Evidence map›Paper›PMID 41005981›Full record

Trial reportJournal for immunotherapy of cancer2025

Addition of oncolytic virotherapy to clinical isolated limb perfusion for melanoma and sarcoma activates antitumor immunity.

Andrew J Hayes, Emma J Davies, Michelle Wilkinson, Henry G Smith, Pablo Nenclares, Tom Lund, Adrian Larkeryd, Elizabeth Appleton, Emmanuel Christian Patin, Malin Pedersen and 9 more

Abstract readClinical Trial, Phase IIClinical Trial, Phase I
In one paragraph

Trial report in Journal for immunotherapy of cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. 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

19 authors.

Andrew J HayesThe Royal Marsden NHS Foundation Trust, London, UK andrew.hayes@rmh.nhs.uk.ORCID http://orcid.org/0000-0002-9832-4219
Emma J DaviesThe Royal Marsden NHS Foundation Trust, London, UK.
Michelle WilkinsonThe Royal Marsden NHS Foundation Trust, London, UK.
Henry G SmithThe Institute of Cancer Research, London, England, UK.
Pablo NenclaresThe Institute of Cancer Research, London, England, UK.
Tom LundThe Institute of Cancer Research, London, England, UK.
Adrian LarkerydThe Institute of Cancer Research, London, England, UK.
Elizabeth AppletonThe Institute of Cancer Research, London, England, UK.
Emmanuel Christian PatinThe Institute of Cancer Research, London, England, UK.ORCID http://orcid.org/0000-0001-5390-5733
Malin PedersenThe Institute of Cancer Research, London, England, UK.ORCID http://orcid.org/0000-0003-1887-733X
Antonio RullanThe Institute of Cancer Research, London, England, UK.ORCID http://orcid.org/0000-0002-7365-9629
Hesham S MohamedThe Royal Marsden NHS Foundation Trust, London, UK.
Lauren AronsonThe Institute of Cancer Research, London, England, UK.
Jessica MurphyThe Institute of Cancer Research, London, England, UK.
Lorna GroveThe Institute of Cancer Research, London, England, UK.
David MansfieldThe Institute of Cancer Research, London, England, UK.
Martin MclaughlinThe Institute of Cancer Research, London, England, UK.
Kevin J HarringtonThe Royal Marsden NHS Foundation Trust, London, UK.ORCID http://orcid.org/0000-0002-6014-348X
Alan MelcherThe Institute of Cancer Research, London, England, UK.ORCID http://orcid.org/0000-0002-2042-3380

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe previously showed that oncolytic virotherapy delivered by isolated limb perfusion (ILP), combined with immune checkpoint inhibition, prevents both local tumor progression and systemic metastases in an animal sarcoma model.

methodsWe describe a first-in-human phase I/II trial combining oncolytic herpes simplex virus, talimogene laherparepvec (T-VEC), with melphalan and tumor necrosis factor-alpha delivered by ILP, in patients with locally advanced sarcoma or melanoma.

resultsT-VEC/ILP is well tolerated, with an overall response rate of 53% in all patients and 44% in sarcoma. Importantly, we report durable complete responses in sarcoma subtypes usually unresponsive to ILP. Translational analysis of longitudinal tumor and blood samples showed that T-VEC induced an inflammatory gene expression profile within injected tumors, which was more sustained in sarcoma than in melanoma. In relation to clinical outcome, responding patients with sarcoma showed a greater increase in gene expression for interferon response after virus treatment than non-responding patients. Analysis of the T-cell repertoire (TCR) in tumor and blood showed that clonality was higher in the tumor, but lower in the blood, in responders following virotherapy, suggesting that virus treatment may expand intratumoral T-cell clones that recognize tumor and/or viral antigens. Increased TCR diversity in the blood was suggestive of a systemic immune response.

conclusionsThese clinical and translational findings support the further development of oncolytic virotherapy/ILP combinations to activate both systemic and local antitumor immunity, including in tumor types such as sarcoma, which are largely refractory to current treatment with immunotherapy.

Indexed as

Chemotherapy, Cancer, Regional PerfusionMelanomaOncolytic VirotherapySarcomaAdultAgedBiological ProductsCombined Modality TherapyExtremitiesFemaleHerpesvirus 1, HumanHumansMaleMiddle AgedOncolytic VirusesBiological Productstalimogene laherparepvecAbscopalOncolytic virusSolid tumorSurgery

Identifiers

PMID41005981
PMCPMC12481388

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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.