Evidence map›Paper›PMID 21795409›Full record

Trial reportClinical cancer research : an official journal of the American Association for Cancer Research2011

Interleukin-6 as a therapeutic target in human ovarian cancer.

Jermaine Coward, Hagen Kulbe, Probir Chakravarty, David Leader, Vessela Vassileva, D Andrew Leinster, Richard Thompson, Tiziana Schioppa, Jeffery Nemeth, Jessica Vermeulen and 9 more

Open access · greenAbstract readClinical Trial, Phase II
In one paragraph

Trial report in Clinical cancer research : an official journal of the American Association for Cancer Research, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 217 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
217citing papers in PubMed, 3 pooled it
38.1field-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

217 citing papers in PubMed, 3 syntheses or guidelines pooled it, 383 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Article
  7. Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Review
  13. Article
  14. The role of cytokines in ovarian cancer drug resistance.International journal of cancer · 2026
    Review
  15. Review
  16. Review
  17. Article
  18. Review
  19. Mechanisms of apoptosis-related non-coding RNAs in ovarian cancer: a narrative review.Apoptosis : an international journal on programmed cell death · 2025
    Review
  20. Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors at 6 institutions in 2 countries.

Jermaine CowardBarts Cancer Institute, Queen Mary University of London, UK.
Hagen Kulbe
Probir Chakravarty
David Leader
Vessela Vassileva
D Andrew Leinster
Richard Thompson
Tiziana Schioppa
Jeffery Nemeth
Jessica Vermeulen
Naveena Singh
Norbert Avril
Jeff Cummings
Elton Rexhepaj
Karin Jirström
William M Gallagher
Donal J Brennan
Iain A McNeish
Frances R Balkwill
Cancer Research UK Manchester Institute · GBRoyal London Hospital · GBCancer Research UK · GBOrtho Clinical Diagnostics (United States) · USUniversity of Manchester · GBQueen Mary University of London · GB

Funding

Cancer Research UK A10603Cancer Research UK A5213Medical Research Council G0501974Medical Research Council G0501974(77044)Medical Research Council G0601891Medical Research Council G0601891(82080)
6 · The paper itself

Abstract

purposeWe investigated whether inhibition of interleukin 6 (IL-6) has therapeutic activity in ovarian cancer via abrogation of a tumor-promoting cytokine network. EXPERIMENTAL

designWe combined preclinical and in silico experiments with a phase 2 clinical trial of the anti-IL-6 antibody siltuximab in patients with platinum-resistant ovarian cancer.

resultsAutomated immunohistochemistry on tissue microarrays from 221 ovarian cancer cases showed that intensity of IL-6 staining in malignant cells significantly associated with poor prognosis. Treatment of ovarian cancer cells with siltuximab reduced constitutive cytokine and chemokine production and also inhibited IL-6 signaling, tumor growth, the tumor-associated macrophage infiltrate and angiogenesis in IL-6-producing intraperitoneal ovarian cancer xenografts. In the clinical trial, the primary endpoint was response rate as assessed by combined RECIST and CA125 criteria. One patient of eighteen evaluable had a partial response, while seven others had periods of disease stabilization. In patients treated for 6 months, there was a significant decline in plasma levels of IL-6-regulated CCL2, CXCL12, and VEGF. Gene expression levels of factors that were reduced by siltuximab treatment in the patients significantly correlated with high IL-6 pathway gene expression and macrophage markers in microarray analyses of ovarian cancer biopsies.

conclusionIL-6 stimulates inflammatory cytokine production, tumor angiogenesis, and the tumor macrophage infiltrate in ovarian cancer and these actions can be inhibited by a neutralizing anti-IL-6 antibody in preclinical and clinical studies.

Indexed as

Interleukin-6 InhibitorsAnimalsAntibodies, MonoclonalAntineoplastic AgentsBiomarkersCell Line, TumorComputational BiologyFemaleGene Expression ProfilingGene Expression Regulation, NeoplasticHumansInterleukin-6Kaplan-Meier EstimateMiceMice, Inbred BALB CMice, NudeAntibodies, MonoclonalAntineoplastic AgentsBiomarkersInterleukin-6Interleukin-6 InhibitorsReceptors, Interleukin-6siltuximab

Identifiers

PMID21795409
PMCPMC3182554
OpenAlexW2074601175

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.