Wasielewski, Imke AU - Klespe, Kai Christian AU - Meier, Friedegund AU - Haferkamp, Sebastian AU - Kähler, Katharina C AU - Herbst, Rudolf AU - Gebhardt, Christoffer AU - Sindrilaru, Anca AU - Dippel, Edgar AU - Angela, Yenny AU - Mohr, Peter AU - Pfoehler, Claudia AU - Forschner, Andrea AU - Kaatz, Martin AU - Schell, Beatrice AU - Gesierich, Anja AU - Loquai, Carmen AU - Hassel, Jessica C AU - Ulrich, Jens AU - Meiss, Frank AU - Schley, Gaston AU - Heinzerling, Lucie M AU - Sachse, Michael AU - Welzel, Julia AU - Weishaupt, Carsten AU - Sunderkötter, Cord AU - Michl, Christiane AU - Lindhof, Harm-Henning AU - Kreuter, Alexander AU - Heppt, Markus V AU - Wenk, Saskia AU - Mauch, Cornelia AU - Berking, Carola AU - Nedwed, Annekathrin Silvia AU - Gutzmer, Ralf AU - Leiter, Ulrike AU - Schadendorf, Dirk AU - Ugurel, Selma AU - Weichenthal, Michael AU - Haist, Maximilian AU - Fleischer, Maria Isabel AU - Lang, Berenice AU - Grabbe, Stephan AU - Stege, Henner TI - First-line checkpoint inhibitor therapy in metastatic acral lentiginous melanoma compared to other types of cutaneous melanoma: A multicenter study from the prospective skin cancer registry ADOREG. JO - European journal of cancer VL - 220 SN - 0959-8049 CY - Amsterdam [u.a.] PB - Elsevier M1 - DKFZ-2025-00614 SP - 115356 PY - 2025 AB - Melanoma is the main cause of skin cancer-related death. Treatment with immune checkpoint inhibitors (CPI) has improved the prognosis in recent years. However, subtypes of melanoma differ in their response. Acral lentiginous melanoma (ALM) has a worse prognosis compared to cutaneous melanoma other than ALM (CM) and is therefore of particular relevance.To evaluate the efficacy of CPI in first-line treatment of patients with advanced ALM compared CM.Retrospective analysis of patients with metastatic ALM (n = 45) or CM (n = 328) who received first-line CPI therapy from the multicenter prospective skin cancer registry ADOREG. Study endpoints were best overall response (BOR), progression-free survival (PFS) and overall survival (OS).ALM patients had significantly higher rates of ulcerated tumors, loco regional metastases and fewer BRAF-mutated tumors compared to CM patients. Combined CPI was administered in 48.9 KW - Checkpoint inhibition (Other) KW - Melanoma (Other) KW - Response (Other) LB - PUB:(DE-HGF)16 C6 - pmid:40121837 DO - DOI:10.1016/j.ejca.2025.115356 UR - https://inrepo02.dkfz.de/record/300116 ER -