TY - JOUR AU - Zimmermann, Noah AU - Kött, Julian AU - Zell, Tim AU - Abedini, Ali Zeinal AU - Blomen, Chiara L AU - Belz, Stella AU - Deitert, Benjamin AU - Heidrich, Isabel AU - Geidel, Glenn AU - Rünger, Alessandra AU - Smit, Daniel J AU - Weichenthal, Michael AU - Ugurel, Selma AU - Leiter, Ulrike AU - Berking, Carola AU - Gutzmer, Ralf AU - Schadendorf, Dirk AU - von Wasielewski, Imke AU - Mohr, Peter AU - Meier, Friedegund AU - Herbst, Rudolf AU - Utikal, Jochen AU - Terheyden, Patrick AU - Haferkamp, Sebastian AU - Pföhler, Claudia AU - Kaatz, Martin AU - Ziller, Fabian AU - Ulrich, Jens AU - Meiss, Frank AU - Bauer, Alexander T AU - Schneider, Stefan W AU - Gebhardt, Christoffer TI - Enhanced overall and progression-free survival in advanced melanoma patients undergoing targeted therapy alongside antithrombotic treatment - Insights from a multicenter study involving 1296 patients from the prospective skin cancer registry ADOReg. JO - European journal of cancer VL - 234 SN - 0959-8049 CY - Amsterdam [u.a.] PB - Elsevier M1 - DKFZ-2025-03059 SP - 116195 PY - 2026 N1 - 2025 Dec 19:234:116195 / Available online 19 December 2025 AB - Targeted therapies (TT) improve outcomes in BRAF-mutant melanoma. Pre-clinical data suggest that anticoagulation (AC) and platelet aggregation inhibition (PAI) may have antitumoral effects. We evaluated the impact of concomitant AC or PAI on outcomes in patients receiving TT.We analyzed 1296 patients with unresectable stage III-IV BRAF-mutant melanoma treated with BRAF plus MEK inhibitors (2016-2024) in the prospective multicenter ADOReg registry. Patients were categorized as receiving no antithrombotic therapy (ATT; n = 1125), PAI (n = 73; acetylsalicylic acid or clopidogrel), or AC (n = 98; direct oral anticoagulants, low-molecular-weight heparin, or vitamin K antagonists).Median follow-up was 1.3 years. Compared with patients without ATT, those receiving AC had significantly improved 12-month progression-free survival (PFS; HR 0.55, 95 KW - Anticoagulation (Other) KW - Melanoma (Other) KW - Targeted therapy (Other) LB - PUB:(DE-HGF)16 C6 - pmid:41448065 DO - DOI:10.1016/j.ejca.2025.116195 UR - https://inrepo02.dkfz.de/record/307460 ER -