Evidence map›Paper›PMID 40993242›Full record

Trial reportNature medicine2025

Neoadjuvant PD-1 and LAG-3-targeting bispecific antibody and other immune checkpoint inhibitor combinations in resectable melanoma: the randomized phase 1b/2 Morpheus-Melanoma trial.

Georgina V Long, Nitya Nair, Daniel Marbach, Richard A Scolyer, Sabine Wilson, Denise Cotting, Nicolas Staedler, Rodabe N Amaria, Paolo Antonio Ascierto, Ahmad A Tarhini and 16 more

Abstract readRandomized Controlled TrialClinical Trial, Phase IClinical Trial, Phase II
In one paragraph

Trial report in Nature medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

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

  1. Pooled it
  2. Review
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  5. Article
  6. Article
  7. Adaptive resistance in cancer immunotherapy.Cellular & molecular immunology · 2026
    Review
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  13. T cell exhaustion in parasitic infections.Frontiers in immunology · 2026
    Review
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  15. 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

26 authors.

Georgina V Long *Melanoma Institute Australia, The University of Sydney, Sydney, New South Wales, Australia. georgina.long@sydney.edu.au.ORCID http://orcid.org/0000-0001-8894-3545
Nitya Nair *Roche Pharma Research and Early Development, Roche Innovation Center Basel, F. Hoffmann-La Roche, Ltd., Basel, Switzerland. nitya.nair@roche.com.ORCID http://orcid.org/0000-0002-9524-9313
Daniel MarbachRoche Pharma Research and Early Development, Roche Innovation Center Basel, F. Hoffmann-La Roche, Ltd., Basel, Switzerland.ORCID http://orcid.org/0000-0002-6686-9249
Richard A ScolyerMelanoma Institute Australia, The University of Sydney, Sydney, New South Wales, Australia.ORCID http://orcid.org/0000-0002-8991-0013
Sabine WilsonRoche Pharma Research and Early Development, Roche Innovation Center Welwyn, Roche Products, Ltd., Welwyn Garden City, UK.
Denise CottingF. Hoffmann-La Roche, Ltd., Basel, Switzerland.
Nicolas StaedlerRoche Pharma Research and Early Development, Roche Innovation Center Basel, F. Hoffmann-La Roche, Ltd., Basel, Switzerland.ORCID http://orcid.org/0000-0001-8212-7459
Rodabe N AmariaThe University of Texas MD Anderson Cancer Center, Houston, TX, USA.ORCID http://orcid.org/0000-0001-6876-278X
Paolo Antonio AsciertoIstituto Nazionale Tumori IRCCS Fondazione G. Pascale, Naples, Italy.ORCID http://orcid.org/0000-0002-8322-475X
Ahmad A TarhiniH. Lee Moffitt Cancer Center & Research Institute, Tampa, FL, USA.ORCID http://orcid.org/0000-0002-3193-9702
Caroline RobertGustave Roussy and Paris Saclay University, Villejuif, France.ORCID http://orcid.org/0000-0002-9493-0238
Omid HamidThe Angeles Clinic, Los Angeles, CA, USA.
Caroline Gaudy-MarquesteDepartment of Dermatology and Skin Cancer, Aix-Marseille University, APHM, CEPCM, Hôpital Timone, Marseille, France.
Celeste LebbeUniversité Paris Cité, AP-HP Dermato-oncology and CIC, Cancer Institute APHP Nord Paris Cité, INSERM U1342 - Equipe 1 - CNRS EMR8000, Saint-Louis Hospital, Paris, France.
Eva Munoz-CouseloVall d'Hebron Institute of Oncology, Barcelona, Spain.ORCID http://orcid.org/0000-0001-7556-7608
Alexander M MenziesMelanoma Institute Australia, The University of Sydney, Sydney, New South Wales, Australia.
Cecile PagesOncopole Claudius Regaud and Institut Universitaire du Cancer, Toulouse, France.
Giuseppe CuriglianoEuropean Institute of Oncology, IRCCS, Milano, Italy.ORCID http://orcid.org/0000-0003-1781-2518
Mario MandalaUniversity of Perugia, Santa Maria Misericordia Hospital, Perugia, Italy.ORCID http://orcid.org/0000-0001-8846-8959
Nikki JessopF. Hoffmann-La Roche, Ltd., Basel, Switzerland.
Uwe BaderF. Hoffmann-La Roche, Ltd., Basel, Switzerland.ORCID http://orcid.org/0009-0001-8556-5726
Maurizio PerdicchioF. Hoffmann-La Roche, Ltd., Basel, Switzerland.
Volker TeichgräberRoche Pharma Research and Early Development, Roche Innovation Center Basel, F. Hoffmann-La Roche, Ltd., Basel, Switzerland.
Merlind MueckeRoche Pharma Research and Early Development, Roche Innovation Center Basel, F. Hoffmann-La Roche, Ltd., Basel, Switzerland.
Christoph Markert *Roche Pharma Research and Early Development, Roche Diagnostics GmbH, Penzberg, Germany.
Christian Blank *Netherlands Cancer Institute (NKI), Amsterdam, The Netherlands.ORCID http://orcid.org/0000-0002-7945-5846

