Evidence map›Paper›PMID 40699950›Full record

Trial reportClinical cancer research : an official journal of the American Association for Cancer Research2025

FDA Approval Summary: Lifileucel for Unresectable or Metastatic Melanoma Previously Treated with an Anti-PD-1-Based Immunotherapy.

Lianne Hu, Chaohong Fan, Peter Bross, Asha Das, Elin S Cho, Karin M Knudson, Million Tegenge, Qianmiao Gao, Jamie R Brewer, Marc R Theoret and 1 more

Abstract readClinical Trial, Phase II
In one paragraph

Trial report in Clinical cancer research : an official journal of the American Association for Cancer Research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing 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

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

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  10. Cellular immunotherapy in melanoma: the next frontier in cancer treatment.Journal of experimental & clinical cancer research : CR · 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

11 authors.

Lianne HuDivision of Clinical Evaluation Oncology, Office of Clinical Evaluation, Office of Therapeutic Products, Center for Biologics Evaluation and Research (CBER), FDA, Silver Spring, Maryland.ORCID 0009-0007-7967-7960
Chaohong FanDivision of Clinical Evaluation Oncology, Office of Clinical Evaluation, Office of Therapeutic Products, Center for Biologics Evaluation and Research (CBER), FDA, Silver Spring, Maryland.ORCID 0009-0001-3369-2889
Peter BrossDivision of Clinical Evaluation Oncology, Office of Clinical Evaluation, Office of Therapeutic Products, Center for Biologics Evaluation and Research (CBER), FDA, Silver Spring, Maryland.ORCID 0009-0003-0131-9021
Asha DasDivision of Clinical Evaluation Oncology, Office of Clinical Evaluation, Office of Therapeutic Products, Center for Biologics Evaluation and Research (CBER), FDA, Silver Spring, Maryland.ORCID 0009-0005-9869-9861
Elin S ChoDivision of Biostatistics, Office of Biostatistics and Pharmacovigilance, CBER, FDA, Silver Spring, Maryland.ORCID 0000-0002-9678-9637
Karin M KnudsonDivision of Cell Therapy 1, Office of Cellular Therapy & Human Tissue CMC, Office of Therapeutic Products, CBER, FDA, Silver Spring, Maryland.ORCID 0000-0003-0843-456X
Million TegengeOffice of Biostatistics and Pharmacovigilance, CBER, FDA, Silver Spring, Maryland.ORCID 0000-0003-2904-6574
Qianmiao GaoDivision of Biostatistics, Office of Biostatistics and Pharmacovigilance, CBER, FDA, Silver Spring, Maryland.ORCID 0000-0002-5965-8486
Jamie R BrewerOncology Center of Excellence, FDA, Silver Spring, Maryland.ORCID 0009-0004-1875-4369
Marc R TheoretOncology Center of Excellence, FDA, Silver Spring, Maryland.ORCID 0000-0003-4973-5297
Lola A Fashoyin-AjeOffice of Clinical Evaluation, Office of Therapeutic Products, CBER, FDA, Silver Spring, Maryland.ORCID 0000-0001-7328-7813

Funding

Intramural FDA HHS FD999999U.S. Food and Drug Administration (FDA)
6 · The paper itself

Abstract

On February 16, 2024, the FDA granted accelerated approval to lifileucel (Amtagvi, Iovance Biotherapeutics, Inc.) indicated for the treatment of adult patients with unresectable or metastatic melanoma previously treated with a PD-1-blocking antibody and, if BRAF V600 mutation positive, a BRAF inhibitor with or without an MEK inhibitor. Lifileucel is the first tumor-derived T-cell therapy approved by the FDA. In the phase II single-arm trial, Study C-144-01, that served as the basis for approval, the objective response rate among patients treated with lifileucel within FDA-approved dose range (7.5 × 109 to 72 × 109 viable cells, n = 73) in the primary efficacy cohort was 31.5% (95% confidence interval, 21.1%-43.4%), including three (4.1%) complete responses and 20 (27.4%) partial responses. The median duration of response was not reached (95% confidence interval, 4.1 months-not reached). Among the responders (n = 23), 56.5%, 47.8%, and 43.5% maintained durable responses at 6, 9, and 12 months, respectively. Among all patients who received lifileucel (n = 156) in the primary and supportive cohorts of Study C-144-01, 95.5% of patients experienced at least one Grade 3 treatment-emergent adverse event and 87.8% experienced at least one Grade 4 treatment-emergent adverse event. Lifileucel labeling includes a Boxed Warning for treatment-related mortality, prolonged severe cytopenia, severe infection, cardiopulmonary impairment, and renal impairment.

Indexed as

Immune Checkpoint InhibitorsImmunotherapyMelanomaTissue ExtractsAdultAgedAged, 80 and overDrug ApprovalFemaleHumansLymphocytes, Tumor-InfiltratingMaleMiddle AgedProgrammed Cell Death 1 ReceptorUnited StatesUnited States Food and Drug AdministrationImmune Checkpoint InhibitorslifileucelPDCD1 protein, humanProgrammed Cell Death 1 ReceptorTissue Extracts

Identifiers

PMID40699950
PMCPMC12313226

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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.