Evidence map›Paper›PMID 41202504›Full record

Trial reportESMO open2025

MOVIE phase II trial of tremelimumab plus durvalumab combined with metronomic oral vinorelbine in patients with head and neck cancer.

E Borcoman, A Hervieu, C Cropet, E Coquan, J Guigay, F Rolland, M Bernadach, E Charafe, F Legrand, E Dassé and 2 more

Abstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in ESMO open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

12 authors.

E BorcomanDepartment of Drug Development and Innovation (D3i), Institut Curie, Paris-Saclay University, Paris, France.
A HervieuDeparment of Medical Oncology, Centre George François Leclerc, Dijon, France.
C CropetStatistical Unit, Clinical Research Department, Centre Léon Bérard, Lyon, France.
E CoquanEarly Phase Trials Unit, Centre François Baclesse, Caen, France.
J GuigayCentre Antoine Lacassagne, Nice, France.
F RollandDeparment of Medical Oncology, Institut Cancérologie de l'Ouest, Nantes, France.
M BernadachDeparment of Medical Oncology, Centre Jean Perrin, Clermont Ferrand, France.
E CharafeDeparment of Pathology, Institut Paoli-Calmettes, Marseille, France.
F LegrandUnicancer, Paris, France.
E DasséUnicancer, Paris, France.
C Le TourneauDepartment of Drug Development and Innovation (D3i), Institut Curie, Paris-Saclay University, Paris, France. Electronic address: christophe.letourneau@curie.fr.
A GonçalvesAix-Marseille Univ, Centre de Recherche en Cancérologie de Marseille (CRCM), INSERM U1068, CNRS U7258, Department of Medical Oncology, Institut Paoli-Calmettes, Marseille, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTreatment options for advanced solid tumors are limited. In recent years, anti-programmed cell death protein 1/programmed death-ligand 1 (PD-1/PD-L1) immunotherapy as monotherapy has shown significant efficacy, albeit in a limited subset of patients. In the MOVIE trial, metronomic chemotherapy was combined with two immune checkpoint inhibitors (ICIs) to improve clinical outcomes in patients with advanced solid tumors. PATIENTS AND

methodsMOVIE was a phase I/II French, multicenter, open-label, nonrandomized study with a Bayesian design that evaluated the antitumor activity and safety of metronomic vinorelbine associated with durvalumab plus tremelimumab. Here, we report on the cohort of patients with head and neck squamous cell carcinoma (HNSCC) from the MOVIE phase II study. Patients were aged ≥18 years with histologically confirmed recurrent or metastatic HNSCC, resistant to conventional therapies, and presented a measurable disease according to RECIST version 1.1. They received oral vinorelbine 40 mg three times a week, and durvalumab 1500 mg plus tremelimumab 75 mg via intravenous infusion on day 1 of 28-day cycles, for a maximum of four cycles of tremelimumab. The primary endpoint was the clinical benefit rate (CBR), defined as the rate of complete response (CR), partial response (PR), or stable disease (SD) lasting at least 24 weeks.

resultsFifteen HNSCC patients were included between May 2019 and October 2020. The mean estimated CBR according to a noninformative prior distribution was 23.5% (95% credible interval 7.3-45.6). One patient achieved CR, 1 PR, and 1 SD > 24 weeks, leading to an objective response rate of 14.3%. The median progression-free survival was 1.8 months (95% confidence interval 1.0-1.9 months), and the median overall survival was 8 months (95% confidence interval 2.5-12.7 months). The most common vinorelbine-related grade ≥3 adverse events were anemia (n = 2, 13%) and neutropenia (n = 3, 20%). The most common ICI-related grade ≥3 adverse events were anemia (n = 1) and hypokalemia (n = 1). There were no treatment interruptions for toxicity and no treatment-related deaths.

conclusionsMetronomic vinorelbine in combination with dual durvalumab plus tremelimumab immunotherapy had only moderate activity in pretreated advanced HNSCC.

Indexed as

Antibodies, MonoclonalAntibodies, Monoclonal, HumanizedAntineoplastic Combined Chemotherapy ProtocolsHead and Neck NeoplasmsSquamous Cell Carcinoma of Head and NeckVinorelbineAdministration, MetronomicAdministration, OralAdultAgedFemaleHumansMaleMiddle AgedAntibodies, MonoclonalAntibodies, Monoclonal, HumanizeddurvalumabtremelimumabVinorelbineanti-CTLA-4anti-PD-1/PD-L1head and neck squamous cell carcinoma (HNSCC)immune checkpoint inhibitor (ICI)metronomic chemotherapy (MC)

Identifiers

PMID41202504
PMCPMC12639439

What OpenQuestion holds

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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.