Evidence map›Paper›PMID 40079916›Full record

Trial reportOncoimmunology2025

XL888 and pembrolizumab modulate the immune landscape of colorectal tumors in a phase Ib/II clinical trial.

Maggie J Phillips, Olatunji B Alese, Natalie K Horvat, Emily Greene, Olumide B Gbolahan, Kathleen Coleman, Deon B Doxie, Vaunita Parihar, Zaid K Mahdi, Ashley McCook-Veal and 6 more

Abstract readClinical Trial, Phase IClinical Trial, Phase II
In one paragraph

Trial report in Oncoimmunology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–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. Trial
  2. Review
  3. Tropanes in natural products, syntheses, and drugs: some insights from the new millennium.Medicinal chemistry research : an international journal for rapid communications on design and mechanisms of action of biologically active agents · 2026
    Review
  4. Review
  5. Review
  6. Review
  7. Hsp90Pharmaceuticals (Basel, Switzerland) · 2025
    Review
  8. Article
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

16 authors.

Maggie J PhillipsDepartment of Hematology and Medical Oncology, Emory University, Atlanta, GA, USA.
Olatunji B AleseDepartment of Hematology and Medical Oncology, Emory University, Atlanta, GA, USA.
Natalie K HorvatDepartment of Hematology and Medical Oncology, Emory University, Atlanta, GA, USA.
Emily GreeneDepartment of Hematology and Medical Oncology, Emory University, Atlanta, GA, USA.
Olumide B GbolahanDepartment of Hematology and Medical Oncology, Emory University, Atlanta, GA, USA.
Kathleen ColemanWinship Cancer Institute of Emory University, Atlanta, GA, USA.
Deon B DoxieWinship Cancer Institute of Emory University, Atlanta, GA, USA.
Vaunita PariharWinship Cancer Institute of Emory University, Atlanta, GA, USA.
Zaid K MahdiDepartment of Pathology, Emory University, Atlanta, GA, USA.
Ashley McCook-VealDepartment of Biostatistics & Bioinformatics, Emory University, Atlanta, GA, USA.
Jeffrey M SwitchenkoDepartment of Biostatistics & Bioinformatics, Emory University, Atlanta, GA, USA.
Maria DiabDepartment of Internal Medicine, Henry Ford Hospital, Detroit, MI, USA.
Cameron J HertingDepartment of Hematology and Medical Oncology, Emory University, Atlanta, GA, USA.
Chrystal M PaulosDepartment of Surgery, Emory University, Atlanta, GA, USA.
Bassel F El-RayesDepartment of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.
Gregory B LesinskiDepartment of Hematology and Medical Oncology, Emory University, Atlanta, GA, USA.

Funding

Winship Cancer Institute Cancer Center Support GrantP30CA138292 · NCI · EMORY UNIVERSITY · PI Suresh S Ramalingam · 2009 to 2026
$47.5M
Targeting immune stroma interactions in pancreatic cancerR01CA228406 · NCI · EMORY UNIVERSITY · PI EL-RAYES, BASSEL, LESINSKI, GREGORY B. · 2019 to 2023
$1.7M
Modulation of the human pancreatic microenvironment by combined cytokine and immune checkpoint blockadeR21CA266088 · NCI · EMORY UNIVERSITY · PI EL-RAYES, BASSEL, LESINSKI, GREGORY B. · 2022 to 2023
$399k
NCI NIH HHS P30 CA138292NCI NIH HHS R01 CA228406NCI NIH HHS R21 CA266088
6 · The paper itself

Abstract

We conducted a phase Ib/II clinical trial to evaluate the safety, feasibility, and clinical activity of combining pembrolizumab (anti-PD-1) with XL888 (Hsp90 inhibitor) in patients with advanced colorectal cancer (CRC). We hypothesized that this regimen would modulate soluble and cellular immune mediators and enhance clinical outcomes. The trial employed a 3 + 3 open-label design, with an expansion cohort at the recommended phase II dose (RP2D) in treatment-refractory, mismatch repair-proficient CRC patients. Comprehensive analyses of plasma cytokines, peripheral blood mononuclear cells (PBMCs), and spatial immune cell patterns in liver biopsies were performed to identify unique immune signatures resulting from the combined therapy. The combination of pembrolizumab and XL888 proved to be safe and feasible, with a subset of patients achieving stable disease, although no objective responses were observed in this heavily pre-treated population. Correlative studies revealed immunomodulatory effects in tumors and circulation, including a reduction in IL6

Indexed as

Antibodies, Monoclonal, HumanizedAntineoplastic Combined Chemotherapy ProtocolsColorectal NeoplasmsAdultAgedCytokinesFemaleHumansLiver NeoplasmsMaleMiddle AgedTumor MicroenvironmentAntibodies, Monoclonal, HumanizedCytokinespembrolizumabClinical trialcolorectal cancercytokinesheat shock proteinimmune checkpoint inhibitorsimmunotherapy

Identifiers

PMID40079916
PMCPMC11913390

What OpenQuestion holds

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LicenceCC BY-NC
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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.