Evidence map›Paper›PMID 26951040›Full record

ReviewNature reviews. Clinical oncology2016

Immunotherapy and stereotactic ablative radiotherapy (ISABR): a curative approach?

Michael B Bernstein, Sunil Krishnan, James W Hodge, Joe Y Chang

7 registry-linked trialsOpen access · greenAbstract readReview
In one paragraph

Review in Nature reviews. Clinical oncology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 7 registered trials, which are not on this map. Cited by 250 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
250citing papers in PubMed, 5 pooled it
18.1field-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.

NCT02940990 phase2unknown statusnot on this map

SBRT in Multi-metastatic NSCLC Patients Which Are Pan-negative for Driver Mutations

TypeinterventionalSponsorShanghai Chest HospitalRan2016Enrolled50ConditionsNSCLC, SBRT, GM-CSFArmsSBRT concurrent with GM-CSF, two-drug chemotherapy containing platinum, including carboplatin/Cisplatin + pemetrexed/docetaxel/paclitaxel/etoposide/gemcitabine/vinorelbine/albumin-bound paclitaxel
NCT03812549 phase1completednot on this mapstarted 2019, after this paper: background citation

Multi-center Phase I Study of Sintilimab in Combination With Radiotherapy in Treatment Naive PD-L1 Positive Stage IV Non-small Cell Lung Cancer (NSCLC)

TypeinterventionalSponsorSichuan UniversityRan2019 to 2022Enrolled29ConditionsStage IV NSCLCArmsSintilimab, stereotactic body radiation therapy, Low Dose Radiotherapy
NCT03817736 phase2completednot on this mapstarted 2019, after this paper: background citation

Sequential TransArterial Chemoembolization and Stereotactic RadioTherapy Followed by ImmunoTherapy for Downstaging Hepatocellular Carcinoma for Hepatectomy (START-FIT)

TypeinterventionalSponsorThe University of Hong KongRan2019 to 2023Enrolled33ConditionsHCCArmsTACE, SBRT, Immune Checkpoint Inhibitor
NCT03965468 phase2active not recruitingnot on this mapstarted 2019, after this paper: background citation

A Multicentre Single Arm Phase II Trial Assessing the Efficacy of Immunotherapy, Chemotherapy and Stereotactic Radiotherapy to Metastases Followed by Definitive Surgery or Radiotherapy to the Primary Tumour, in Patients With Synchronous Oligo-metastatic Non-small Cell Lung Cancer

TypeinterventionalSponsorETOP IBCSG Partners FoundationRan2019 to 2026Enrolled96ConditionsNon-small Cell Lung Cancer, Stage IV, OligometastasisArmsDurvalumab, Carboplatin, Paclitaxel, Stereotactic body radiation therapy (SBRT), Surgical resection - definitive local treatment.
NCT05615142 phase1active not recruitingnot on this mapstarted 2021, after this paper: background citation

Phase I Study of Low Dose Radiotherapy and Concurrent SBRT in Combination With PD-1 Inhibitors in Advanced Non-small Cell Lung Cancer (NSCLC) .

TypeinterventionalSponsorSichuan UniversityRan2021 to 2026Enrolled9ConditionsNSCLC, Low Dose Radiotherapy, Stereotactic Body Radiotherapy, PD-1 InhibitorArmsLow Dose Radiotherapy, stereotactic body radiation therapy, PD-1 Inhibitors
NCT05798845 phase2recruitingnot on this mapstarted 2025, after this paper: background citation

Exploratory Phase II Clinical Study of Toripalimab Plus Radiotherapy Versus Toripalimab Plus Chemotherapy for the Neoadjuvant Treatment of Operable Stage II-IIIA (N+) Non-small Cell Lung Cancer (NSCLC)

TypeinterventionalSponsorShanghai Chest HospitalRan2025 to 2026Enrolled124ConditionsNSCLCArmsSBRT+LDRT, Toripalimab, Chemotherapy drug
NCT06408753 completednot on this mapstarted 2019, after this paper: background citation

