Evidence map›Paper›PMID 35254876›Full record

Trial reportJournal of clinical oncology : official journal of the American Society of Clinical Oncology2022

Phase I Study of Safety, Tolerability, and Efficacy of Tebentafusp Using a Step-Up Dosing Regimen and Expansion in Patients With Metastatic Uveal Melanoma.

Richard D Carvajal, Paul Nathan, Joseph J Sacco, Marlana Orloff, Leonel F Hernandez-Aya, Jessica Yang, Jason J Luke, Marcus O Butler, Sarah Stanhope, Laura Collins and 4 more

Open access · hybridAbstract readClinical Trial, Phase IClinical Trial, Phase II
In one paragraph

Trial report in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed, 5 pooled it
14.7field-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.

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

59 citing papers in PubMed, 5 syntheses or guidelines pooled it, 75 citations in OpenAlex.

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  13. Dermatologic Adverse Events Associated with T-Cell Engager Therapy.American journal of clinical dermatology · 2026
    Review
  14. [Chinese Expert Consensus on Delta-like Ligand 3-T Cell Engager Therapy 
for SCLC].Zhongguo fei ai za zhi = Chinese journal of lung cancer · 2026
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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

14 authors at 9 institutions in 3 countries.

Richard D CarvajalHerbert Irving Comprehensive Cancer Center, Columbia University Irving Medical Center, New York, NY.ORCID 0000-0002-3796-1118
Paul NathanDepartment of Medical Oncology, Mount Vernon Cancer Centre, London, United Kingdom.ORCID 0000-0002-2327-3250
Joseph J SaccoClatterbridge Cancer Centre, Bebington, United Kingdom.ORCID 0000-0003-2591-9796
Marlana OrloffSidney Kimmel Cancer Center, Thomas Jefferson University, Philadelphia, PA.
Leonel F Hernandez-AyaSiteman Cancer Center, Washington University School of Medicine, St Louis, MO.
Jessica YangHerbert Irving Comprehensive Cancer Center, Columbia University Irving Medical Center, New York, NY.
Jason J LukeUniversity of Chicago, Chicago, IL.ORCID 0000-0002-1182-4908
Marcus O ButlerPrincess Margaret Cancer Centre, Toronto, Ontario, Canada.ORCID 0000-0002-9840-7057
Sarah StanhopeImmunocore, Abingdon, United Kingdom.ORCID 0000-0002-7660-3591
Laura CollinsImmunocore, Abingdon, United Kingdom.
Cheryl McAlpineImmunocore, Abingdon, United Kingdom.
Chris HollandImmunocore, Rockville, MD.
Shaad E AbdullahImmunocore, Rockville, MD.ORCID 0000-0003-0776-7477
Takami SatoSidney Kimmel Cancer Center, Thomas Jefferson University, Philadelphia, PA.ORCID 0000-0003-2221-0415
Immunocore (United Kingdom) · GBColumbia University Irving Medical Center · USImmunocore (United States) · USThomas Jefferson University · USMount Vernon Cancer Centre · GBPrincess Margaret Cancer Centre · CAUniversity of Chicago · USUniversity of Liverpool · GBWashington University in St. Louis · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis phase I study aimed to define the recommended phase II dose (RP2D) of tebentafusp, a first-in-class T-cell receptor/anti-CD3 bispecific protein, using a three-week step-up dosing regimen, and to assess its safety, pharmacokinetics, pharmacodynamics, and preliminary clinical activity in patients with metastatic uveal melanoma (mUM).

methodsIn this open-label, international, phase I/II study, HLA-A*02 or HLA-A*02:01+ patients with mUM received tebentafusp 20 μg once in week 1 and 30 μg once in week 2. Dose escalation (starting at 54 μg) began at week 3 in a standard 3 + 3 design to define RP2D. Expansion-phase patients were treated at the RP2D (20-30-68 μg). Blood and tumor samples were collected for pharmacokinetics/pharmacodynamics assessment, and treatment efficacy was evaluated for all patients with baseline efficacy data as of December 2017.

resultsBetween March 2016 and December 2017, 42 eligible patients who failed a median of two previous treatments were enrolled: 19 in the dose escalation cohort and 23 in an initial dose expansion cohort. Of the dose levels investigated, 68 μg was identified as the RP2D. Most frequent treatment-emergent adverse events regardless of attribution were pyrexia (91%), rash (83%), pruritus (83%), nausea (74%), fatigue (71%), and chills (69%). Toxicity attenuated following the first three doses. The overall response rate was 11.9% (95% CI, 4.0 to 25.6). With a median follow-up of 32.4 months, median overall survival was 25.5 months (range, 0.89-31.1 months) and 1-year overall survival rate was 67%. Treatment was associated with increased tumor T-cell infiltration and transient increases in serum inflammatory mediators.

conclusionUsing a step-up dosing regimen of tebentafusp allowed a 36% increase in the RP2D compared with weekly fixed dosing, with a manageable side-effect profile and a signal of efficacy in mUM.

Indexed as

ImmunoconjugatesMelanomaNeoplasms, Second PrimaryUveal NeoplasmsHLA-A AntigensHumansReceptors, Antigen, T-CellRecombinant Fusion ProteinsUveal MelanomaHLA-A AntigensImmunoconjugatesReceptors, Antigen, T-CellRecombinant Fusion Proteinstebentafusp

Identifiers

PMID35254876
PMCPMC9177239
OpenAlexW4220675084

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.