Evidence map›Paper›PMID 40327337›Full record

Trial reportClinical cancer research : an official journal of the American Association for Cancer Research2025

Effective TIL Therapy for Patients with Checkpoint-Resistant Melanoma without Lymphodepleting Regimens Requires IFNα.

Els M E Verdegaal, Anique L C Verpoorte, Monique K van der Kooij, Linda de Bruin, Marten Visser, Caroline E van der Minne, Vera Weeda, Inge C F M Roozen, Mare A Jonker, Inge M Westra and 7 more

Registry-linked trialAbstract readClinical Trial, Phase IClinical Trial, Phase II
In one paragraph

Trial report in Clinical cancer research : an official journal of the American Association for Cancer Research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03638375 (Adoptive TIL Therapy With Low-dose IFN-alpha Plus Anti-PD1 in Metastatic Melanoma), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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.

NCT03638375 phase1 / phase2unknown statusnot on this map

Adoptive TIL Therapy With Low-dose IFN-alpha Plus Anti-PD1 in Metastatic Melanoma

TypeinterventionalSponsorLeiden UniversityRan2018 to 2025Enrolled34ConditionsToxicity, Drug, Adverse Drug Event, Effects of ImmunotherapyArmsNivolumab & Tumor Infiltrating Lymphocytes with/without Interferon-Alpha
3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Review
  2. Review
  3. Review
  4. Review
  5. 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.

Els M E Verdegaal *Department of Medical Oncology, Oncode Institute, Leiden University Medical Center, Leiden, the Netherlands.ORCID 0000-0002-4449-8707
Anique L C Verpoorte *Department of Medical Oncology, Oncode Institute, Leiden University Medical Center, Leiden, the Netherlands.ORCID 0009-0008-7722-1609
Monique K van der KooijDepartment of Medical Oncology, Oncode Institute, Leiden University Medical Center, Leiden, the Netherlands.ORCID 0000-0002-9764-5467
Linda de BruinDepartment of Medical Oncology, Oncode Institute, Leiden University Medical Center, Leiden, the Netherlands.ORCID 0009-0001-5296-7542
Marten VisserDepartment of Medical Oncology, Oncode Institute, Leiden University Medical Center, Leiden, the Netherlands.ORCID 0000-0002-8544-131X
Caroline E van der MinneDepartment of Medical Oncology, Oncode Institute, Leiden University Medical Center, Leiden, the Netherlands.ORCID 0009-0004-8345-2009
Vera WeedaDepartment of Medical Oncology, Oncode Institute, Leiden University Medical Center, Leiden, the Netherlands.ORCID 0009-0008-1537-0342
Inge C F M RoozenDepartment of Medical Oncology, Leiden University Medical Center, Leiden, the Netherlands.ORCID 0009-0006-1352-5684
Mare A JonkerDepartment of Medical Oncology, Leiden University Medical Center, Leiden, the Netherlands.ORCID 0009-0004-9053-5945
Inge M WestraGMP facility Leiden, Center of Cell and Gene Therapy, Department of Clinical Pharmacy & Toxicology, Leiden University Medical Center, Leiden, the Netherlands.ORCID 0009-0009-3271-495X
Pauline MeijGMP facility Leiden, Center of Cell and Gene Therapy, Department of Clinical Pharmacy & Toxicology, Leiden University Medical Center, Leiden, the Netherlands.ORCID 0000-0003-3370-9932
Frank M SpeetjensDepartment of Medical Oncology, Leiden University Medical Center, Leiden, the Netherlands.ORCID 0000-0003-2065-9593
Stephanie M ZunderDepartment of Medical Oncology, Leiden University Medical Center, Leiden, the Netherlands.ORCID 0009-0000-5550-3383
Gerrit-Jan LiefersDepartment of Surgery, Leiden University Medical Center, Leiden, the Netherlands.ORCID 0000-0001-7326-8313
Saskia J SantegoetsDepartment of Medical Oncology, Oncode Institute, Leiden University Medical Center, Leiden, the Netherlands.ORCID 0000-0002-2874-4402
Sjoerd H van der Burg *Department of Medical Oncology, Oncode Institute, Leiden University Medical Center, Leiden, the Netherlands.ORCID 0000-0002-6556-0354
Ellen H W Kapiteijn *Department of Medical Oncology, Leiden University Medical Center, Leiden, the Netherlands.ORCID 0000-0002-4814-6426

Funding

Leids Universitair Medisch Centrum (LUMC)
6 · The paper itself

Abstract

purposePatients with melanoma progressing on immune checkpoint blockade may benefit from adoptive transfer of tumor-infiltrating lymphocytes (TIL). PATIENTS AND

methodsWe investigated the impact of a pegylated IFNα conditioning and support regimen on the safety and efficacy of TIL plus nivolumab (NCT03638375). Patients with immune checkpoint blockade-resistant stage III/IV melanoma were treated with TIL plus nivolumab without (n = 9) or with (n = 25) IFNα.

resultsThe treatment was safe, and side effects included IFNα-induced lymphopenia (16%) and neutropenia (12%). No febrile neutropenia or >grade 4 adverse events were observed. Disease control was obtained in 11.1% (95% confidence interval, -14.5%-36.7%) of the patients treated without and in 41.7% (95% confidence interval, 20.4%-62.9%) of the patients treated with IFNα, clearly suggesting the need for IFNα support. IFNα treatment strongly reduced the numbers of circulating leukocytes and neutrophils, more consistently in therapy responders. No differences were observed in the phenotype and dose of TIL administered.

conclusionsTaken together, our low-toxicity therapy comprising TIL, nivolumab, and IFNα is safe, shows evidence of clinical activity, and may be particularly suitable for more frail patients who are less able to tolerate lymphodepletion and high-dose IL-2 regimens.

Indexed as

Drug Resistance, NeoplasmImmunotherapy, AdoptiveInterferon-alphaLymphocytes, Tumor-InfiltratingMelanomaAdultAgedFemaleHumansImmune Checkpoint InhibitorsMaleMiddle AgedNivolumabTreatment OutcomeImmune Checkpoint InhibitorsInterferon-alphaNivolumab

Identifiers

PMID40327337
PMCPMC12209825

What Socratic holds

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Registered trials

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 Socratic graph.