Evidence map›Paper›PMID 41448449›Full record

Trial reportCancer letters2026

A phase Ib/II trial of XL888 (HSP90 inhibitor) and pembrolizumab in metastatic pancreatic cancer with translational immune profiling.

Natalie K Horvat, Maria Diab, Maggie J Phillips, Ashley McCook-Veal, Erin E Grundy, Olatunji B Alese, Emily Greene, Olumide Gbolahan, Kathleen Coleman, Deon Doxie and 7 more

Abstract readClinical Trial, Phase IClinical Trial, Phase II
In one paragraph

Trial report in Cancer letters, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

1 citing paper in PubMed.

  1. 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

17 authors.

Natalie K HorvatDepartment of Hematology & Medical Oncology, Emory University, Atlanta, USA.
Maria DiabDepartment of Internal Medicine, Henry Ford Hospital, Detroit, USA. Electronic address: diab.maria@gmail.com.
Maggie J PhillipsDepartment of Hematology & Medical Oncology, Emory University, Atlanta, USA. Electronic address: maggie.jade.phillips@emory.edu.
Ashley McCook-VealWinship Cancer Institute of Emory University, Atlanta, USA. Electronic address: ashley.a.mccook@emory.edu.
Erin E GrundyDepartment of Hematology & Medical Oncology, Emory University, Atlanta, USA. Electronic address: erin.grundy@emory.edu.
Olatunji B AleseDepartment of Hematology & Medical Oncology, Emory University, Atlanta, USA. Electronic address: olatunji.alese@emory.edu.
Emily GreeneDepartment of Hematology & Medical Oncology, Emory University, Atlanta, USA. Electronic address: emily.greene@emory.edu.
Olumide GbolahanDepartment of Hematology & Medical Oncology, Emory University, Atlanta, USA. Electronic address: ogbolah@emory.edu.
Kathleen ColemanWinship Cancer Institute of Emory University, Atlanta, USA. Electronic address: kathleen.marie.coleman@emory.edu.
Deon DoxieWinship Cancer Institute of Emory University, Atlanta, USA. Electronic address: deon.bryant.doxie@emory.edu.
Cameron J HertingDepartment of Hematology & Medical Oncology, Emory University, Atlanta, USA. Electronic address: cameron.herting@gmail.com.
Jacklyn HammonsDepartment of Hematology & Medical Oncology, Emory University, Atlanta, USA. Electronic address: jacklyn.nicole.hammons@emory.edu.
Zaid MahdiDepartment of Pathology, Emory University, Atlanta, USA. Electronic address: zaid.mahdi@icloud.com.
Jeffrey M SwitchenkoDepartment of Biostatistics & Bioinformatics, Emory University, Atlanta, USA. Electronic address: jeffrey.switchenko@emory.edu.
Chrystal M PaulosDepartment of Surgery, Emory University, Atlanta, USA; Department of Microbiology and Immunology, Emory University, Atlanta, USA. Electronic address: chrystal.mary.paulos@emory.edu.
Bassel F El-RayesDepartment of Medicine, University of Alabama at Birmingham, O'Neal Comprehensive Cancer Center, Birmingham, USA. Electronic address: belrayes@uab.edu.
Gregory B LesinskiDepartment of Hematology & Medical Oncology, Emory University, Atlanta, USA. Electronic address: gregory.b.lesinski@emory.edu.

Funding

Implementing a Maternal health and PRegnancy Outcomes Vision for Everyone (IMPROVE)UL1TR002378 · NCATS · EMORY UNIVERSITY · PI Andres J Garcia, Elizabeth O. Ofili · 2017 to 2026
$92.1M
Winship Cancer Institute Cancer Center Support GrantP30CA138292 · NCI · EMORY UNIVERSITY · PI Ragini Reiney Kudchadkar · 2009 to 2026
$47.5M
J: NRSA Training CoreTL1TR002382 · NCATS · EMORY UNIVERSITY · PI HENRY M BLUMBERG, Vasiliki Michopoulos · 2017 to 2026
$8.5M
Leveraging CD26high Meso-CAR T cells in patients with advanced pancreatic cancerR01CA287866 · NCI · EMORY UNIVERSITY · PI Gregory B. Lesinski, Chrystal M Paulos · 2024 to 2026
$1.9M
Targeting immune stroma interactions in pancreatic cancerR01CA228406 · NCI · EMORY UNIVERSITY · PI EL-RAYES, BASSEL, LESINSKI, GREGORY B. · 2019 to 2023
$1.7M
Modulation of the human pancreatic microenvironment by combined cytokine and immune checkpoint blockadeR21CA266088 · NCI · EMORY UNIVERSITY · PI EL-RAYES, BASSEL, LESINSKI, GREGORY B. · 2022 to 2023
$399k
NCATS NIH HHS TL1 TR002382NCATS NIH HHS UL1 TR002378NCI NIH HHS P30 CA138292NCI NIH HHS R01 CA228406NCI NIH HHS R01 CA287866NCI NIH HHS R21 CA266088
6 · The paper itself

Abstract

Pancreatic adenocarcinoma is marked by high mortality and limited treatment options. In mice, HSP90 inhibition limits cancer-associated fibroblasts activation and enhances T cell infiltration, sensitizing tumors to PD-1 blockade. We hypothesized that co-administration of pembrolizumab (anti-PD-1) with XL888 (an HSP90 inhibitor) would be safe and induce measurable immunological changes in the PDAC tumor microenvironment that could influence clinical outcome. We report results from an expansion cohort of patients with advanced PDAC (n = 16), who were enrolled in a single-center, open-label, nonrandomized, dose-escalation study. Patients received one cycle of either pembrolizumab (200 mg) alone or in combination with XL888 (90 mg, orally twice per week) over a 21-day cycle, followed by crossover to combination therapy. Peripheral blood and image guided liver biopsies were collected on Day 1 before treatment (C1D1) and Day 15 on-treatment (C1D15) for correlative studies. The combination regimen was well-tolerated with no unexpected adverse events. No objective responses were observed; two patients (13.3 %) achieved stable disease, while the remaining 13 (86.7 %) experienced disease progression. Median progression-free survival was 2.0 months, and median overall survival was 4.4 months. Treatment was associated with increased circulating Th1-associated cytokines and chemokines. Peripheral blood mononuclear cell (PBMC) analysis revealed elevated terminal effector CD8

Indexed as

Antibodies, Monoclonal, HumanizedAntineoplastic Combined Chemotherapy ProtocolsCarcinoma, Pancreatic DuctalHSP90 Heat-Shock ProteinsPancreatic NeoplasmsAdultAgedFemaleHumansMaleMiddle AgedTumor MicroenvironmentAntibodies, Monoclonal, HumanizedHSP90 Heat-Shock ProteinspembrolizumabCheckpoint inhibitionHSP90 inhibitionImmunotherapy resistanceLiver metastasisPDACTumor microenvironmentXL888

Identifiers

PMID41448449
PMCPMC12781125

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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.