Evidence map›Paper›PMID 27391442›Full record

ArticleOncotarget2016

A phase I study of intratumoral ipilimumab and interleukin-2 in patients with advanced melanoma.

Abhijit Ray, Matthew A Williams, Stephanie M Meek, Randy C Bowen, Kenneth F Grossmann, Robert H I Andtbacka, Tawnya L Bowles, John R Hyngstrom, Sancy A Leachman, Douglas Grossman and 5 more

Open access · diamondAbstract readClinical Trial, Phase I
In one paragraph

Article in Oncotarget, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 7% 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

41 citing papers in PubMed, 1 synthesis or guideline pooled it, 75 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
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  5. Review
  6. Review
  7. Review
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  9. Review
  10. Emerging Strategies for Immunotherapy of Solid Tumors Using Lipid-Based Nanoparticles.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2024
    Review
  11. Article
  12. Immunomodulatory effect of locoregional therapy in the tumor microenvironment.Molecular therapy : the journal of the American Society of Gene Therapy · 2023
    Review
  13. Review
  14. Article
  15. Review
  16. Intratumoral therapies and in-situ vaccination for melanoma.Human vaccines & immunotherapeutics · 2022
    Review
  17. Article
  18. Article
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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

15 authors at 4 institutions in 1 country.

Abhijit RayDivision of Oncology, Huntsman Cancer Institute-University of Utah, Salt Lake City, UT, USA.
Matthew A WilliamsDepartment of Pathology, University of Utah, Salt Lake City, UT, USA.
Stephanie M MeekDepartment of Pathology, University of Utah, Salt Lake City, UT, USA.
Randy C BowenSchool of Medicine, University of Utah, Salt Lake City, UT, USA.
Kenneth F GrossmannDivision of Oncology, Huntsman Cancer Institute-University of Utah, Salt Lake City, UT, USA.
Robert H I AndtbackaSection of Surgical Oncology, Division of General Surgery Huntsman Cancer Institute-University of Utah, Salt Lake City, UT, USA.
Tawnya L BowlesDepartment of General Surgery, Intermountain Medical Center, Murray, UT, USA.
John R HyngstromSection of Surgical Oncology, Division of General Surgery Huntsman Cancer Institute-University of Utah, Salt Lake City, UT, USA.
Sancy A LeachmanDepartment of Dermatology, Oregon Health & Science University-Knight Cancer Institute, Portland, OR, USA.
Douglas GrossmanDivision of Oncology, Huntsman Cancer Institute-University of Utah, Salt Lake City, UT, USA.
Glen M BowenDivision of Oncology, Huntsman Cancer Institute-University of Utah, Salt Lake City, UT, USA.
Sheri L HolmenDivision of Oncology, Huntsman Cancer Institute-University of Utah, Salt Lake City, UT, USA.
Matthew W VanBrocklinDivision of Oncology, Huntsman Cancer Institute-University of Utah, Salt Lake City, UT, USA.
Gita SunejaDepartment of Radiation Oncology, University of Utah, Salt Lake City, UT, USA.
Hung T KhongDivision of Oncology, Huntsman Cancer Institute-University of Utah, Salt Lake City, UT, USA.
University of Utah · USHuntsman Cancer Institute · USIntermountain Medical Center · USOregon Health & Science University · US

Funding

Efficacy of combined inhibition of BRAF, MEK, and FAK in melanoma patient derived xenograftsR01CA121118 · NCI · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI Sheri L Holmen · 2007 to 2026
$4.7M
NCI NIH HHS R01 CA121118
6 · The paper itself

Abstract

purposeIntratumoral interleukin-2 (IL-2) is effective but does not generate systemic immunity. Intravenous ipilimumab produces durable clinical response in a minority of patients, with potentially severe toxicities. Circulating anti-tumor T cells activated by ipilimumab may differ greatly from tumor-infiltrating lymphocytes activated by intratumoral ipilimumab in phenotypes and functionality. The objective of this study was to primarily assess the safety of intratumoral ipilimumab/IL-2 combination and to obtain data on clinical efficacy.

resultsThere was no dose limiting toxicity. While local response of injected lesions was observed in 67% patients (95% CI, 40%-93%), an abscopal response was seen in 89% (95% CI, 68%-100%). The overall response rate and clinical benefit rate by immune-related response criteria (irRC) was 40% (95% CI, 10%-70%) and 50% (95% CI, 19%-81%), respectively. Enhanced systemic immune response was observed in most patients and correlated with clinical responses. EXPERIMENTAL

designTwelve patients with unresectable stages III/IV melanoma were enrolled. A standard 3+3 design was employed to assess highest tolerable intratumoral dose of ipilimumab and IL-2 based on toxicity during the first three weeks. Escalated doses of ipilimumab was injected into only one lesion weekly for eight weeks in cohorts of three patients. A fixed dose of IL-2 was injected three times a week into the same lesion for two weeks, followed by two times a week for six weeks.

conclusionsIntratumoral injection with the combination of ipilimumab/IL-2 is well tolerated and generates responses in both injected and non-injected lesions in the majority of patients.

Indexed as

AdultAgedAged, 80 and overAntineoplastic Combined Chemotherapy ProtocolsFemaleHumansInjections, IntralesionalInterleukin-2IpilimumabLymphocytes, Tumor-InfiltratingMaleMelanomaMiddle AgedNeoplasm StagingSkin NeoplasmsTime FactorsInterleukin-2Ipilimumababscopal effectimmunotherapyinterleukin-2intratumoralipilimumab

Identifiers

PMID27391442
PMCPMC5325451
OpenAlexW2467885539

What OpenQuestion 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 OpenQuestion graph.