Real-World Cutaneous Immune-Related Adverse Events of Immunotherapy in Melanoma: A Systematic Review and Meta-Analysis - Summary - MDSpire

Real-World Cutaneous Immune-Related Adverse Events of Immunotherapy in Melanoma: A Systematic Review and Meta-Analysis

  • By

  • Karolina Zarańska

  • Grażyna Kamińska-Winciorek

  • Alexander Jorge Cortez

  • Grażyna Wąsik

  • Maksymilian Gajda

  • May 6, 2026

  • 0 min

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Objective:

To evaluate the incidence and management of cutaneous immune-related adverse events (d-irAEs) in melanoma patients treated with immune checkpoint inhibitors (ICIs), highlighting their impact on patient management.

Key Findings:
  • d-irAEs range from mild to life-threatening and can occur at any stage of treatment.
  • Dermatologic adverse events are the most common irAEs, affecting 30-40% of patients on anti-PD-1 therapy, with specific data points.
  • Real-world reporting of mild-to-moderate d-irAEs is significantly underreported, impacting patient management.
Interpretation:

Continuous dermatological surveillance and a multidisciplinary approach are essential for early detection and management of d-irAEs in melanoma patients receiving ICIs, with implications for clinical practice.

Limitations:
  • Underreporting of mild-to-moderate d-irAEs in clinical practice, which may skew understanding of their true incidence.
  • Variability in the incidence and severity of skin toxicities, affecting treatment strategies.
Conclusion:

A systematic approach to reporting d-irAEs is crucial for personalized patient management and improving outcomes in melanoma treatment, emphasizing the importance of addressing these events.

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