Evidence map›Paper›PMID 29764498›Full record

ArticleJournal for immunotherapy of cancer2018

Talimogene Laherparepvec combined with anti-PD-1 based immunotherapy for unresectable stage III-IV melanoma: a case series.

Lillian Sun, Pauline Funchain, Jung Min Song, Patricia Rayman, Charles Tannenbaum, Jennifer Ko, Michael Mcnamara, C Marcela Diaz-Montero, Brian Gastman

Abstract readCase Reports
In one paragraph

Article in Journal for immunotherapy of cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

57 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Review
  5. Review
  6. Review
  7. Review
  8. Article
  9. Review
  10. Review
  11. Review
  12. Review
  13. Review
  14. Combination immunotherapy including OncoVEXCancer immunology, immunotherapy : CII · 2022
    Article
  15. Article
  16. Review
  17. Article
  18. Review
  19. Article
  20. Review
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

9 authors.

Lillian Sun0000 0001 2164 3847grid.67105.35Cleveland Clinic Lerner College of MedicineCase Western Reserve University 44106 Cleveland OH USA SUNL2@ccf.org.
Pauline Funchain0000 0001 0675 4725grid.239578.2Taussig Cancer InstituteCleveland Clinic 44195 Cleveland OH USA FUNCHAP@ccf.org.
Jung Min Song0000 0001 0675 4725grid.239578.2Taussig Cancer InstituteCleveland Clinic 44195 Cleveland OH USA SONGJ@ccf.org.
Patricia Rayman0000 0001 0675 4725grid.239578.2Department of ImmunologyCleveland Clinic Lerner Research Institute 44195 Cleveland OH USA RAYMANP@ccf.org.
Charles Tannenbaum0000 0001 0675 4725grid.239578.2Department of ImmunologyCleveland Clinic Lerner Research Institute 44195 Cleveland OH USA TANNENC@ccf.org.
Jennifer Ko0000 0001 0675 4725grid.239578.2Department of ImmunologyCleveland Clinic Lerner Research Institute 44195 Cleveland OH USA koj2@ccf.org.
Michael Mcnamara0000 0001 0675 4725grid.239578.2Taussig Cancer InstituteCleveland Clinic 44195 Cleveland OH USA MCNAMAM@ccf.org.
C Marcela Diaz-Montero0000 0001 0675 4725grid.239578.2Department of ImmunologyCleveland Clinic Lerner Research Institute 44195 Cleveland OH USA diazc2@ccf.org.
Brian Gastman0000 0001 2164 3847grid.67105.35Cleveland Clinic Lerner College of MedicineCase Western Reserve University 44106 Cleveland OH USA gastmanor@ccf.org gastmab@ccf.org.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTalimogene Laherparepvec (T-VEC) is an oncolytic virus approved as an intratumoral therapy for treating unresectable stage IIIB-IV metastatic melanoma. The mechanisms of action for T-VEC and checkpoint inhibitor are highly complementary. Recent studies have shown that combining checkpoint inhibitor therapy with T-VEC injection can lead to improved response rates for stage IIIB-IV melanoma patients.

methodsWe reviewed 10 consecutive cases of stage IIIC to stage IVM1b melanoma patients that received T-VEC plus checkpoint inhibitor(s) therapy (pembrolizumab, ipilimumab/nivolumab, or nivolumab) treated between June 2016 and August 2017 at the Cleveland Clinic with a median follow-up of 7 months (range: 4 to 13 months). Responses of injected (on-target) and uninjected (off-target) lesions were evaluated according to RECIST 2.0.

resultsThe overall response rate for on-target lesions was 90%, with 6 patients experiencing a complete response in injected lesions. Two patients had off-target lesions, which were completely resolved after treatment. Blood samples were tested for 3 complete responders and 2 partial responders. CD4:CD8 ratio and frequencies of circulating PD1

conclusionOur data suggest that combining checkpoint inhibitor(s) with T-VEC injection may provide a synergistic efficacy for patients with unresectable melanoma. We observed a better overall response rate and complete response rate compared to published studies on similar therapeutic regimens.

Indexed as

AgedAged, 80 and overAntineoplastic Agents, ImmunologicalBiological ProductsFemaleHerpesvirus 1, HumanHumansImmunotherapyMaleMelanomaMiddle AgedNeoplasm StagingAntineoplastic Agents, ImmunologicalBiological Productstalimogene laherparepvec

Identifiers

PMID29764498
PMCPMC5954455

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.