Evidence map›Paper›PMID 36821392›Full record

ArticleJCI insight2023

Lenvatinib or anti-VEGF in combination with anti-PD-1 differentially augments antitumor activity in melanoma.

Thuy T Tran, Jasmine Caulfield, Lin Zhang, David Schoenfeld, Dijana Djureinovic, Veronica L Chiang, Victor Oria, Sarah A Weiss, Kelly Olino, Lucia B Jilaveanu and 1 more

Open access · goldAbstract read
In one paragraph

Article in JCI insight, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
8.1field-weighted citation impact, top 2% 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

32 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

  1. Pooled it
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  3. Phase II Trial of Pembrolizumab in Combination With Bevacizumab for Untreated Melanoma Brain Metastases.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2025
    Trial
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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

11 authors at 1 institution in 1 country.

Thuy T TranYale School of Medicine and Yale Cancer Center, New Haven, Connecticut, USA.
Jasmine CaulfieldYale School of Medicine and Yale Cancer Center, New Haven, Connecticut, USA.
Lin ZhangYale School of Medicine and Yale Cancer Center, New Haven, Connecticut, USA.
David SchoenfeldYale School of Medicine and Yale Cancer Center, New Haven, Connecticut, USA.
Dijana DjureinovicYale School of Medicine and Yale Cancer Center, New Haven, Connecticut, USA.
Veronica L ChiangYale School of Medicine and Yale Cancer Center, New Haven, Connecticut, USA.
Victor OriaYale School of Medicine and Yale Cancer Center, New Haven, Connecticut, USA.
Sarah A WeissYale School of Medicine and Yale Cancer Center, New Haven, Connecticut, USA.
Kelly OlinoYale School of Medicine and Yale Cancer Center, New Haven, Connecticut, USA.
Lucia B JilaveanuYale School of Medicine and Yale Cancer Center, New Haven, Connecticut, USA.
Harriet M KlugerYale School of Medicine and Yale Cancer Center, New Haven, Connecticut, USA.
Yale Cancer Center · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Yale Pathology Tissue Services Shared ResourceP30CA016359 · NCI · YALE UNIVERSITY · PI Eric P. Winer · 1985 to 2026
$85.0M
Yale SPORE in Skin CancerP50CA121974 · NCI · YALE UNIVERSITY · PI MARCUS W BOSENBERG, Harriet M. Kluger · 2006 to 2026
$43.9M
YALE CANCER CENTER CALABRESI IMMUNO-ONCOLOGY TRAINING PROGRAMK12CA215110 · NCI · YALE UNIVERSITY · PI Harriet M. Kluger · 2018 to 2026
$6.1M
Yale Cancer Biology Training GrantT32CA193200 · NCI · YALE UNIVERSITY · PI PETER M GLAZER, Qin Yan · 2016 to 2026
$3.6M
Yale Cancer Center Advanced Training Program for Physician-Scientists (YCC-ATPP)T32CA233414 · NCI · YALE UNIVERSITY · PI Eric P. Winer · 2019 to 2026
$3.2M
Renalase inhibition for treatment of unresectable melanomaR01CA216846 · NCI · YALE UNIVERSITY · PI DESIR, GARY V., KLUGER, HARRIET M. · 2017 to 2021
$2.4M
Immune Therapy for Brain MetastasisR01CA269286 · NCI · YALE UNIVERSITY · PI Lucia Beatrice Jilaveanu, Harriet M. Kluger · 2023 to 2026
$2.2M
Inherent tropism and/or immune modulation in melanoma brain metastasisR01CA204002 · NCI · YALE UNIVERSITY · PI JILAVEANU, LUCIA BEATRICE · 2017 to 2021
$1.9M
NCATS NIH HHS UL1 TR001863NCI NIH HHS K12 CA215110NCI NIH HHS P30 CA016359NCI NIH HHS P50 CA121974NCI NIH HHS R01 CA204002NCI NIH HHS R01 CA216846NCI NIH HHS R01 CA269286NCI NIH HHS T32 CA193200NCI NIH HHS T32 CA233414
6 · The paper itself

Abstract

Targeting tumor-associated blood vessels to increase immune infiltration may enhance treatment effectiveness, yet limited data exist regarding anti-angiogenesis effects on the tumor microenvironment (TME). We hypothesized that dual targeting of angiogenesis with immune checkpoints would improve both intracranial and extracranial disease. We used subcutaneous and left ventricle melanoma models to evaluate anti-PD-1/anti-VEGF and anti-PD-1/lenvatinib (pan-VEGFR inhibitor) combinations. Cytokine/chemokine profiling and flow cytometry were performed to assess signaling and immune-infiltrating populations. An in vitro blood-brain barrier (BBB) model was utilized to study intracranial treatment effects on endothelial integrity and leukocyte transmigration. Anti-PD-1 with either anti-VEGF or lenvatinib improved survival and decreased tumor growth in systemic melanoma murine models; treatment increased Th1 cytokine/chemokine signaling. Lenvatinib decreased tumor-associated macrophages but increased plasmacytoid DCs early in treatment; this effect was not evident with anti-VEGF. Both lenvatinib and anti-VEGF resulted in decreased intratumoral blood vessels. Although anti-VEGF promoted endothelial stabilization in an in vitro BBB model, while lenvatinib did not, both regimens enabled leukocyte transmigration. The combined targeting of PD-1 and VEGF or its receptors promotes enhanced melanoma antitumor activity, yet their effects on the TME are quite different. These studies provide insights into dual anti-PD-1 and anti-angiogenesis combinations.

Indexed as

MelanomaPhenylurea CompoundsAnimalsCell Line, TumorCytokinesMiceProgrammed Cell Death 1 ReceptorQuinolinesTumor MicroenvironmentVascular Endothelial Growth Factor ACytokineslenvatinibPhenylurea CompoundsProgrammed Cell Death 1 ReceptorQuinolinesVascular Endothelial Growth Factor ACancerCancer immunotherapyMelanomaOncology

Identifiers

PMID36821392
PMCPMC10132152
OpenAlexW4321611176

What OpenQuestion holds

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LicenceCC BY
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.