Evidence map›Paper›PMID 26855028›Full record

ReviewExpert opinion on biological therapy2016

Enhancing the safety of antibody-based immunomodulatory cancer therapy without compromising therapeutic benefit: Can we have our cake and eat it too?

Joseph M Ryan, Jeffrey S Wasser, Adam J Adler, Anthony T Vella

Abstract readReview
In one paragraph

Review in Expert opinion on biological therapy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
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

11 citing papers in PubMed.

  1. Trial
  2. Clinical characteristics, treatment and prognosis of nivolumab induced cytokine release syndrome.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  3. Review
  4. Review
  5. Review
  6. Homing Peptides for Cancer Therapy.Advances in experimental medicine and biology · 2021
    Review
  7. Article
  8. Article
  9. Review
  10. Review
  11. Review
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

4 authors.

Joseph M Ryana Department of Immunology , UConn Health , Farmington , CT , USA.
Jeffrey S Wasserb Department of Medicine , UConn Health , Farmington , CT , USA.
Adam J Adlera Department of Immunology , UConn Health , Farmington , CT , USA.
Anthony T Vellaa Department of Immunology , UConn Health , Farmington , CT , USA.

Funding

Redirecting T Cell Responses to Self/Tumor Antigens Using Enforced CostimulationR01CA109339 · NCI · UNIVERSITY OF CONNECTICUT SCH OF MED/DNT · PI ADLER, ADAM J, VELLA, ANTHONY T · 2004 to 2015
$2.9M
Breaking Tolerance to Induce Tumor-Specific Cytotoxic CD4 Th1 CellsR01AI094640 · NIAID · UNIVERSITY OF CONNECTICUT SCH OF MED/DNT · PI ADLER, ADAM J, VELLA, ANTHONY T · 2012 to 2016
$1.9M
NCI NIH HHS CA109339NCI NIH HHS R01 CA109339NIAID NIH HHS AI094640NIAID NIH HHS R01 AI094640
6 · The paper itself

Abstract

introductionMonoclonal antibodies (mAbs) targeting checkpoint inhibitors have demonstrated clinical benefit in treating patients with cancer and have paved the way for additional immune-modulating mAbs such as those targeting costimulatory receptors. The full clinical utility of these agents, however, is hampered by immune-related adverse events (irAEs) that can occur during therapy. AREAS COVERED: We first provide a general overview of tumor immunity, followed by a review of the two major classes of immunomodulatory mAbs being developed as cancer therapeutics: checkpoint inhibitors and costimulatory receptor agonists. We then discuss therapy-associated adverse events. Finally, we describe in detail the mechanisms driving their therapeutic activity, with an emphasis on interactions between antibody fragment crystallizable (Fc) domains and Fc receptors (FcR). EXPERT OPINION: Given that Fc-FcR interactions appear critical in facilitating the ability of immunomodulatory mAbs to elicit both therapeutically useful as well as adverse effects, the engineering of mAbs that can effectively engage their targets while limiting interaction with FcRs might represent a promising future avenue for developing the next generation of immune-enhancing tumoricidal agents with increased safety and retention of efficacy.

Indexed as

ImmunomodulationAnimalsAntibodies, MonoclonalAntineoplastic AgentsCell Cycle CheckpointsCostimulatory and Inhibitory T-Cell ReceptorsDrug-Related Side Effects and Adverse ReactionsHumansNeoplasmsAntibodies, MonoclonalAntineoplastic AgentsCostimulatory and Inhibitory T-Cell ReceptorsAccessory celladverse eventsantibodyantitumorbiologiccancercheckpoint inhibitorcostimulatory agonistcytotoxiceffectorefficacyFcFcRFc receptorimmunomodulatoryimmunosuppressionimmunotherapyirAEmAbmonoclonalside effectstolerancetoxicitytumoricidaltumor microenvironment

Identifiers

PMID26855028
PMCPMC4955764

What OpenQuestion holds

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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.