Evidence map›Paper›PMID 19074257›Full record

Trial reportProceedings of the National Academy of Sciences of the United States of America2008

CTLA-4 blockade enhances polyfunctional NY-ESO-1 specific T cell responses in metastatic melanoma patients with clinical benefit.

Jianda Yuan, Sacha Gnjatic, Hao Li, Sarah Powel, Humilidad F Gallardo, Erika Ritter, Geoffrey Y Ku, Achim A Jungbluth, Neil H Segal, Teresa S Rasalan and 10 more

Open access · greenAbstract readClinical Trial
In one paragraph

Trial report in Proceedings of the National Academy of Sciences of the United States of America, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 191 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
191citing papers in PubMed, 1 pooled it
11.0field-weighted citation impact, top 1% of its field
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

191 citing papers in PubMed, 1 synthesis or guideline pooled it, 341 citations in OpenAlex.

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  14. CTLA4 blockade induces frequent tumor infiltration by activated lymphocytes regardless of clinical responses in humans.Clinical cancer research : an official journal of the American Association for Cancer Research · 2011
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  16. Immunologic response to xenogeneic gp100 DNA in melanoma patients: comparison of particle-mediated epidermal delivery with intramuscular injection.Clinical cancer research : an official journal of the American Association for Cancer Research · 2010
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131 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors at 2 institutions in 1 country.

Jianda YuanLudwig Center for Cancer Immunotherapy, Immunology Program, Memorial Sloan-Kettering Cancer Center, New York, NY 10065, USA.
Sacha Gnjatic
Hao Li
Sarah Powel
Humilidad F Gallardo
Erika Ritter
Geoffrey Y Ku
Achim A Jungbluth
Neil H Segal
Teresa S Rasalan
Gregor Manukian
Yinyan Xu
Ruth-Ann Roman
Stephanie L Terzulli
Melanie Heywood
Evelina Pogoriler
Gerd Ritter
Lloyd J Old
James P Allison
Jedd D Wolchok
Memorial Sloan Kettering Cancer Center · USLudwig Cancer Research · US

Funding

TREATMENT OF CANCER PATIENTS WITH THYMIC FACTORSP01CA033049 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI DIVGI, CHAITANYA R. · 1985 to 2009
$19.8M
Howard Hughes Medical InstituteNCI NIH HHS P01 CA033049NCI NIH HHS P01CA33049
6 · The paper itself

Abstract

Blockade of inhibitory signals mediated by cytotoxic T lymphocyte-associated antigen 4 (CTLA-4) has been shown to enhance T cell responses and induce durable clinical responses in patients with metastatic melanoma. The functional impact of anti-CTLA-4 therapy on human immune responses is still unclear. To explore this, we analyzed immune-related adverse events and immune responses in metastatic melanoma patients treated with ipilimumab, a fully human anti-CTLA-4 monoclonal antibody. Fifteen patients were selected on the basis of availability of suitable specimens for immunologic monitoring, and eight of these showed evidence of clinical benefit. Five of the eight patients with evidence of clinical benefit had NY-ESO-1 antibody, whereas none of seven clinical non-responders was seropositive for NY-ESO-1. All five NY-ESO-1 seropositive patients had clearly detectable CD4(+) and CD8(+) T cells against NY-ESO-1 following treatment with ipilimumab. One NY-ESO-1 seronegative clinical responder also had a NY-ESO-1 CD4(+) and CD8(+) T cell response, possibly related to prior vaccination with NY-ESO-1. Among five clinical non-responders analyzed, only one had a NY-ESO-1 CD4(+) T cell response and this patient did not have detectable anti-NY-ESO-1 antibody. Overall, NY-ESO-1-specific T cell responses increased in frequency and functionality during anti-CTLA-4 treatment, revealing a polyfunctional response pattern of IFN-gamma, MIP-1beta and TNF-alpha. We therefore suggest that CTLA-4 blockade enhanced NY-ESO-1 antigen-specific B cell and T cell immune responses in patients with durable objective clinical responses and stable disease. These data provide an immunologic rationale for the efficacy of anti-CTLA-4 therapy and call for immunotherapeutic designs that combine NY-ESO-1 vaccination with CTLA-4 blockade.

Indexed as

AdultAgedAged, 80 and overAntibodies, MonoclonalAntigens, CDAntigens, NeoplasmB-LymphocytesCTLA-4 AntigenCytokinesHumansImmunityImmunotherapyIpilimumabMelanomaMembrane ProteinsMiddle AgedAntibodies, MonoclonalAntigens, CDAntigens, NeoplasmCTAG1B protein, humanCTLA-4 AntigenCTLA4 protein, humanCytokinesIpilimumabMembrane Proteins

Identifiers

PMID19074257
PMCPMC2629307
OpenAlexW2162646864

What OpenQuestion holds

Textmetadata
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.