Evidence map›Paper›PMID 39820126›Full record

Trial reportNature cancer2025

Efficacy and tolerability of neoadjuvant therapy with Talimogene laherparepvec in cutaneous basal cell carcinoma: a phase II trial (NeoBCC trial).

Julia Maria Ressler, Maud Plaschka, Rita Silmbrod, Victoria Bachmayr, Lisa Ellen Shaw, Thomas Silly, Nina Zila, Andreas Stepan, Anna Kusienicka, Philipp Tschandl and 10 more

Abstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Nature cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Review
  6. Review
  7. Review
  8. Review
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

20 authors.

Julia Maria ResslerMedical University of Vienna, Department of Dermatology, Vienna, Austria. julia.ressler@meduniwien.ac.at.ORCID 0000-0001-8602-0878
Maud PlaschkaMedical University of Vienna, Department of Dermatology, Vienna, Austria.ORCID 0000-0003-1137-7623
Rita SilmbrodMedical University of Vienna, Department of Dermatology, Vienna, Austria.ORCID 0009-0005-2506-9893
Victoria BachmayrMedical University of Vienna, Department of Dermatology, Vienna, Austria.ORCID 0000-0002-4585-1736
Lisa Ellen ShawMedical University of Vienna, Department of Dermatology, Vienna, Austria.ORCID 0000-0003-2273-7655
Thomas SillyMedical University of Vienna, Department of Dermatology, Vienna, Austria.
Nina ZilaMedical University of Vienna, Department of Dermatology, Vienna, Austria.ORCID 0000-0003-1193-1014
Andreas StepanMedical University of Vienna, Department of Dermatology, Vienna, Austria.
Anna KusienickaMedical University of Vienna, Department of Dermatology, Vienna, Austria.ORCID 0000-0003-0933-2610
Philipp TschandlMedical University of Vienna, Department of Dermatology, Vienna, Austria.ORCID 0000-0003-0391-7810
Julia TittesMedical University of Vienna, Department of Dermatology, Vienna, Austria.ORCID 0000-0003-0844-3626
Florian RokaMedical University of Vienna, Department of Dermatology, Vienna, Austria.
Werner HaslikMedical University of Vienna, Department of Obstetrics and Gynecology, Vienna, Austria.
Peter PetzelbauerMedical University of Vienna, Department of Dermatology, Vienna, Austria.ORCID 0000-0001-7080-5259
Franz KoenigMedical University of Vienna, Center of Medical Statistics, Informatics and Intelligent Systems, Vienna, Austria.
Rainer KunstfeldMedical University of Vienna, Department of Dermatology, Vienna, Austria.
Matthias FarlikMedical University of Vienna, Department of Dermatology, Vienna, Austria.ORCID 0000-0003-0698-2992
Florian HalbritterSt. Anna Children's Cancer Research Institute (CCRI), Vienna, Austria.ORCID 0000-0003-2452-4784
Wolfgang WeningerMedical University of Vienna, Department of Dermatology, Vienna, Austria.
Christoph HoellerMedical University of Vienna, Department of Dermatology, Vienna, Austria.ORCID 0000-0003-1192-0227

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We present a single-arm, phase II, neoadjuvant trial with the oncolytic virus talimogene laherparepvec (T-VEC) in 18 patients with difficult-to-resect cutaneous basal cell carcinomas. The primary end point, defined as the proportion of patients, who after six cycles of T-VEC (13 weeks), become resectable without the need for plastic reconstructive surgery, was already achieved after stage I (9 of 18 patients; 50.0%); thus the study was discontinued for early success. The objective response rate was 55.6% and the complete pathological response rate was 33.3%. Secondary end points included safety, relapse-free survival and overall survival, time to occurrence of new basal cell carcinomas and biological read outs. Only mild adverse events occurred. The 6-month relapse-free survival and overall survival rates were 100%. In two patients a new basal cell carcinoma was diagnosed. T-VEC led to a significant increase in cytotoxic T cells (P = 0.0092), B cells (P = 0.0004) and myeloid cells (P = 0.0042) and a decrease in regulatory T cells (P = 0.0290) within the tumor microenvironment. Together, neoadjuvant T-VEC represents a viable treatment option for patients with difficult-to-resect basal cell carcinomas (EudraCT no. 2018-002165-19).

Indexed as

Basal Cell CarcinomaBiological ProductsNeoadjuvant TherapyOncolytic VirotherapySkin NeoplasmsAdultAgedAged, 80 and overFemaleHerpesvirus 1, HumanHumansMaleMiddle AgedOncolytic VirusesTreatment OutcomeBiological Productstalimogene laherparepvec

Identifiers

PMID39820126
PMCPMC11779647

What OpenQuestion holds

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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.