Evidence map›Paper›PMID 34006998›Full record

ReviewNature reviews. Clinical oncology2021

Intratumoural administration and tumour tissue targeting of cancer immunotherapies.

Ignacio Melero, Eduardo Castanon, Maite Alvarez, Stephane Champiat, Aurelien Marabelle

Registry-linked trialOpen access · bronzeAbstract readReview
In one paragraph

Review in Nature reviews. Clinical oncology, 2021. 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 268 papers.

0numbers the graph read from it
0cells of the map it votes in
268citing papers in PubMed
29.6field-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.

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

268 citing papers in PubMed, 456 citations in OpenAlex.

  1. Trial
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  3. BO-112 Plus Pembrolizumab for Patients With Anti-PD-1-Resistant Advanced Melanoma: Phase II Clinical Trial SPOTLIGHT-203.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2025
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  9. Article
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  15. Covalent tumor anchoring spatially orchestrates antitumor immunity.bioRxiv : the preprint server for biology · 2026
    Article
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  17. Review
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  19. Review
  20. Article

208 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

5 authors at 3 institutions in 2 countries.

Ignacio MeleroDepartment of Immunology, Clínica Universidad de Navarra, Pamplona, Spain. imelero@unav.es.ORCID http://orcid.org/0000-0002-1360-348X
Eduardo CastanonDepartment of Immunology, Clínica Universidad de Navarra, Pamplona, Spain.
Maite AlvarezProgram for Immunology and Immunotherapy, Center for Applied Medical Research (CIMA), Universidad de Navarra, Pamplona, Spain.ORCID http://orcid.org/0000-0002-5969-9181
Stephane ChampiatDépartement d'Innovation Thérapeutique et d'Essais Précoces (DITEP), Université Paris Saclay, Gustave Roussy, Villejuif, France.
Aurelien MarabelleDépartement d'Innovation Thérapeutique et d'Essais Précoces (DITEP), Université Paris Saclay, Gustave Roussy, Villejuif, France. aurelien.marabelle@gustaveroussy.fr.ORCID http://orcid.org/0000-0002-5816-3019
Inserm · FRNavarre Institute of Health Research · ESClinica Universidad de Navarra · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Immune-checkpoint inhibitors and chimeric antigen receptor (CAR) T cells are revolutionizing oncology and haematology practice. With these and other immunotherapies, however, systemic biodistribution raises safety issues, potentially requiring the use of suboptimal doses or even precluding their clinical development. Delivering or attracting immune cells or immunomodulatory factors directly to the tumour and/or draining lymph nodes might overcome these problems. Hence, intratumoural delivery and tumour tissue-targeted compounds are attractive options to increase the in situ bioavailability and, thus, the efficacy of immunotherapies. In mouse models, intratumoural administration of immunostimulatory monoclonal antibodies, pattern recognition receptor agonists, genetically engineered viruses, bacteria, cytokines or immune cells can exert powerful effects not only against the injected tumours but also often against uninjected lesions (abscopal or anenestic effects). Alternatively, or additionally, biotechnology strategies are being used to achieve higher functional concentrations of immune mediators in tumour tissues, either by targeting locally overexpressed moieties or engineering 'unmaskable' agents to be activated by elements enriched within tumour tissues. Clinical trials evaluating these strategies are ongoing, but their development faces issues relating to the administration methodology, pharmacokinetic parameters, pharmacodynamic end points, and immunobiological and clinical response assessments. Herein, we discuss these approaches in the context of their historical development and describe the current landscape of intratumoural or tumour tissue-targeted immunotherapies.

Indexed as

AnimalsAntibodies, MonoclonalAntineoplastic Agents, ImmunologicalCytokinesDrug Delivery SystemsHumansImmunologic FactorsImmunotherapyInjections, IntralesionalMiceMolecular Targeted TherapyNeoplasmsOncolytic VirotherapyTissue DistributionTumor MicroenvironmentAntibodies, MonoclonalAntineoplastic Agents, ImmunologicalCytokinesImmunologic Factors

Identifiers

PMID34006998
PMCPMC8130796
OpenAlexW3160126603

What OpenQuestion holds

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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.