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Patients with stage III melanoma are at high risk of relapse. The NADINA trial evaluating neoadjuvant nivolumab plus ipilimumab and the SWOG-1801 trial evaluating neoadjuvant pembrolizumab have demonstrated superior clinical outcomes with neoadjuvant versus adjuvant checkpoint inhibition. Morpheus-Melanoma was a phase 1b/2, randomized umbrella trial evaluating tobemstomig (anti-PD-1/anti-LAG-3 bispecific antibody; n = 40), tobemstomig plus tiragolumab (anti-TIGIT monoclonal antibody; n = 20) and atezolizumab (PD-L1-targeting monoclonal antibody) plus tiragolumab (n = 20) versus nivolumab (anti-PD-1 monoclonal antibody) plus ipilimumab (anti-CTLA-4 monoclonal antibody; n = 22) in stage III melanoma. The primary endpoint was pathological response by independent pathological review. Additional endpoints included safety and exploratory biomarkers. Here tobemstomig showed a similar pathological response rate (pRR) versus nivolumab plus ipilimumab (80.0% (32/40) versus 77.3% (17/22)); major pathological responses were less frequent with tobemstomig versus nivolumab plus ipilimumab treatment (62.5% (25/40) versus 72.7% (16/22)). Tobemstomig plus tiragolumab and atezolizumab plus tiragolumab showed a lower pRR versus nivolumab plus ipilimumab (60.0% (12/20) and 45.0% (9/20) versus 77.3% (17/22), respectively). Tobemstomig demonstrated improved safety versus nivolumab plus ipilimumab, with 2.5% (1/40) and 22.7% (5/22) of patients experiencing grade 3 or higher treatment-related adverse events (TRAEs), respectively, and 0% (0/40) and 13.6% (3/22) of patients discontinuing treatment due to TRAEs, respectively. Grade 3 or higher TRAEs were reported by 15% (3/20) of patients in the tobemstomig plus tiragolumab arm and by no patients in the atezolizumab plus tiragolumab arm. Baseline CD8

Indexed as

Antibodies, BispecificAntigens, CDAntineoplastic Combined Chemotherapy ProtocolsImmune Checkpoint InhibitorsMelanomaProgrammed Cell Death 1 ReceptorAdultAgedAntibodies, Monoclonal, HumanizedFemaleHumansIpilimumabLymphocyte Activation Gene 3 ProteinMaleMiddle AgedNeoadjuvant TherapyAntibodies, BispecificAntibodies, Monoclonal, HumanizedAntigens, CDatezolizumabImmune Checkpoint InhibitorsIpilimumabLag3 protein, humanLymphocyte Activation Gene 3 ProteinNivolumabPDCD1 protein, humanpembrolizumabProgrammed Cell Death 1 Receptor

Identifiers

PMID40993242
PMCPMC12618235

What Socratic holds

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LicenceCC BY
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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.