Evidence map›Paper›PMID 42349466›Full record

ReviewCancer2026

Updates on intratumoral therapies in melanoma.

Vincent T Ma, Alyssa K Steimle, Janmesh D Patel, Caroline Burkey, Justin C Moser, Asad Javed, Hibba Tul Rehman, Mustafa Ege Seker, Alexander Birbrair, Orhan S Ozkan and 3 more

Abstract readReview
In one paragraph

Review in Cancer, 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. 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

13 authors.

Vincent T MaDepartment of Medicine, University of Wisconsin-Madison, Madison, Wisconsin, USA.ORCID https://orcid.org/0000-0002-8417-2787
Alyssa K SteimleDepartment of Medicine, University of Wisconsin-Madison, Madison, Wisconsin, USA.
Janmesh D PatelDivision of Hematology, Medical Oncology, and Palliative Care, Department of Medicine, University of Wisconsin-Madison, Madison, Wisconsin, USA.
Caroline BurkeyDepartment of Medicine, University of Wisconsin-Madison, Madison, Wisconsin, USA.
Justin C MoserHonorHealth Research Institute, Scottsdale, Arizona, USA.ORCID https://orcid.org/0000-0002-4427-9387
Asad JavedUniversity of Chicago Medicine, Chicago, Illinois, USA.
Hibba Tul RehmanDepartment of Medicine, University of Maryland School of Medicine, Baltimore, Maryland, USA.
Mustafa Ege SekerDepartment of Radiology, University of Wisconsin-Madison, Madison, Wisconsin, USA.
Alexander BirbrairDepartment of Dermatology, University of Wisconsin-Madison, Madison, Wisconsin, USA.
Orhan S OzkanDepartment of Radiology, University of Wisconsin-Madison, Madison, Wisconsin, USA.
Mark R AlbertiniDepartment of Medicine, University of Wisconsin-Madison, Madison, Wisconsin, USA.
Yana G NajjarUniversity of Pittsburgh Medical Center Hillman Cancer Center, Pittsburgh, Pennsylvania, USA.ORCID https://orcid.org/0000-0002-0138-1664
Rajan P KulkarniDepartment of Dermatology, Oregon Health and Sciences University, Portland, Oregon, USA.

Funding

Clinical and Translational Science Award Program KL2TR002374National Institutes of Health National Center for Advancing Translational Sciences UL1TR002373
6 · The paper itself

Abstract

Intratumoral therapies provide an opportunity for novel strategies in the management of advanced melanoma. These approaches deliver concentrated doses of therapeutic immune agents directly into individual tumor(s), achieving local tumor control and induction of systemic antitumor immune responses while minimizing the risk of immune-related adverse events. Talimogene laherparepvec, a genetically modified herpes simplex virus type 1-encoding granulocyte-macrophage colony-stimulating factor, was the first oncolytic viral therapy approved in a solid tumor indication. In pivotal trials of patients with melanoma, talimogene laherparepvec demonstrated durable responses. Building on this paradigm, next-generation oncolytic agents incorporate additional genetic modifications, such as fusogenic proteins and immunostimulatory transgenes, to enhance local cytotoxicity and systemic immune priming. Clinical studies of intratumoral, injectable agents since 2010 have evaluated monotherapy as well as combination strategies with immune checkpoint inhibitors, revealing improved response rates and durable remissions, including in patients with immune checkpoint inhibitor-resistant disease. This review summarizes the mechanistic rationale, preclinical evidence, and clinical development of intratumoral therapies in melanoma. Key trial outcomes, safety profiles, and practical considerations for administration are discussed. Emerging trends include image-guided visceral injection, combinatorial regimens, and the integration of intratumoral therapy in the neoadjuvant setting. As these therapies evolve, intratumoral approaches may expand their role in melanoma management, bridging locoregional tumor control with systemic immune activation and complementing existing systemic treatments.

Indexed as

MelanomaOncolytic VirotherapyAnimalsBiological ProductsClinical Trials as TopicCombined Modality TherapyHerpesvirus 1, HumanHumansImmune Checkpoint InhibitorsImmunotherapyInjections, IntralesionalBiological ProductsImmune Checkpoint Inhibitorstalimogene laherparepvecimmunotherapyintratumoral therapymelanomaoncolytic virustalimogene laherparepvectumor microenvironment

Identifiers

PMID42349466
PMCPMC13301002

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.