Evidence map›Paper›PMID 23728179›Full record

ArticleThe Journal of clinical investigation2013

Depleting tumor-specific Tregs at a single site eradicates disseminated tumors.

Aurélien Marabelle, Holbrook Kohrt, Idit Sagiv-Barfi, Bahareh Ajami, Robert C Axtell, Gang Zhou, Ranjani Rajapaksa, Michael R Green, James Torchia, Joshua Brody and 6 more

Erratum issued 3 registry-linked trialsOpen access · bronzeAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to 3 registered trials, which are not on this map. Cited by 215 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
215citing papers in PubMed, 1 pooled it
18.2field-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.

NCT03792724 phase1 / phase2unknown statusnot on this mapstarted 2019, after this paper: background citation

Phase I-II Study of Intratumoral Urelumab Combined With Nivolumab in Patients With Solid Tumors

TypeinterventionalSponsorClinica Universidad de Navarra, Universidad de NavarraRan2019 to 2023Enrolled32ConditionsNeoplasmsArmsUrelumab + Nivolumab
NCT03894215 phase2terminatednot on this mapstarted 2019, after this paper: background citation

A Two-arm, Randomized, Non-comparative, Phase 2 Trial of AGEN2034 (Anti-PD-1) as a Monotherapy or Combination Therapy With AGEN1884 (Anti- CTLA4) or With Placebo in Women With Recurrent Cervical Cancer (Second Line) - RaPiDS

TypeinterventionalSponsorAgenus Inc.Ran2019 to 2025Enrolled211ConditionsCervical CancerArmsAGEN2034, AGEN1884
NCT07188246 phase2recruitingnot on this mapstarted 2026, after this paper: background citation

A Trial of Neoadjuvant, Hypofractionated Radiation, With Intratumoural Pembrolizumab Followed by Neoadjuvant Chemotherapy, in Stage 3 or High-risk Stage 2 Breast Cancer

TypeinterventionalSponsorLondon Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph'sRan2026 to 2029Enrolled40ConditionsBreast Cancer, Breast Cancer Stage II, Breast Cancer Stage III, Breast Cancer InvasiveArmsRadiation, Pembrolizumab (KEYTRUDA®)
3 · Its place in the literature

Who cites it

215 citing papers in PubMed, 1 synthesis or guideline pooled it, 309 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Cancer discovery · 2018
    Trial
  4. Trial
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Methylated CpG ODNs fromInternational journal of molecular sciences · 2025
    Article
  14. HVJ-E links Apolipoprotein d to antitumor effects.Journal for immunotherapy of cancer · 2025
    Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Review
  20. Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 4 institutions in 1 country.

Aurélien MarabelleDepartment of Medicine, Division of Oncology, Stanford University, Stanford, California 94305, USA.
Holbrook Kohrt
Idit Sagiv-Barfi
Bahareh Ajami
Robert C Axtell
Gang Zhou
Ranjani Rajapaksa
Michael R Green
James Torchia
Joshua Brody
Richard Luong
Michael D Rosenblum
Lawrence Steinman
Hyam I Levitsky
Victor Tse
Ronald Levy
Stanford University · USAugusta University Health · USJohns Hopkins University · USUniversity of California, San Francisco · US

Funding

Reversing tumor-specific CD4+ T-cell tolerance to control relapse after chemotherR01CA158202 · NCI · AUGUSTA UNIVERSITY · PI ZHOU, GANG · 2012 to 2016
$1.4M
NCI NIH HHS R01 CA158202
6 · The paper itself

Abstract

Activation of TLR9 by direct injection of unmethylated CpG nucleotides into a tumor can induce a therapeutic immune response; however, Tregs eventually inhibit the antitumor immune response and thereby limit the power of cancer immunotherapies. In tumor-bearing mice, we found that Tregs within the tumor preferentially express the cell surface markers CTLA-4 and OX40. We show that intratumoral coinjection of anti-CTLA-4 and anti-OX40 together with CpG depleted tumor-infiltrating Tregs. This in situ immunomodulation, which was performed with low doses of antibodies in a single tumor, generated a systemic antitumor immune response that eradicated disseminated disease in mice. Further, this treatment modality was effective against established CNS lymphoma with leptomeningeal metastases, sites that are usually considered to be tumor cell sanctuaries in the context of conventional systemic therapy. These results demonstrate that antitumor immune effectors elicited by local immunomodulation can eradicate tumor cells at distant sites. We propose that, rather than using mAbs to target cancer cells systemically, mAbs could be used to target the tumor infiltrative immune cells locally, thereby eliciting a systemic immune response.

Indexed as

Adjuvants, ImmunologicAnimalsAntibodies, Monoclonal, Murine-DerivedBrain NeoplasmsCell Line, TumorCombined Modality TherapyCTLA-4 AntigenFemaleHumansImmunologic FactorsImmunomodulationImmunotherapyInjections, IntralesionalLymphocyte DepletionLymphomaMeningeal NeoplasmsAdjuvants, ImmunologicAntibodies, Monoclonal, Murine-DerivedCpG ODN 1826CTLA-4 AntigenImmunologic FactorsOligodeoxyribonucleotidesReceptors, OX40Tlr9 protein, mouseTnfrsf4 protein, mouseToll-Like Receptor 9

Identifiers

PMID23728179
PMCPMC3668834
OpenAlexW1978152737

What OpenQuestion holds

Textmetadata
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.