Evidence map›Paper›PMID 36923305›Full record

ArticleCancer research communications2022

Mavorixafor, an Orally Bioavailable CXCR4 Antagonist, Increases Immune Cell Infiltration and Inflammatory Status of Tumor Microenvironment in Patients with Melanoma.

Robert H I Andtbacka, Yan Wang, Robert H Pierce, Jean S Campbell, Melinda Yushak, Mohammed Milhem, Merrick Ross, Katie Niland, Robert D Arbeit, Sudha Parasuraman and 5 more

Registry-linked trialOpen access · goldFull text readClinical Trial, Phase I
In one paragraph

Article in Cancer research communications, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02823405 (A Phase 1b Trial of X4P-001 Alone and With Pembrolizumab in Patients With Advanced Melanoma), which is not on this map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
2.0field-weighted citation impact, top 11% 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.

NCT02823405 phase1completednot on this map

A Phase 1b Trial of X4P-001 Alone and With Pembrolizumab in Patients With Advanced Melanoma

TypeinterventionalSponsorX4 PharmaceuticalsRan2016 to 2018Enrolled16ConditionsMelanomaArmsX4P-001, Pembrolizumab
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 21 citations in OpenAlex.

  1. Trial
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  9. Blocking CXCR4Genome medicine · 2025
    Article
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  12. The role of CXC chemokines and receptors in breast cancer.Clinical and experimental medicine · 2025
    Review
  13. Article
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  15. Review
  16. 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

15 authors at 6 institutions in 1 country.

Robert H I AndtbackaSurgical Oncology, Huntsman Cancer Institute, University of Utah, Salt Lake City, Utah.
Yan WangX4 Pharmaceuticals, Boston, Massachusetts.ORCID 0000-0002-0202-4829
Robert H PierceClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, Washington.ORCID 0000-0002-2677-144X
Jean S CampbellClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, Washington.ORCID 0000-0002-9187-2204
Melinda YushakDepartment of Hematology and Medical Oncology, Emory University School of Medicine, Atlanta, Georgia.
Mohammed MilhemMedical Oncology, University of Iowa, Iowa City, Iowa.
Merrick RossSurgical Oncology, MD Anderson Cancer Center, University of Texas, Houston, Texas.
Katie NilandX4 Pharmaceuticals, Boston, Massachusetts.
Robert D ArbeitX4 Pharmaceuticals, Boston, Massachusetts.
Sudha ParasuramanX4 Pharmaceuticals, Boston, Massachusetts.
Kris BickleyClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, Washington.
Cecilia Cs YeungClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, Washington.ORCID 0000-0001-6799-2022
Lauri D AicherClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, Washington.
Kimberly S SmytheClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, Washington.ORCID 0000-0002-2329-8298
Lu GanX4 Pharmaceuticals, Boston, Massachusetts.ORCID 0000-0002-6816-3434
Fred Hutch Cancer Center · USEloxx Pharmaceuticals (United States) · USEmory University · USHuntsman Cancer Institute · USThe University of Texas MD Anderson Cancer Center · USUniversity of Iowa · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Mavorixafor is an oral, selective inhibitor of the CXCR4 chemokine receptor that modulates immune cell trafficking. A biomarker-driven phase Ib study (NCT02823405) was conducted in 16 patients with melanoma to investigate the hypothesis that mavorixafor favorably modulates immune cell profiles in the tumor microenvironment (TME) and to evaluate the safety of mavorixafor alone and in combination with pembrolizumab. Experimental Design: Serial biopsies of melanoma lesions were assessed after 3 weeks of mavorixafor monotherapy and after 6 weeks of combination treatment for immune cell markers by NanoString analysis for gene expression and by multiplexed immunofluorescent staining for Results: Within the TME, mavorixafor alone increased CD8 Conclusion/Discussion: Treatment with single-agent mavorixafor resulted in enhanced immune cell infiltration and activation in the TME, leading to increases in TIS and IFNγ gene signatures. Mavorixafor as a single agent, and in combination with pembrolizumab, has an acceptable safety profile. These data support further investigation of the use of mavorixafor for patients unresponsive to checkpoint inhibitors. Significance: Despite survival improvements in patients with melanoma treated with checkpoint inhibitor therapy, a significant unmet medical need exists for therapies that enhance effectiveness. We propose that mavorixafor sensitizes the melanoma tumor microenvironment and enhances the activity of checkpoint inhibitors, and thereby may translate to a promising treatment for broader patient populations.

Indexed as

MelanomaTumor MicroenvironmentAminoquinolinesBenzimidazolesButylaminesChemokinesCytokinesHumansReceptors, CXCR4AminoquinolinesBenzimidazolesButylaminesChemokinesCXCR4 protein, humanCytokinesmavorixaforReceptors, CXCR4

Identifiers

PMID36923305
PMCPMC10010370
OpenAlexW4292401763

What OpenQuestion holds

Textfull text, public
LicenceCC BY
measurements read56
identifiers read1
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.