Evidence map›Paper›PMID 21173378›Full record

Trial reportArchives of otolaryngology--head & neck surgery2010

Correlation of cellular immunity with human papillomavirus 16 status and outcome in patients with advanced oropharyngeal cancer.

Derrick Wansom, Emily Light, Frank Worden, Mark Prince, Susan Urba, Douglas B Chepeha, Kitrina Cordell, Avraham Eisbruch, Jeremy Taylor, Nisha D'Silva and 6 more

Open access · greenAbstract readClinical Trial, Phase IIComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Archives of otolaryngology--head & neck surgery, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 60 papers.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed
4.4field-weighted citation impact, top 5% 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

60 citing papers in PubMed, 121 citations in OpenAlex.

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  5. How Oncovirus Affects Drug Resistance in Cancer Cells.Recent patents on anti-cancer drug discovery · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 3 institutions in 1 country.

Derrick WansomDepartment of Otolaryngology-Head and Neck Surgery, University of Michigan Health System, 1904 H Taubman, PO Box 5312, Ann Arbor, MI 48109, USA.
Emily Light
Frank Worden
Mark Prince
Susan Urba
Douglas B Chepeha
Kitrina Cordell
Avraham Eisbruch
Jeremy Taylor
Nisha D'Silva
Jeffrey Moyer
Carol R Bradford
David Kurnit
Bhavna Kumar
Thomas E Carey
Gregory T Wolf
University of Michigan–Ann Arbor · USPalmetto Hematology Oncology · USRadiation Oncology Associates · US

Funding

XenograftP30CA046592 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI THEODORE S LAWRENCE · 1988 to 2026
$178.2M
Therapeutic Potential and Mechanism of Action of Potent Small Molecule InhibitorsP50CA097248 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI WOLF, GREGORY T · 2002 to 2013
$25.3M
Scientific Synergy CoreP30DC005188 · NIDCD · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI DOLAN, DAVID FRANCIS · 2002 to 2016
$10.3M
Advanced Research Training in OtolaryngologyT32DC005356 · NIDCD · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI CORFAS, GABRIEL · 2002 to 2021
$3.5M
PREDICTING RESPONSE TO THERAPY: DETECTION OF ORAL CANCERR01DE013346 · NIDCR · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI CAREY, THOMAS E. · 1999 to 2003
$1.6M
Biomarkers to Guide Treatment and Improve Survival in Oral/Oropharyngeal CancerR01DE019126 · NIDCR · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI CAREY, THOMAS E. · 2009 to 2012
$1.4M
NCI NIH HHS P30 CA046592NCI NIH HHS P50 CA097248NIDCD NIH HHS P30 DC005188NIDCD NIH HHS P30 DC 05188NIDCD NIH HHS T32 DC005356NIDCR NIH HHS R01 DE013346NIDCR NIH HHS R01 DE019126NIDCR NIH HHS R01 DE13346
6 · The paper itself

Abstract

objectiveto determine whether the favorable outcome associated with human papillomavirus (HPV) 16-positive oropharyngeal cancer is related to a patient's adaptive immunity.

settingacademic medical center. PATIENTS: forty-seven of 66 previously untreated patients (6 of 20 patients with stage III and 41 of 46 with stage IV cancer) in a prospective clinical trial of chemoradiotherapy.

interventionall patients were treated with a single course of neoadjuvant chemotherapy followed by either surgery (for nonresponders) or chemoradiotherapy.

main outcome measurespretreatment levels (percentages and absolute counts) of CD3, CD4, CD8, natural killer, and B cells and overall white blood cell counts were measured by flow cytometry. Correlations of subsets with HPV-16 status, tumor subsite, cancer stage, T class, N class, smoking status, performance status, sex, response to chemoradiotherapy, p53 mutation type, epidermal growth factor receptor expression, and disease-specific and overall survival were determined.

resultsafter a median follow-up of 6.6 years, improved survival was associated with an elevated percentage of CD8 cells (P = .04), a low CD4:CD8 ratio (P = .01), low epidermal growth factor receptor expression (P = .002), and HPV status (P = .02). The percentage of CD8 cells was significantly higher (P = .04) and the CD4:CD8 ratio was significantly lower (P = .02) in HPV-16-positive patients. A higher percentage of CD8 cells was associated with response to induction chemotherapy (P = .02) and complete tumor response after chemoradiotherapy (P = .045).

conclusionthese findings confirm previous correlations of outcome with circulating CD8 cell levels and support the conjecture that improved adaptive immunity may play a role in the favorable prognosis of patients with HPV-16-positive cancers.

Indexed as

Immunity, CellularAntineoplastic AgentsCarcinoma, Squamous CellCD4-CD8 RatioCD8-Positive T-LymphocytesCombined Modality TherapyDNA, ViralFollow-Up StudiesHuman papillomavirus 16HumansNeoadjuvant TherapyNeoplasm StagingOropharyngeal NeoplasmsPapillomavirus InfectionsPrognosisProspective StudiesAntineoplastic AgentsDNA, Viral

Identifiers

PMID21173378
PMCPMC3342998
OpenAlexW2130543811

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.