Evidence map›Paper›PMID 41400436›Full record

ArticleClinical cancer research : an official journal of the American Association for Cancer Research2026

Broad Utility of Ultrasensitive Analysis of ctDNA Dynamics across Solid Tumors Treated with Immunotherapy.

Elena Garralda, Charles Abbott, Alma Calahorro, Oriol Mirallas, Jason Pugh, Ana Belén Moreno-Cárdenas, Kathleen Keough, Vladimir Galvao, Guzman Alonso, Armando Mel Olano and 34 more

Abstract read
In one paragraph

Article in Clinical cancer research : an official journal of the American Association for Cancer Research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. The Immune Checkpoint Inhibitors Journey: From Early Promise to Lasting Impact.Journal of immunotherapy and precision oncology · 2026
    Review
  2. Towards liquid biopsy-based analysis of antitumour immunity.Nature reviews. Clinical oncology · 2026
    Review
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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

44 authors.

Elena Garralda *Vall d'Hebron Institute of Oncology (VHIO), Vall d'Hebron Barcelona Hospital Campus, Barcelona, Spain.ORCID 0000-0002-4412-7842
Charles Abbott *Personalis, Inc., Menlo Park, California.ORCID 0000-0002-3837-6471
Alma CalahorroVall d'Hebron Institute of Oncology (VHIO), Vall d'Hebron Barcelona Hospital Campus, Barcelona, Spain.ORCID 0009-0009-6692-9115
Oriol MirallasVall d'Hebron Institute of Oncology (VHIO), Vall d'Hebron Barcelona Hospital Campus, Barcelona, Spain.ORCID 0000-0002-8492-5195
Jason PughPersonalis, Inc., Menlo Park, California.ORCID 0000-0003-1349-5471
Ana Belén Moreno-CárdenasVall d'Hebron Institute of Oncology (VHIO), Vall d'Hebron Barcelona Hospital Campus, Barcelona, Spain.ORCID 0000-0001-7743-3873
Kathleen KeoughPersonalis, Inc., Menlo Park, California.ORCID 0000-0002-7481-0511
Vladimir GalvaoVall d'Hebron Institute of Oncology (VHIO), Vall d'Hebron Barcelona Hospital Campus, Barcelona, Spain.ORCID 0009-0007-8139-8215
Guzman AlonsoVall d'Hebron Institute of Oncology (VHIO), Vall d'Hebron Barcelona Hospital Campus, Barcelona, Spain.ORCID 0009-0005-6973-1981
Armando Mel OlanoVall d'Hebron Institute of Oncology (VHIO), Vall d'Hebron Barcelona Hospital Campus, Barcelona, Spain.ORCID 0009-0001-3361-4637
María Vieito VillarVall d'Hebron Institute of Oncology (VHIO), Vall d'Hebron Barcelona Hospital Campus, Barcelona, Spain.ORCID 0000-0001-7531-343X
Arjun OberoiVall d'Hebron Institute of Oncology (VHIO), Vall d'Hebron Barcelona Hospital Campus, Barcelona, Spain.ORCID 0009-0003-2207-6524
Julia Lostes BardajiVall d'Hebron Institute of Oncology (VHIO), Vall d'Hebron Barcelona Hospital Campus, Barcelona, Spain.ORCID 0000-0002-0371-7598
Alberto Hernando-CalvoVall d'Hebron Institute of Oncology (VHIO), Vall d'Hebron Barcelona Hospital Campus, Barcelona, Spain.ORCID 0000-0002-1692-1125
Irene BrañaVall d'Hebron Institute of Oncology (VHIO), Vall d'Hebron Barcelona Hospital Campus, Barcelona, Spain.ORCID 0000-0002-1068-9601
Giulia PretelliVall d'Hebron Institute of Oncology (VHIO), Vall d'Hebron Barcelona Hospital Campus, Barcelona, Spain.ORCID 0000-0002-5550-1211
Belen OrtegaVall d'Hebron Institute of Oncology (VHIO), Vall d'Hebron Barcelona Hospital Campus, Barcelona, Spain.ORCID 0000-0001-6063-7837
Carlota ArenillasVall d'Hebron Institute of Oncology (VHIO), Vall d'Hebron Barcelona Hospital Campus, Barcelona, Spain.ORCID 0000-0001-7921-9117
Natalia CzerniakVall d'Hebron Institute of Oncology (VHIO), Vall d'Hebron Barcelona Hospital Campus, Barcelona, Spain.ORCID 0009-0006-5779-1087
Fábio C P NavarroPersonalis, Inc., Menlo Park, California.ORCID 0000-0002-5640-9070
Bailiang LiPersonalis, Inc., Menlo Park, California.ORCID 0000-0001-6729-219X
Rachel Marty PykePersonalis, Inc., Menlo Park, California.ORCID 0000-0001-8967-7867
Neeraja RaviPersonalis, Inc., Menlo Park, California.ORCID 0000-0003-0379-0856
Christina ZatseVall d'Hebron Institute of Oncology (VHIO), Vall d'Hebron Barcelona Hospital Campus, Barcelona, Spain.ORCID 0009-0003-5491-7316
Francesco GrussuVall d'Hebron Institute of Oncology (VHIO), Vall d'Hebron Barcelona Hospital Campus, Barcelona, Spain.ORCID 0000-0002-0945-3909
Marta SanzVall d'Hebron Institute of Oncology (VHIO), Vall d'Hebron Barcelona Hospital Campus, Barcelona, Spain.ORCID 0009-0004-7933-1298
Cristina ViaplanaVall d'Hebron Institute of Oncology (VHIO), Vall d'Hebron Barcelona Hospital Campus, Barcelona, Spain.ORCID 0000-0001-8904-4330
Kira RaskinaVall d'Hebron Institute of Oncology (VHIO), Vall d'Hebron Barcelona Hospital Campus, Barcelona, Spain.ORCID 0000-0003-0899-6175
Jose JimenezVall d'Hebron Institute of Oncology (VHIO), Vall d'Hebron Barcelona Hospital Campus, Barcelona, Spain.ORCID 0000-0002-2576-1776
Roberta FasaniVall d'Hebron Institute of Oncology (VHIO), Vall d'Hebron Barcelona Hospital Campus, Barcelona, Spain.ORCID 0000-0003-1630-9988
Patricia Casbas-HernandezAstraZeneca, Gaithersburg, Maryland.ORCID 0009-0000-5313-4668
Ezoglin OflazogluAstraZeneca, Gaithersburg, Maryland.ORCID 0009-0004-2342-0662
Darren HodgsonAstraZeneca, Cambridge, United Kingdom.ORCID 0000-0002-6631-9626
Jorge Reis-FilhoAstraZeneca, Gaithersburg, Maryland.ORCID 0000-0003-2969-3173
Enriqueta FelipVall d'Hebron Institute of Oncology (VHIO), Vall d'Hebron Barcelona Hospital Campus, Barcelona, Spain.ORCID 0000-0002-7620-0098
Elena ÉlezVall d'Hebron Institute of Oncology (VHIO), Vall d'Hebron Barcelona Hospital Campus, Barcelona, Spain.ORCID 0000-0002-4653-6324
Eva MuñozVall d'Hebron Institute of Oncology (VHIO), Vall d'Hebron Barcelona Hospital Campus, Barcelona, Spain.ORCID 0000-0001-7556-7608
Rodrigo DienstmannVall d'Hebron Institute of Oncology (VHIO), Vall d'Hebron Barcelona Hospital Campus, Barcelona, Spain.ORCID 0000-0001-5997-318X
Josep TaberneroVall d'Hebron Institute of Oncology (VHIO), Vall d'Hebron Barcelona Hospital Campus, Barcelona, Spain.ORCID 0000-0002-2495-8139
Raquel Lopez-PerezVall d'Hebron Institute of Oncology (VHIO), Vall d'Hebron Barcelona Hospital Campus, Barcelona, Spain.ORCID 0000-0002-9176-0130
Paolo NuciforoVall d'Hebron Institute of Oncology (VHIO), Vall d'Hebron Barcelona Hospital Campus, Barcelona, Spain.ORCID 0000-0003-1380-0990
Richard O ChenPersonalis, Inc., Menlo Park, California.ORCID 0000-0002-2842-4476
Sean M BoylePersonalis, Inc., Menlo Park, California.ORCID 0000-0002-4402-8449
Rodrigo A ToledoVall d'Hebron Institute of Oncology (VHIO), Vall d'Hebron Barcelona Hospital Campus, Barcelona, Spain.ORCID 0000-0003-3070-6795

