Evidence map›Paper›PMID 26787752›Full record

ArticleClinical cancer research : an official journal of the American Association for Cancer Research2016

Baseline Peripheral Blood Biomarkers Associated with Clinical Outcome of Advanced Melanoma Patients Treated with Ipilimumab.

Alexander Martens, Kilian Wistuba-Hamprecht, Marnix Geukes Foppen, Jianda Yuan, Michael A Postow, Phillip Wong, Emanuela Romano, Amir Khammari, Brigitte Dreno, Mariaelena Capone and 14 more

Open access · bronzeAbstract read
In one paragraph

Article in Clinical cancer research : an official journal of the American Association for Cancer Research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 332 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
332citing papers in PubMed, 5 pooled it
35.6field-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

332 citing papers in PubMed, 5 syntheses or guidelines pooled it, 540 citations in OpenAlex.

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  12. Eosinophils in solid cancers: sentinels, predictors, and therapeutic allies.Journal of experimental & clinical cancer research : CR · 2026
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272 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

24 authors at 4 institutions in 2 countries.

Alexander MartensDepartment of Dermatology, University Medical Center, Tübingen, Germany. Department of Internal Medicine II, University Medical Center, Tübingen, Germany.
Kilian Wistuba-HamprechtDepartment of Dermatology, University Medical Center, Tübingen, Germany. Department of Internal Medicine II, University Medical Center, Tübingen, Germany.
Marnix Geukes FoppenThe Netherlands Cancer Institute, Amsterdam, the Netherlands.
Jianda YuanMemorial Sloan Kettering Cancer Center, New York, New York.
Michael A PostowMemorial Sloan Kettering Cancer Center, New York, New York. Weill Cornell Medical College, New York, New York.
Phillip WongMemorial Sloan Kettering Cancer Center, New York, New York.
Emanuela RomanoDepartment of Oncology, Service of Medical Oncology, Research Unit 932, Institut Curie, Paris, France.
Amir KhammariDepartment of Oncodermatology, INSERM Research Unit 892, University Hospital, Nantes, France.
Brigitte DrenoDepartment of Oncodermatology, INSERM Research Unit 892, University Hospital, Nantes, France.
Mariaelena CaponeIstituto Nazionale Tumori Fondazione Pascale, Naples, Italy.
Paolo A AsciertoIstituto Nazionale Tumori Fondazione Pascale, Naples, Italy.
Anna Maria Di GiacomoDivision of Medical Oncology and Immunotherapy, University Hospital of Siena, Italy.
Michele MaioDivision of Medical Oncology and Immunotherapy, University Hospital of Siena, Italy.
Bastian SchillingDepartment of Dermatology, University Hospital, West German Cancer Center, University Duisburg-Essen, Essen, Germany. German Cancer Consortium (DKTK), Heidelberg, Germany.
Antje SuckerDepartment of Dermatology, University Hospital, West German Cancer Center, University Duisburg-Essen, Essen, Germany. German Cancer Consortium (DKTK), Heidelberg, Germany.
Dirk SchadendorfDepartment of Dermatology, University Hospital, West German Cancer Center, University Duisburg-Essen, Essen, Germany. German Cancer Consortium (DKTK), Heidelberg, Germany.
Jessica C HasselGerman Cancer Consortium (DKTK), Heidelberg, Germany. Department of Dermatology and National Center for Tumor Diseases, University Hospital Heidelberg, Heidelberg, Germany.
Thomas K EigentlerDepartment of Dermatology, University Medical Center, Tübingen, Germany.
Peter MartusDepartments of Clinical Epidemiology and Applied Biostatistics, University of Tübingen, Tübingen, Germany.
Jedd D WolchokMemorial Sloan Kettering Cancer Center, New York, New York. Weill Cornell Medical College, New York, New York.
Christian BlankThe Netherlands Cancer Institute, Amsterdam, the Netherlands.
Graham PawelecDepartment of Internal Medicine II, University Medical Center, Tübingen, Germany.
Claus GarbeDepartment of Dermatology, University Medical Center, Tübingen, Germany.
Benjamin WeideDepartment of Dermatology, University Medical Center, Tübingen, Germany. Department of Immunology, University of Tübingen, Tübingen, Germany. benjamin.weide@med.uni-tuebingen.de.
Memorial Sloan Kettering Cancer Center · USDeutschen Konsortium für Translationale Krebsforschung · DEGerman Cancer Research Center · DEKettering University · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

purposeTo identify baseline peripheral blood biomarkers associated with clinical outcome following ipilimumab treatment in advanced melanoma patients. EXPERIMENTAL

designFrequencies of myeloid-derived suppressor cells (MDSC) and regulatory T cells (Treg), serum lactate dehydrogenase (LDH), routine blood counts, and clinical characteristics were assessed in 209 patients. Endpoints were overall survival (OS) and best overall response. Statistical calculations were done by Kaplan-Meier and Cox regression analysis, including calibration and discrimination by C-statistics.

resultsLow baseline LDH, absolute monocyte counts (AMC), Lin(-)CD14(+)HLA-DR(-/low)-MDSC frequencies, and high absolute eosinophil counts (AEC), relative lymphocyte counts (RLC), and CD4(+)CD25(+)FoxP3(+)-Treg frequencies were significantly associated with better survival, and were considered in a combination model. Patients (43.5%) presenting with the best biomarker signature had a 30% response rate and median survival of 16 months. In contrast, patients with the worst biomarkers (27.5%) had only a 3% response rate and median survival of 4 months. The occurrence of adverse events correlated with neither baseline biomarker signatures nor the clinical benefit of ipilimumab. In another model, limited to the routine parameters LDH, AMC, AEC, and RLC, the number of favorable factors (4 vs. 3 vs. 2-0) was also associated with OS (P < 0.001 for all pairwise comparisons) in the main study and additionally in an independent validation cohort.

conclusionsA baseline signature of low LDH, AMC, and MDSCs as well as high AEC, Tregs, and RLC is associated with favorable outcome following ipilimumab. Prospective investigation of the predictive impact of these markers following ipilimumab and other treatments, e.g., PD-1 antibodies, is warranted. Clin Cancer Res; 22(12); 2908-18. ©2016 AACR.

Indexed as

AgedAntineoplastic Agents, ImmunologicalBiomarkers, TumorErythrocyte CountFemaleHumansIpilimumabL-Lactate DehydrogenaseLymphocyte CountMaleMelanomaMyeloid-Derived Suppressor CellsSkin NeoplasmsT-Lymphocytes, RegulatoryTreatment OutcomeAntineoplastic Agents, ImmunologicalBiomarkers, TumorIpilimumabL-Lactate Dehydrogenase

Identifiers

PMID26787752
PMCPMC5770142
OpenAlexW2282962877

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.