Evidence map›Paper›PMID 41067880›Full record

ArticleJournal for immunotherapy of cancer2025

Expansion of a circulating Ki67-positive effector T-cell population following combined PD-1 and CTLA-4 blockade for melanoma is predictive of treatment response.

Jack M Edwards, Sashendra Senthi, Robin Smith, Hayley Burridge, Carole Owens, Mark Shackleton, Miles C Andrews, Menno C van Zelm

Abstract read
In one paragraph

Article 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 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. 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

8 authors.

Jack M EdwardsDepartment of Immunology, Monash University, Melbourne, Victoria, Australia.ORCID http://orcid.org/0000-0002-8416-009X
Sashendra SenthiAlfred Health Radiation Oncology, Alfred Hospital, Melbourne, Victoria, Australia.
Robin SmithAlfred Health Radiation Oncology, Alfred Hospital, Melbourne, Victoria, Australia.
Hayley BurridgeDepartment of Medical Oncology, Alfred Hospital, Melbourne, Victoria, Australia.
Carole OwensAlfred Health Radiation Oncology, Alfred Hospital, Melbourne, Victoria, Australia.
Mark ShackletonDepartment of Medicine, Monash University, Melbourne, Victoria, Australia.
Miles C Andrews *Department of Medicine, Monash University, Melbourne, Victoria, Australia.ORCID http://orcid.org/0000-0003-1231-8641
Menno C van Zelm *Department of Immunology, Monash University, Melbourne, Victoria, Australia m.vanzelm@erasmusmc.nl.ORCID http://orcid.org/0000-0003-4161-1919

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite the success of combined cytotoxic T-lymphocyte associated protein 4 (CTLA-4) and programmed cell death protein-1 (PD-1) immune checkpoint blockade (cICB), the majority of patients with melanoma fail to respond or experience severe treatment-related toxicity. Currently, there are no reliable biomarkers available to predict these events and guide treatment choices. We here evaluated the peripheral immune compartment to identify features associated with cICB outcome and toxicity.

methodsBlood samples were collected from 51 patients with advanced melanoma prior to commencing and after one cycle of cICB. Patients were classified as responders or non-responders based on radiographic best overall response to treatment, and grouped by the occurrence of severe toxicity. Absolute immune cell counts were obtained and peripheral blood mononuclear cells were cryopreserved prior to spectral flow-cytometric T-cell immunophenotyping.

results20 patients (39%) failed to respond to treatment, and 29 (57%) experienced severe toxicity. Pre-treatment, patients had fewer T cells than age-matched healthy controls (median 892 vs 1297 cells/µL, p=0.0004), mostly due to reduced naive CD4

conclusionsWe here show that response and toxicity to cICB in advanced melanoma are driven by distinct immune features evident after only one cycle of treatment. These could serve as prognostic biomarkers upon validation in larger cohorts.

Indexed as

CTLA-4 AntigenImmune Checkpoint InhibitorsKi-67 AntigenMelanomaProgrammed Cell Death 1 ReceptorAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedTreatment OutcomeCTLA-4 AntigenCTLA4 protein, humanImmune Checkpoint InhibitorsKi-67 AntigenPDCD1 protein, humanProgrammed Cell Death 1 ReceptorBiomarkerImmune Checkpoint InhibitorImmunotherapyMelanomaT cell

Identifiers

PMID41067880
PMCPMC12516982

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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.