Evidence map›Paper›PMID 41021466›Full record

ArticleThe oncologist2025

Concurrent local therapy extends clinical benefit of tebentafusp in metastatic uveal melanoma patients.

Tristan L Lim, Kamaneh Montazeri, Eric Wehrenberg-Klee, Antoine Desilets, Rino Seedor, Marlana Orloff, Takami Sato, Michael Caplan, Mariam El-Ashmawy, Benjamin Izar and 8 more

Erratum issuedAbstract readMulticenter Study
In one paragraph

Article in The oncologist, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
  2. Review
  3. Review
  4. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors.

Tristan L LimMass General Cancer Center, Massachusetts General Hospital, Boston, MA 02114, United States.ORCID 0000-0002-3798-5400
Kamaneh MontazeriMass General Cancer Center, Massachusetts General Hospital, Boston, MA 02114, United States.
Eric Wehrenberg-KleeDepartment of Interventional Radiology, Massachusetts General Hospital, Boston, MA 02114, United States.
Antoine DesiletsMemorial Sloan Kettering Cancer Center, New York City, NY 10065, United States.
Rino SeedorSidney Kimmel Comprehensive Cancer Center, Thomas Jefferson University, Philadelphia, PA 19107, United States.
Marlana OrloffSidney Kimmel Comprehensive Cancer Center, Thomas Jefferson University, Philadelphia, PA 19107, United States.
Takami SatoSidney Kimmel Comprehensive Cancer Center, Thomas Jefferson University, Philadelphia, PA 19107, United States.
Michael CaplanHerbert Irving Comprehensive Cancer Center, Columbia University, New York City, NY 10032, United States.
Mariam El-AshmawyHerbert Irving Comprehensive Cancer Center, Columbia University, New York City, NY 10032, United States.
Benjamin IzarHerbert Irving Comprehensive Cancer Center, Columbia University, New York City, NY 10032, United States.
Shaheer KhanNorthwell Health Cancer Institute, New Hyde Park, NY 11042, United States.
Inderjit MehmiThe Angeles Clinic and Research Institute, Los Angeles, CA 90025, United States.
Aleigha LawlessMass General Cancer Center, Massachusetts General Hospital, Boston, MA 02114, United States.
Theodore S HongDepartment of Radiation Oncology, Massachusetts General Hospital, Boston, MA 02114, United States.
Omid HamidThe Angeles Clinic and Research Institute, Los Angeles, CA 90025, United States.ORCID 0000-0002-8238-4655
Richard D CarvajalNorthwell Health Cancer Institute, New Hyde Park, NY 11042, United States.
Alexander ShoushtariMemorial Sloan Kettering Cancer Center, New York City, NY 10065, United States.
Ryan J SullivanMass General Cancer Center, Massachusetts General Hospital, Boston, MA 02114, United States.ORCID 0000-0001-5344-6645

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
Mass General Cancer Center's Melanoma ProgramNCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

backgroundTebentafusp has significantly improved overall survival in HLA-A*02:01+ metastatic uveal melanoma (mUM) patients even in those with a best objective response of progressive disease. Thus, strategies to maintain tebentafusp therapy are critical. Here, we examine the efficacy and safety of adding concurrent local therapy (CLT) to tebentafusp upon radiological progression with tebentafusp alone. PATIENTS AND

methodsThis multicenter retrospective study included mUM patients treated with tebentafusp and CLT, consisting of extrahepatic soft tissue irradiation and liver-directed therapies (LDTs). Efficacy of target and nontarget sites were assessed per RECIST version 1.1. PFS with tebentafusp alone (PFS1) was compared to that after adding CLTs to tebentafusp upon progression (PFS1+PFS2). ctDNA responses were explored.

resultsOf the 30 eligible patients, 21 (70%) received concurrent LDT, 7 (23%) had extrahepatic irradiation, and 2 (7%) had both. The objective response rate (ORR) was 12% (95% CI, 3-32) for tebentafusp alone and 28% (95% CI, 14-47) after adding CLTs. The disease-control rate with tebentafusp alone was 44% (95% CI, 25-65) vs 63% (95% CI, 44-78) after CLT. Median PFS1 was 5.8 months (95% CI, 2.8-13.4), while median PFS1+PFS2 was 14.8 months (95% CI, 9.2-NA). CLT thereby allowed treatment beyond progression with tebentafusp for approximately 9 months. Two patients (66%) had decreased ctDNA with tebentafusp alone, while 4 (100%) had decreased ctDNA after CLT. There were no treatment discontinuations due to toxicities from tebentafusp with CLT.

conclusionsCLT with tebentafusp was well-tolerated, extending the duration of tebentafusp benefit in a highly selected mUM population. This merits further studies to assess clinical utility.

Indexed as

Recombinant Fusion ProteinsUveal MelanomaAdultAgedFemaleHumansMaleMiddle AgedNeoplasm MetastasisRetrospective StudiesRecombinant Fusion Proteinstebentafuspconcurrent local therapiesctDNAtebentafuspUveal melanoma

Identifiers

PMID41021466
PMCPMC12574324

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.