Plasma Biomarker in Predicting Response and Toxicity in Hepatocellular Carcinoma Patients Treated With Checkpoint Inhibitors With or Without Sterotatic Body Radiotherapy

Typeobservational_patient_registrySponsorThe University of Hong KongRan2019 to 2024Enrolled50ConditionsHepatocellular Carcinoma Non-resectable, Stereotactic Body RadiotherapyArmssterotatic body radiotherapy
3 · Its place in the literature

Who cites it

250 citing papers in PubMed, 5 syntheses or guidelines pooled it, 415 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Trial
  7. Trial
  8. Trial
  9. Trial
  10. Trial
  11. Trial
  12. Outcome and Immune Correlates of a Phase II Trial of High-Dose Interleukin-2 and Stereotactic Ablative Radiotherapy for Metastatic Renal Cell Carcinoma.Clinical cancer research : an official journal of the American Association for Cancer Research · 2021
    Trial
  13. Trial
  14. Trial
  15. Trial
  16. Trial
  17. Article
  18. Article
  19. SARS-CoV-2 mRNA Vaccination Improved Survival in NSCLC Treated With Radiotherapy.Journal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer · 2026
    Article
  20. Article

190 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

4 authors at 2 institutions in 1 country.

Michael B BernsteinDivision of Radiation Oncology, MD Anderson Cancer Center, Unit 97, 1515 Holcombe Boulevard, Houston, Texas 77030, USA.
Sunil KrishnanDivision of Radiation Oncology, MD Anderson Cancer Center, Unit 97, 1515 Holcombe Boulevard, Houston, Texas 77030, USA.
James W HodgeLaboratory of Tumor Immunology and Biology, Center for Cancer Research, National Cancer Institute, Building 10, Room 8B13, Bethesda, Maryland 20892-1750, USA.
Joe Y ChangDivision of Radiation Oncology, MD Anderson Cancer Center, Unit 97, 1515 Holcombe Boulevard, Houston, Texas 77030, USA.
The University of Texas MD Anderson Cancer Center · USNational Cancer Institute · US

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Scott Kopetz · 1985 to 2026
$290.8M
Vaccine and radiation for the therapy of human cancersZIABC010975 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI HODGE, JAMES · 2009 to 2025
$11.0M
NCI NIH HHS P30 CA016672
6 · The paper itself

Abstract

Conventional radiotherapy, in addition to its well-established tumoricidal effects, can also activate the host immune system. Radiation therapy modulates tumour phenotypes, enhances antigen presentation and tumour immunogenicity, increases production of cytokines and alters the tumour microenvironment, enabling destruction of the tumour by the immune system. Investigating the combination of radiotherapy with immunotherapeutic agents, which also promote the host antitumour immune response is, therefore, a logical progression. As the spectrum of clinical use of stereotactic radiotherapy continues to broaden, the question arose as to whether the ablative radiation doses used can also stimulate immune responses and, if so, whether we can amplify these effects by combining immunotherapy and stereotactic ablative radiotherapy (SABR). In this Perspectives article, we explore the preclinical and clinical evidence supporting activation of the immune system following SABR. We then examine studies that provide data on the effectiveness of combining these two techniques - immunotherapy and SABR - in an approach that we have termed 'ISABR'. Lastly, we provide general guiding principles for the development of future clinical trials to investigate the efficacy of ISABR in the hope of generating further interest in these exciting developments.

Indexed as

Antibodies, Monoclonal, HumanizedClinical Trials as TopicCombined Modality TherapyCTLA-4 AntigenForecastingHumansImmunotherapyNeoplasmsProgrammed Cell Death 1 ReceptorRadiosurgeryAntibodies, Monoclonal, HumanizedCTLA-4 AntigenCTLA4 protein, humanPDCD1 protein, humanProgrammed Cell Death 1 Receptor

Identifiers

PMID26951040
PMCPMC6053911
OpenAlexW2293494611

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

and 1 more above

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.