Evidence map›Paper›PMID 41514118›Full record

ArticleCancer medicine2026

Effects of Vemurafenib ± Cobimetinib on Intratumoral and Host Immunity in Patients With BRAFV600 Mutant Melanoma: Implications for Combination With Immunotherapy.

Suthee Rapisuwon, Craig L Slingluff, Jennifer A Wargo, Ryan J Sullivan, Benjamin Izar, Jia-Ren Lin, Ileana S Mauldin, Walter C Olson, Christine A Tran, Gabrielle H Schwartzman and 3 more

Abstract read
In one paragraph

Article in Cancer medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

13 authors.

Suthee RapisuwonGeorgetown University-Lombardi Comprehensive Cancer Center, Washington, DC, USA.
Craig L SlingluffUniversity of Virginia Cancer Center, Charlottesville, Virginia, USA.
Jennifer A WargoUniversity of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Ryan J SullivanMassachusetts General Hospital, Boston, Massachusetts, USA.ORCID https://orcid.org/0000-0001-5344-6645
Benjamin IzarColumbia University Medical Center, Herbert Irving Comprehensive Cancer Center, New York, New York State, USA.
Jia-Ren LinLaboratory for Systems Biology, Harvard Medical School, Boston, Massachusetts, USA.
Ileana S MauldinUniversity of Virginia Cancer Center, Charlottesville, Virginia, USA.
Walter C OlsonUniversity of Virginia Cancer Center, Charlottesville, Virginia, USA.
Christine A TranUniversity of Virginia Cancer Center, Charlottesville, Virginia, USA.
Gabrielle H SchwartzmanUniversity of Virginia Cancer Center, Charlottesville, Virginia, USA.
Geoffrey T GibneyGeorgetown University-Lombardi Comprehensive Cancer Center, Washington, DC, USA.
Waddah Al-RefaieCreighton University School of Medicine and CHI Health, Omaha, Nebraska, USA.
Michael B AtkinsGeorgetown University-Lombardi Comprehensive Cancer Center, Washington, DC, USA.ORCID https://orcid.org/0000-0003-3901-9924

Funding

Advancing technologies for the collection and analysis of high dimensional immunoprofiles and tumor imagesR50CA274277 · NCI · HARVARD MEDICAL SCHOOL · PI Jia-Ren Lin · 2022 to 2026
$879k
Genetech-Roche ML28305Melanoma Research AllianceNCI NIH HHS R50 CA274277
6 · The paper itself

Abstract

backgroundPrior studies in patients with BRAF-mutant melanoma have shown increased density of tumor infiltrating lymphocytes (TIL) after 2 weeks of BRAF (BRAFi) ± MEK inhibition (MEKi), but did not characterize the functional state or clonal diversity of TIL over time. We evaluated sequential tumor biopsies during therapy to test the hypotheses that BRAF/MEKi would increase TIL to day 29, with increases in IFNγ signatures and T-cell homing receptor ligands and expansion of functional intratumoral tumor-reactive CD8 T-cells and TIL clonality in the tumor microenvironment.

methodsSubjects with biopsy-accessible BRAF-mutant advanced melanoma received vemurafenib+/-cobimetinib. Tumor biopsies were obtained at baseline and days 8, 15, and 29 on therapy. Tumors were analyzed by quantitative immunofluorescence (QIF), NanoString, and TCRseq.

resultsFive patients were enrolled. All had an initial tumor response followed by subsequent progression. In four patients, both CD8

conclusionsData from this study provides provocative evidence that, while BRAF+/-MEK inhibitor therapy produces an increase in overall and clonal T cell infiltrates, there is limited evidence for generation of new or persistent tumor immunity. Thus, BRAFi/MEKi therapy may enable tumor-reactive T cells to infiltrate tumors but tumor control does not appear to depend on priming new immune responses.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsMelanomaProto-Oncogene Proteins B-rafAzetidinesCD8-Positive T-LymphocytesFemaleHumansImmunotherapyLymphocytes, Tumor-InfiltratingMaleMiddle AgedMutationPiperidinesTreatment OutcomeTumor MicroenvironmentVemurafenibAzetidinesBRAF protein, humancobimetinibPiperidinesProto-Oncogene Proteins B-rafVemurafenibBRAF/MEK inhibitor therapymelanomatumor immune microenvironment

Identifiers

PMID41514118
PMCPMC12789045

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.