Evidence map›Paper›PMID 31171039›Full record

Trial reportJournal for immunotherapy of cancer2019

Final analyses of OPTiM: a randomized phase III trial of talimogene laherparepvec versus granulocyte-macrophage colony-stimulating factor in unresectable stage III-IV melanoma.

Robert H I Andtbacka, Frances Collichio, Kevin J Harrington, Mark R Middleton, Gerald Downey, Katarina Ӧhrling, Howard L Kaufman

Registry-linked trialOpen access · goldAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in Journal for immunotherapy of cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00769704 (A Randomized Phase 3 Clinical Trial to Evaluate the Efficacy and Safety of Treatment With OncoVEX^GM-CSF Compared to Subcutaneously Administered GM-CSF in Melanoma Patients With Unresectable Stage IIIb, IIIc and IV Disease), which is not on this map. Cited by 269 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
269citing papers in PubMed, 5 pooled it
22.2field-weighted citation impact, top 1% 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.

NCT00769704 phase3completednot on this map

A Randomized Phase 3 Clinical Trial to Evaluate the Efficacy and Safety of Treatment With OncoVEX^GM-CSF Compared to Subcutaneously Administered GM-CSF in Melanoma Patients With Unresectable Stage IIIb, IIIc and IV Disease

TypeinterventionalSponsorBioVex LimitedRan2009 to 2014Enrolled437ConditionsMelanomaArmsTalimogene laherparepvec, GM-CSF
3 · Its place in the literature

Who cites it

269 citing papers in PubMed, 5 syntheses or guidelines pooled it, 415 citations in OpenAlex.

  1. Pooled it
  2. SEOM-GEM clinical guidelines for cutaneous melanoma (2023).Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2024
    Guideline
  3. Pooled it
  4. Guideline
  5. Pooled it
  6. Trial
  7. Trial
  8. RP1 Combined With Nivolumab in Advanced Anti-PD-1-Failed Melanoma (IGNYTE).Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2025
    Trial
  9. Trial
  10. Trial
  11. Trial
  12. Trial
  13. Trial
  14. Article
  15. Review
  16. Article
  17. Reversal of repeated red cards reprieves RP-1.Molecular therapy. Oncology · 2026
    Article
  18. Article
  19. Review
  20. Microwave therapy for the treatment of cutaneous melanoma metastases - A pilot study.Journal of the European Academy of Dermatology and Venereology : JEADV · 2026
    Article

209 more citing papers are in PubMed but not listed here.

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

7 authors at 7 institutions in 4 countries.

Robert H I AndtbackaHuntsman Cancer Institute, University of Utah, Salt Lake City, UT, USA.
Frances CollichioUniversity of North Carolina Medical Center, Chapel Hill, NC, USA.
Kevin J HarringtonThe Institute of Cancer Research/The Royal Marsden Hospital NIHR Biomedical Research Centre, London, SW3 6JB, UK. Kevin.Harrington@icr.ac.uk.
Mark R MiddletonNIHR Biomedical Research Centre, Oxford, UK.
Gerald DowneyGlobal Biostatistical Science, Amgen Ltd, Cambridge, UK.
Katarina ӦhrlingMedical development, Amgen (Europe) GmbH, Zug, Switzerland.
Howard L KaufmanMassachusetts General Hospital, Boston, MA, USA.
Amgen (Canada) · CAAmgen (Germany) · DEHuntsman Cancer Institute · USMassachusetts General Hospital · USOxford BioMedica (United Kingdom) · GBRoyal Ottawa Mental Health Centre · CAUniversity of North Carolina at Chapel Hill · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTalimogene laherparepvec is an oncolytic immunotherapy approved in the US, Europe, Australia and Switzerland. We report the final planned analysis of OPTiM, a randomized open-label phase III trial in patients with unresectable stage IIIB-IVM1c melanoma.

methodsPatients were randomized 2:1 to receive intratumoral talimogene laherparepvec or subcutaneous recombinant GM-CSF. In addition to overall survival (OS), durable response rate (DRR), objective response rate (ORR), complete responses (CR), and safety are also reported. All final analyses are considered to be descriptive and treatment responses were assessed by the investigators.

resultsOf 436 patients in the intent-to-treat population, 295 were allocated to talimogene laherparepvec and 141 to GM-CSF. Median follow-up in the final OS analysis was 49 months. Median OS was 23.3 months (95% confidence interval [CI], 19.5-29.6) and 18.9 months (95% CI, 16.0-23.7) in the talimogene laherparepvec and GM-CSF arms, respectively (unstratified hazard ratio, 0.79; 95% CI, 0.62-1.00; p = 0.0494 [descriptive]). DRR was 19.0 and 1.4% (unadjusted odds ratio, 16.6; 95% CI, 4.0-69.2; p < 0.0001); ORR was 31.5 and 6.4%. Fifty (16.9%) and 1 (0.7%) patient in the talimogene laherparepvec and GM-CSF arms, respectively, achieved CR. In talimogene laherparepvec-treated patients, median time to CR was 8.6 months; median CR duration was not reached. Among patients with a CR, 88.5% were estimated to survive at a 5-year landmark analysis. Talimogene laherparepvec efficacy was more pronounced in stage IIIB-IVM1a melanoma as already described in the primary analysis. The safety reporting was consistent with the primary OPTiM analysis.

conclusionsIn this final planned OPTiM analysis, talimogene laherparepvec continued to result in improved longer-term efficacy versus GM-CSF and remained well tolerated. The final analysis also confirms that talimogene laherparepvec was associated with durable CRs that were associated with prolonged survival.

trial registrationClinicalTrials.gov identifier: NCT00769704 .

Indexed as

AgedAntineoplastic Agents, ImmunologicalBiological ProductsFemaleGranulocyte-Macrophage Colony-Stimulating FactorHerpesvirus 1, HumanHumansImmunotherapyMaleMelanomaMiddle AgedNeoplasm StagingTreatment OutcomeAntineoplastic Agents, ImmunologicalBiological ProductsGranulocyte-Macrophage Colony-Stimulating Factortalimogene laherparepvecEfficacyFinal analysisMelanomaOverall survivalTalimogene laherparepvec

Identifiers

PMID31171039
PMCPMC6554874
OpenAlexW2948662515

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.