Evidence map›Paper›PMID 34608333›Full record

Trial reportNature medicine2021

Neoadjuvant talimogene laherparepvec plus surgery versus surgery alone for resectable stage IIIB-IVM1a melanoma: a randomized, open-label, phase 2 trial.

R Dummer, D E Gyorki, J Hyngstrom, A C Berger, R Conry, L Demidov, A Sharma, S A Treichel, H Radcliffe, K S Gorski and 4 more

Registry-linked trialAbstract readClinical Trial, Phase IIRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Nature medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02211131 (A Phase 2, Multicenter, Randomized, Open-label Trial Assessing the Efficacy and Safety of Talimogene Laherparepvec Neoadjuvant Treatment Plus Surgery Versus Surgery Alone for Resectable, Stage IIIB to IVM1a Melanoma), which is not on this map. Cited by 83 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
83citing papers in PubMed, 2 pooled it
18.7field-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.

NCT02211131 phase2completednot on this map

A Phase 2, Multicenter, Randomized, Open-label Trial Assessing the Efficacy and Safety of Talimogene Laherparepvec Neoadjuvant Treatment Plus Surgery Versus Surgery Alone for Resectable, Stage IIIB to IVM1a Melanoma

TypeinterventionalSponsorAmgenRan2015 to 2022Enrolled150ConditionsCompletely Resectable Stage IIIB, IIIC, or IVM1a MelanomaArmsTalimogene Laherparepvec, Immediate surgical resection of melanoma lesion(s)
3 · Its place in the literature

Who cites it

83 citing papers in PubMed, 2 syntheses or guidelines pooled it, 142 citations in OpenAlex.

  1. Cutaneous melanoma: ESMO Clinical Practice Guideline for diagnosis, treatment and follow-up.Annals of oncology : official journal of the European Society for Medical Oncology · 2025
    Guideline
  2. Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Article
  9. Article
  10. Review
  11. Review
  12. Review
  13. Neoadjuvant therapy in skin cancer: current evidence and future perspectives.Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG · 2026
    Review
  14. Review
  15. Frontiers in immunology · 2026
    Review
  16. Review
  17. Article
  18. Review
  19. Review
  20. Melanoma update: is a cure now in sight?Internal medicine journal · 2025
    Review

23 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

14 authors at 10 institutions in 5 countries.

R DummerUniversity Hospital of Zurich, Zurich, Switzerland. Reinhard.Dummer@usz.ch.ORCID http://orcid.org/0000-0002-2279-6906
D E GyorkiOlivia Newton-John Cancer Centre, Austin Health, Heidelberg, Victoria, Australia.
J HyngstromUniversity of Utah Huntsman Cancer Institute, Salt Lake City, UT, USA.
A C BergerThomas Jefferson University Hospitals, Philadelphia, PA, USA.
R ConryUniversity of Alabama School of Medicine, Birmingham, AL, USA.
L DemidovN.N. Blokhin Russian Cancer Research Center, Moscow, Russia.
A SharmaAmgen Inc., Thousand Oaks, CA, USA.
S A TreichelAmgen Inc., South San Francisco, CA, USA.
H RadcliffeAmgen Inc., Uxbridge, UK.
K S GorskiAmgen Inc., South San Francisco, CA, USA.
A AndersonAmgen Inc., Thousand Oaks, CA, USA.
E ChanAmgen Inc., Thousand Oaks, CA, USA.
M FariesJohn Wayne Cancer Institute, Santa Monica, CA, USA.
M I RossUniversity of Texas MD Anderson Cancer Center, Houston, TX, USA.
Amgen (United States) · USAmgen (United Kingdom) · GBOlivia Newton-John Cancer Wellness & Research Centre · AURussian Cancer Research Center NN Blokhin · RUSaint John's Health Center · USThe University of Texas MD Anderson Cancer Center · USThomas Jefferson University Hospital · USUniversity Hospital of Zurich · CHUniversity of Alabama at Birmingham · USUniversity of Utah · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Talimogene laherparepvec (T-VEC) is a herpes simplex virus type 1-based intralesional oncolytic immunotherapy approved for the treatment of unresectable melanoma. The present, ongoing study aimed to estimate the treatment effect of neoadjuvant T-VEC on recurrence-free survival (RFS) of patients with advanced resectable melanoma. An open-label, phase 2 trial (NCT02211131) was conducted in 150 patients with resectable stage IIIB-IVM1a melanoma who were randomized to receive T-VEC followed by surgery (arm 1, n = 76) or surgery alone (arm 2, n = 74). The primary endpoint was a 2-year RFS in the intention-to-treat population. Secondary and exploratory endpoints included overall survival (OS), pathological complete response (pCR), safety and biomarker analyses. The 2-year RFS was 29.5% in arm 1 and 16.5% in arm 2 (overall hazard ratio (HR) = 0.75, 80% confidence interval (CI) = 0.58-0.96). The 2-year OS was 88.9% for arm 1 and 77.4% for arm 2 (overall HR = 0.49, 80% CI = 0.30-0.79). The RFS and OS differences between arms persisted at 3 years. In arm 1, 17.1% achieved a pCR. Increased CD8

Indexed as

ImmunotherapyNeoadjuvant TherapyAdultAgedBiological ProductsCombined Modality TherapyDisease-Free SurvivalFemaleHerpesvirus 1, HumanHumansMaleMelanomaMiddle AgedNeoplasm Recurrence, LocalNeoplasm StagingOncolytic VirotherapyBiological Productstalimogene laherparepvec

Identifiers

PMID34608333
OpenAlexW3201686202

What OpenQuestion holds

Textmetadata
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.