Evidence map›Paper›PMID 19808874›Full record

ArticleClinical cancer research : an official journal of the American Association for Cancer Research2009

Phase I study of ipilimumab, an anti-CTLA-4 monoclonal antibody, in patients with relapsed and refractory B-cell non-Hodgkin lymphoma.

Stephen M Ansell, Sara A Hurvitz, Patricia A Koenig, Betsy R LaPlant, Brian F Kabat, Donna Fernando, Thomas M Habermann, David J Inwards, Meena Verma, Reiko Yamada and 3 more

2 registry-linked trialsOpen access · bronzeAbstract readClinical Trial, Phase I
In one paragraph

Article in Clinical cancer research : an official journal of the American Association for Cancer Research, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 164 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
164citing papers in PubMed, 2 pooled it
5.8field-weighted citation impact, top 3% 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.

NCT02681302 phase1 / phase2terminatednot on this mapstarted 2016, after this paper: background citation

Phase Ib-IIA Study of Combined Check Point Inhibition After Autologous Hematopoietic Stem Cell Transplantation in Patients at High Risk for Post-transplant Recurrence

TypeinterventionalSponsorHackensack Meridian HealthRan2016 to 2024Enrolled46ConditionsMultiple Myeloma, LymphomaArmsIpilimumab, Nivolumab
NCT02846376 phase1terminatednot on this mapstarted 2019, after this paper: background citation

Phase I Study of Single-agent and Combined Checkpoint Inhibition After Allogeneic Hematopoietic Stem Cell Transplantation in Patients at High Risk for Post-transplant Recurrence

TypeinterventionalSponsorHackensack Meridian HealthRan2019 to 2023Enrolled8ConditionsAcute Myeloid Leukemia and Myelodysplastic SyndromeArmsNivolumab, Ipilimumab
3 · Its place in the literature

Who cites it

164 citing papers in PubMed, 2 syntheses or guidelines pooled it, 330 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Safety and efficacy of durvalumab with R-CHOP or RInternational journal of hematology · 2022
    Trial
  4. Trial
  5. Trial
  6. Ipilimumab plus Lenalidomide after Allogeneic and Autologous Stem Cell Transplantation for Patients with Lymphoid Malignancies.Clinical cancer research : an official journal of the American Association for Cancer Research · 2018
    Trial
  7. Trial
  8. Trial
  9. Preoperative CTLA-4 blockade: tolerability and immune monitoring in the setting of a presurgical clinical trial.Clinical cancer research : an official journal of the American Association for Cancer Research · 2010
    Trial
  10. Article
  11. Article
  12. Review
  13. Review
  14. Article
  15. Review
  16. Review
  17. Article
  18. Molecular biology of the novel anticancer medications: a focus on kinases inhibitors, biologics and CAR T-cell therapy.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2025
    Review
  19. Review
  20. Article

104 more citing papers are in PubMed but not listed here.

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 at 2 institutions in 1 country.

Stephen M AnsellDivision of Hematology and Department of Oncology, Mayo Clinic, Rochester, MN 55905, USA. ansell.stephen@mayo.edu
Sara A Hurvitz
Patricia A Koenig
Betsy R LaPlant
Brian F Kabat
Donna Fernando
Thomas M Habermann
David J Inwards
Meena Verma
Reiko Yamada
Charles Erlichman
Israel Lowy
John M Timmerman
Mayo Clinic · USUniversity of California, Los Angeles · US

Funding

PHASE I CLINICAL TRIALS OF ANTICANCER AGENTSU01CA069912 · NCI · MAYO CLINIC ROCHESTER · PI ERLICHMAN, CHARLES · 1995 to 2013
$10.1M
Anti-CTLA-4 Monoclonal Antibody Therapy for LymphomaR21CA108182 · NCI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI TIMMERMAN, JOHN M · 2004 to 2005
$505k
NCI NIH HHS R21 CA108182NCI NIH HHS U01 CA069912NCI NIH HHS U01 CA69912
6 · The paper itself

Abstract

purposeThe growth of non-Hodgkin lymphomas can be influenced by tumor-immune system interactions. Cytotoxic T-lymphocyte antigen 4 (CTLA-4) is a negative regulator of T-cell activation that serves to dampen antitumor immune responses. Blocking anti-CTLA-4 monoclonal antibodies improves host resistance to immunogenic tumors, and the anti-CTLA-4 antibody ipilimumab (MDX-010) has clinical activity against melanoma, prostate, and ovarian cancers. EXPERIMENTAL

designWe did a phase I trial of ipilimumab in patients with relapsed/refractory B-cell lymphoma to evaluate safety, immunologic activity, and potential clinical efficacy. Treatment consisted of ipilimumab at 3 mg/kg and then monthly at 1 mg/kg x 3 months (dose level 1), with subsequent escalation to 3 mg/kg monthly x 4 months (dose level 2).

resultsEighteen patients were treated, 12 at the lower dose level and 6 at the higher dose level. Ipilimumab was generally well tolerated, with common adverse events attributed to it, including diarrhea, headache, abdominal pain, anorexia, fatigue, neutropenia, and thrombocytopenia. Two patients had clinical responses; one patient with diffuse large B-cell lymphoma had an ongoing complete response (>31 months), and one with follicular lymphoma had a partial response lasting 19 months. In 5 of 16 cases tested (31%), T-cell proliferation to recall antigens was significantly increased (>2-fold) after ipilimumab therapy.

conclusionsBlockade of CTLA-4 signaling with the use of ipilimumab is well tolerated at the doses used and has antitumor activity in patients with B-cell lymphoma. Further evaluation of ipilimumab alone or in combination with other agents in B-cell lymphoma patients is therefore warranted.

Indexed as

AdultAgedAntibodies, MonoclonalAntigens, CDAntineoplastic AgentsCTLA-4 AntigenDrug Administration ScheduleDrug EvaluationFemaleHumansIpilimumabLymphoma, B-CellMaleMiddle AgedRecurrenceAntibodies, MonoclonalAntigens, CDAntineoplastic AgentsCTLA-4 AntigenCTLA4 protein, humanIpilimumab

Identifiers

PMID19808874
PMCPMC2763019
OpenAlexW2164433065

What OpenQuestion holds

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LicenceTDM
Read underepoch 390

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 OpenQuestion graph.