Evidence map›Paper›PMID 34210820›Full record

ArticleJournal for immunotherapy of cancer2021

Clinical efficacy of T-cell therapy after short-term BRAF-inhibitor priming in patients with checkpoint inhibitor-resistant metastatic melanoma.

Troels Holz Borch, Katja Harbst, Aynal Haque Rana, Rikke Andersen, Evelina Martinenaite, Per Kongsted, Magnus Pedersen, Morten Nielsen, Julie Westerlin Kjeldsen, Anders Handrup Kverneland and 7 more

Open access · goldAbstract read
In one paragraph

Article in Journal for immunotherapy of cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
1.3field-weighted citation impact, top 16% 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

20 citing papers in PubMed, 25 citations in OpenAlex.

  1. Review
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  12. Biomarkers for response to TIL therapy: a comprehensive review.Journal for immunotherapy of cancer · 2024
    Review
  13. Review
  14. Sustained release hydrogel for durable locoregional chemoimmunotherapy for BRAF-mutated melanoma.Journal of controlled release : official journal of the Controlled Release Society · 2023
    Article
  15. Barriers to immune cell infiltration in tumors.Journal for immunotherapy of cancer · 2023
    Review
  16. Frontiers in immunology · 2023
    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

17 authors at 3 institutions in 2 countries.

Troels Holz BorchNational Center for Cancer Immune Therapy, Department of Oncology, Herlev University Hospital, Herlev, Denmark.ORCID 0000-0002-4402-9281
Katja HarbstDepartment of Oncology, Clinical Sciences, Lund University, Lund, Sweden.
Aynal Haque RanaNational Center for Cancer Immune Therapy, Department of Oncology, Herlev University Hospital, Herlev, Denmark.
Rikke AndersenNational Center for Cancer Immune Therapy, Department of Oncology, Herlev University Hospital, Herlev, Denmark.
Evelina MartinenaiteNational Center for Cancer Immune Therapy, Department of Oncology, Herlev University Hospital, Herlev, Denmark.
Per KongstedNational Center for Cancer Immune Therapy, Department of Oncology, Herlev University Hospital, Herlev, Denmark.
Magnus PedersenNational Center for Cancer Immune Therapy, Department of Oncology, Herlev University Hospital, Herlev, Denmark.
Morten NielsenNational Center for Cancer Immune Therapy, Department of Oncology, Herlev University Hospital, Herlev, Denmark.ORCID 0000-0002-1250-4885
Julie Westerlin KjeldsenNational Center for Cancer Immune Therapy, Department of Oncology, Herlev University Hospital, Herlev, Denmark.
Anders Handrup KvernelandNational Center for Cancer Immune Therapy, Department of Oncology, Herlev University Hospital, Herlev, Denmark.ORCID 0000-0002-9883-936X
Martin LaussDepartment of Oncology, Clinical Sciences, Lund University, Lund, Sweden.
Lisbet Rosenkrantz HölmichDepartment of Plastic Surgery, Herlev University Hospital, Herlev, Denmark.
Helle HendelDepartment of Clinical Physiology and Nuclear Medicine, Herlev University Hospital, Herlev, Denmark.
Özcan MetNational Center for Cancer Immune Therapy, Department of Oncology, Herlev University Hospital, Herlev, Denmark.
Göran JönssonDepartment of Oncology, Clinical Sciences, Lund University, Lund, Sweden.
Marco DoniaNational Center for Cancer Immune Therapy, Department of Oncology, Herlev University Hospital, Herlev, Denmark.ORCID 0000-0003-4966-9752
Inge Marie SvaneNational Center for Cancer Immune Therapy, Department of Oncology, Herlev University Hospital, Herlev, Denmark Inge.Marie.Svane@regionh.dk.
Herlev Hospital · DKUniversity of Copenhagen · DKLund University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeDespite impressive response rates following adoptive transfer of autologous tumor-infiltrating lymphocytes (TILs) in patients with metastatic melanoma, improvement is needed to increase the efficacy and broaden the applicability of this treatment. We evaluated the use of vemurafenib, a small-molecule BRAF inhibitor with immunomodulatory properties, as priming before TIL harvest and adoptive T cell therapy in a phase I/II clinical trial.

methods12 patients were treated with vemurafenib for 7 days before tumor excision and during the following weeks until TIL infusion. TILs were grown from tumor fragments, expanded in vitro and reinfused to the patient preceded by a lymphodepleting chemotherapy regimen and followed by interleukin-2 infusion. Extensive immune monitoring, tumor profiling and T cell receptor sequencing were performed.

resultsNo unexpected toxicity was observed, and treatment was well tolerated. Of 12 patients, 1 achieved a complete response, 8 achieved partial response and 3 achieved stable disease. A PR and the CR are ongoing for 23 and 43 months, respectively. In vitro anti-tumor reactivity was found in TILs from 10 patients, including all patients achieving objective response. Serum and tumor biomarker analyses indicate that baseline cytokine levels and the number of T cell clones may predict response to TIL therapy. Further, TCR sequencing suggested skewing of TCR repertoire during in vitro expansion, promoting certain low frequency clonotypes.

conclusionsPriming with vemurafenib before infusion of TILs was safe and feasible, and induced objective clinical responses in this cohort of patients with checkpoint inhibitor-resistant metastatic melanoma. In this trial, vemurafenib treatment seemed to decrease attrition and could be considered to bridge the waiting time while TILs are prepared.

Indexed as

AdolescentAdultAgedFemaleHumansImmunotherapyMaleMelanomaMiddle AgedProtein Kinase InhibitorsProto-Oncogene Proteins B-rafT-LymphocytesYoung AdultProtein Kinase InhibitorsProto-Oncogene Proteins B-rafadoptiveclinical trials as topicimmunotherapylymphocytesmelanomatumor-infiltrating

Identifiers

PMID34210820
PMCPMC8252872
OpenAlexW3176786809

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.