Funding

Miguel Servet-II Research Contract CP17/00199Ministry of Economy and Competitiveness PID2021-126297OA-I00
6 · The paper itself

Abstract

purposePrior studies have suggested the biomarker potential of plasma-derived ctDNA in patients with cancer treated with immune checkpoint inhibitors. This study investigated the ability of ctDNA to predict progression-free and overall survival in a cohort of patients with advanced cancer treated with immunotherapies. EXPERIMENTAL

designIn order to characterize the potential role of ultrasensitive ctDNA detection in the management of these patients, we have performed tumor whole-genome sequencing-informed, ultrasensitive ctDNA analysis-tracking approximately 1,800 tumor-specific mutations per patient-in a retrospective cohort (n = 136) and a prospective validation cohort (n = 66) across 24 cancer types treated with immune checkpoint inhibitors alone or in combination with bispecific antibodies or immune cell engagers.

resultsAnalyzing 1,455 longitudinal samples, we found that ctDNA molecular response measured as early as 3 weeks after treatment initiation correlated with improved progression-free and overall survival, whereas ctDNA clearance at any time strongly correlated with radiologic response and prolonged survival. Additionally, ctDNA dynamics distinguished true progression from pseudoprogression and predicted outcomes in patients receiving continued immunotherapy beyond initial progression.

conclusionsThis study highlights the broader applicability of ultrasensitive ctDNA as a biomarker across cancer types and immunotherapy modalities.

Indexed as

Biomarkers, TumorCirculating Tumor DNAImmune Checkpoint InhibitorsImmunotherapyNeoplasmsAgedFemaleHumansMaleMiddle AgedMutationPrognosisProspective StudiesRetrospective StudiesTreatment OutcomeBiomarkers, TumorCirculating Tumor DNAImmune Checkpoint Inhibitors

Identifiers

PMID41400436
PMCPMC12809116

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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.