Evidence map›Paper›PMID 32713938›Full record

ReviewBritish journal of cancer2020

Intratumoural immunotherapies for unresectable and metastatic melanoma: current status and future perspectives.

Mark R Middleton, Christoph Hoeller, Olivier Michielin, Caroline Robert, Caroline Caramella, Katarina Öhrling, Axel Hauschild

Registry-linked trialAbstract readReview
In one paragraph

Review in British journal of cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07188246 (A Trial of Neoadjuvant, Hypofractionated Radiation, With Intratumoural Pembrolizumab Followed by Neoadjuvant Chemotherapy, in Stage 3 or High-risk Stage 2 Breast Cancer), which is not on this map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
–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.

NCT07188246 phase2recruitingnot on this mapstarted 2026, after this paper: background citation

A Trial of Neoadjuvant, Hypofractionated Radiation, With Intratumoural Pembrolizumab Followed by Neoadjuvant Chemotherapy, in Stage 3 or High-risk Stage 2 Breast Cancer

TypeinterventionalSponsorLondon Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph'sRan2026 to 2029Enrolled40ConditionsBreast Cancer, Breast Cancer Stage II, Breast Cancer Stage III, Breast Cancer InvasiveArmsRadiation, Pembrolizumab (KEYTRUDA®)
3 · Its place in the literature

Who cites it

23 citing papers in PubMed.

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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

7 authors.

Mark R MiddletonUniversity of Oxford Department of Oncology, Old Road Campus Research Building, Roosevelt Drive, Oxford, UK. mark.middleton@oncology.ox.ac.uk.ORCID http://orcid.org/0000-0003-0167-1685
Christoph HoellerDepartment of Dermatology, Medical University of Vienna, Vienna, Austria.
Olivier MichielinDepartment of Oncology, Lausanne University Hospital, Lausanne, Switzerland.
Caroline RobertDepartment of Oncology, Gustave Roussy Cancer Campus, Villejuif, and Paris-Saclay University, Orsay, France.
Caroline CaramellaDepartment of Radiology, Gustave Roussy Cancer Campus, Villejuif, France.
Katarina ÖhrlingAmgen Europe GmbH, Rotkreuz, Switzerland.
Axel HauschildDepartment of Dermatology, Venereology and Allergology, University Hospital Schleswig-Holstein, Kiel, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The emergence of human intratumoural immunotherapy (HIT-IT) is a major step forward in the management of unresectable melanoma. The direct injection of treatments into melanoma lesions can cause cell lysis and induce a local immune response, and might be associated with a systemic immune response. Directly injecting immunotherapies into tumours achieves a high local concentration of immunostimulatory agent while minimising systemic exposure and, as such, HIT-IT agents are associated with lower toxicity than systemic immune checkpoint inhibitors (CPIs), enabling their potential use in combination with other therapies. Consequently, multiple HIT-IT agents, including oncolytic viruses, pattern-recognition receptor agonists, injected CPIs, cytokines and immune glycolipids, are under investigation. This review considers the current clinical development status of HIT-IT agents as monotherapy and in combination with systemic CPIs, and the practical aspects of administering and assessing the response to these agents. The future of HIT-IT probably lies in its use in combination with systemic CPIs; data from Phase 2 trials indicate a synergy between HIT-IT and CPIs. Data also suggest that the addition of HIT-IT to a CPI might generate responses in CPI-refractory tumours, thereby overcoming resistance and addressing a current unmet need in unresectable and metastatic melanoma for treatment options following progression after CPI treatment.

Indexed as

Granulocyte-Macrophage Colony-Stimulating FactorHumansImmune Checkpoint InhibitorsImmunotherapyInterleukin-2MelanomaOncolytic VirotherapyReceptors, Pattern RecognitionGranulocyte-Macrophage Colony-Stimulating FactorImmune Checkpoint InhibitorsInterleukin-2Receptors, Pattern Recognition

Identifiers

PMID32713938
PMCPMC7492252

What OpenQuestion holds

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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.