Evidence map›Paper›PMID 40392969›Full record

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

Integrative Immune Signature of Complementary Circulating and Tumoral Biomarkers Maximizes the Predictive Power of Adjuvant Immunotherapeutic Benefits in High-risk Melanoma.

Ahmad A Tarhini, Alyssa Obermayer, Sandra J Lee, William A LaFramboise, F Stephen Hodi, Arivarasan D Karunamurthy, Islam Eljilany, Dung-Tsa Chen, Patrick Hwu, Issam M El Naqa and 6 more

Abstract readClinical Trial, Phase III
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. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. 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

16 authors.

Ahmad A TarhiniDepartment of Cutaneous Oncology, H. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida.ORCID 0000-0002-3193-9702
Alyssa ObermayerDepartment of Biostatistics and Bioinformatics, H. Lee Moffitt Cancer Center, Tampa, Florida.ORCID 0000-0002-7333-973X
Sandra J LeeDana Farber Cancer Institute, Harvard Medical School, Boston, Massachusetts.ORCID 0000-0002-8626-639X
William A LaFramboisePathology and Laboratory Medicine Department, Allegheny Cancer Institute, Allegheny Health Network, Pittsburgh, Pennsylvania.ORCID 0000-0002-6024-810X
F Stephen HodiDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts.ORCID 0000-0001-6825-091X
Arivarasan D KarunamurthyDepartment of Pathology, University of Pittsburgh, School of Medicine, Pittsburgh, Pennsylvania.ORCID 0000-0002-5739-4923
Islam EljilanyDepartment of Cutaneous Oncology, H. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida.ORCID 0000-0001-6387-5419
Dung-Tsa ChenDepartment of Biostatistics and Bioinformatics, H. Lee Moffitt Cancer Center, Tampa, Florida.ORCID 0000-0001-5026-415X
Patrick HwuDepartment of Cutaneous Oncology, H. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida.ORCID 0000-0002-8293-1313
Issam M El NaqaDepartment of Machine Learning, H. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida.ORCID 0000-0001-6023-1132
Howard StreicherCancer Therapy Evaluation Program, National Cancer Institute, Rockville, Maryland.ORCID 0000-0003-3683-9804
Vernon K SondakDepartment of Cutaneous Oncology, H. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida.ORCID 0000-0003-1090-484X
Walter J StorkusDepartment of Dermatology, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania.ORCID 0000-0001-8961-4444
Lisa H ButterfieldMerck Research Laboratories, Boston, Massachusetts.ORCID 0000-0002-3439-9844
Timothy I ShawDepartment of Biostatistics and Bioinformatics, H. Lee Moffitt Cancer Center, Tampa, Florida.ORCID 0000-0002-9316-1924
John M KirkwoodDivision of Hematology-Oncology, Department of Medicine, UPMC Hillman Cancer Center, Pittsburgh, Pennsylvania.ORCID 0000-0002-3570-4476

Funding

Project-006U10CA180820 · NCI · ECOG-ACRIN MEDICAL RESEARCH FOUNDATION · PI Peter J ODwyer · 2014 to 2026
$167.6M
SWOG Network Group Operations Center of the NCTNU10CA180888 · NCI · UNIVERSITY OF CALIFORNIA AT DAVIS · PI PRIMO N. LARA · 2014 to 2026
$152.1M
Statistics CoreU10CA180794 · NCI · DANA-FARBER CANCER INST · PI PAUL J CATALANO · 2014 to 2026
$111.2M
TRANSLATIONAL RESEARCHP30CA076292 · NCI · UNIVERSITY OF SOUTH FLORIDA · PI John L. Cleveland · 1998 to 2026
$93.5M
Therapuetic Immune Targeting of EphA2 Expressed by Melanoma & Its Tumor-AssociateP50CA121973 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI KIRKWOOD, JOHN MUNN · 2008 to 2018
$22.9M
NCTN Lead Academic Participating Site at Dana-Farber/Partners Cancer CareUG1CA233180 · NCI · DANA-FARBER CANCER INST · PI Harold John Burstein · 2019 to 2026
$8.6M
NCI NCTN-Network Lead Academic Participating Site at UPMC Hillman Cancer CenterUG1CA233184 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI ADAM M BRUFSKY, John Munn Kirkwood · 2019 to 2026
$7.7M
Center for Cancer Research (CCR) U10180794Center for Cancer Research (CCR) U10CA180820Center for Cancer Research (CCR) U10CA180888Center for Cancer Research (CCR) UG1CA233180Center for Cancer Research (CCR) UG1CA233184Moffitt Cancer Center (MCC) CA076292NCI NIH HHS P30 CA076292NCI NIH HHS P50 CA121973NCI NIH HHS U10 CA180794NCI NIH HHS U10 CA180820NCI NIH HHS U10 CA180888NCI NIH HHS UG1 CA233180NCI NIH HHS UG1 CA233184University of Pittsburgh (Pitt) P50CA12197310
6 · The paper itself

Abstract

purposeIpilimumab (IPI) improved outcomes for patients with high-risk melanoma compared with IFN-α2b in E1609, a phase III adjuvant trial. We hypothesized that combining candidate immune biomarkers in both tumor and circulating blood could generate a superior predictive biomarker signature. EXPERIMENTAL

designWe conducted gene expression profiling on baseline tumors of patients treated with IPI and IFN. We also performed multicolor flow cytometry to compare cellular marker expression on thawed peripheral blood mononuclear cells and Luminex multiplex assay to measure serum biomarkers. We tested the expression levels of 31 genes and 40 circulating biomarkers in relation to survival outcomes. We then developed two separate multivariate Least Absolute Shrinkage and Selection Operator (LASSO) Cox regression models followed by integrative modeling of risk prediction using the prioritized biomarkers.

resultsIn blood, enriched populations of CXCR3+CD4+ T cells, CXCR3+CD8+ T cells, CTLA4+IFN-γ+CD8+ T cells, and higher levels of CCL3 and CXCL11 were associated with significantly improved overall survival and relapse-free survival, whereas high levels of CTLA4+ regulatory T cells (CD3+CD4+CD25hi+CD152+) and monocytic myeloid-derived suppressor cells (Lin-CD33+HLA-DrloCD14+CD15+) correlated with worse overall survival and relapse-free survival. In tumor, CXCL9, CD8A, CXCL10, and inositol polyphosphate-5-phosphatase D were identified as tier-1 (P < 0.05) and indoleamine 2, 3-dioxygenase 1, Igκ constant, and IL2RB as tier-2 (P < 0.1) biomarkers of survival. Multivariate survival analysis identified that ∼50% of the risk groups were defined by circulating and tumor biomarker models, indicating complementary features of defining risk groups in IPI-treated but not in IFN-treated patients.

conclusionsIntegrating candidate blood and tumor immune-related biomarkers generated a baseline signature that maximizes the prediction of immunotherapeutic benefits in reference to the compartmental biomarker signatures.

Indexed as

Biomarkers, TumorMelanomaAdultAgedFemaleGene Expression ProfilingHumansIpilimumabMaleMiddle AgedPrognosisBiomarkers, TumorIpilimumab

Identifiers

PMID40392969
PMCPMC12316551

What Socratic holds

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LicenceTDM
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 Socratic graph.