Evidence map›Paper›PMID 27169994›Full record

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

Immunomodulatory Activity of Nivolumab in Metastatic Renal Cell Carcinoma.

Toni K Choueiri, Mayer N Fishman, Bernard Escudier, David F McDermott, Charles G Drake, Harriet Kluger, Walter M Stadler, Jose Luis Perez-Gracia, Douglas G McNeel, Brendan Curti and 14 more

Open access · bronzeAbstract readClinical Trial, Phase I
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 182 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
182citing papers in PubMed, 5 pooled it
16.4field-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

182 citing papers in PubMed, 5 syntheses or guidelines pooled it, 290 citations in OpenAlex.

  1. Pooled it
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  4. Immunotherapy for metastatic renal cell carcinoma.The Cochrane database of systematic reviews · 2017
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  17. Nivolumab versus Everolimus in Advanced Renal-Cell Carcinoma.The New England journal of medicine · 2015
    Trial
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  20. Article

122 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 3 institutions in 2 countries.

Toni K ChoueiriKidney Cancer Center, Dana-Farber Cancer Institute Brigham and Women's Hospital, and Harvard Medical School, Boston, Massachusetts. Toni_Choueiri@dfci.harvard.edu.
Mayer N FishmanMoffitt Cancer Center, Tampa, Florida.
Bernard EscudierInstitut Gustave Roussy, Villejuif, France.
David F McDermottBeth Israel Deaconess Medical Center, Boston, Massachusetts.
Charles G DrakeJohns Hopkins Sidney Kimmel Comprehensive Cancer Center and the Brady Urological Institute, Baltimore, Maryland.
Harriet KlugerYale University School of Medicine and Yale Cancer Center, New Haven, Connecticut.
Walter M StadlerUniversity of Chicago School of Medicine, Chicago, Illinois.
Jose Luis Perez-GraciaClinica Universidad de Navarra, Pamplona, Navarra, Spain.
Douglas G McNeelUniversity of Wisconsin at Carbone Cancer Center, Madison, Wisconsin.
Brendan CurtiEarle A. Chiles Research Institute, Portland, Oregon.
Michael R HarrisonDuke University Medical Center, Durham, North Carolina.
Elizabeth R PlimackFox Chase Cancer Center, Philadelphia, Pennsylvania.
Leonard ApplemanUniversity of Pittsburgh Cancer Institute, Pittsburgh, Pennsylvania.
Lawrence FongUniversity of California San Francisco Helen Diller Family Comprehensive Cancer Center, San Francisco, California.
Laurence AlbigesKidney Cancer Center, Dana-Farber Cancer Institute, Boston, Massachusetts, and Institut Gustave Roussy, Villejuif, France.
Lewis CohenBristol-Myers Squibb, Princeton, New Jersey.
Tina C YoungBristol-Myers Squibb, Princeton, New Jersey.
Scott D ChasalowBristol-Myers Squibb, Princeton, New Jersey.
Petra Ross-MacdonaldBristol-Myers Squibb, Princeton, New Jersey.
Shivani SrivastavaBristol-Myers Squibb, Princeton, New Jersey.
Maria Jure-KunkelBristol-Myers Squibb, Princeton, New Jersey.
John F KurlandBristol-Myers Squibb, Princeton, New Jersey.
Jason S SimonBristol-Myers Squibb, Princeton, New Jersey.
Mario SznolYale University School of Medicine and Yale Cancer Center, New Haven, Connecticut.
Duke Medical Center · USInstitut Gustave Roussy · FRMoffitt Cancer Center · US

Funding

WORD PROCESSING CENTER--COREP30CA006927 · NCI · RESEARCH INST OF FOX CHASE CAN CTR · PI Margaret von Mehren · 1985 to 2026
$138.8M
Yale Pathology Tissue Services Shared ResourceP30CA016359 · NCI · YALE UNIVERSITY · PI DAVID L RIMM · 1985 to 2026
$85.0M
Treating the P13-Kinase/AKTP50CA101942 · NCI · BETH ISRAEL DEACONESS MEDICAL CENTER · PI Wanling Xie · 2003 to 2026
$53.4M
NCI NIH HHS P30 CA006927NCI NIH HHS P30 CA016359NCI NIH HHS P50 CA101942
6 · The paper itself

Abstract

purposeNivolumab, an anti-PD-1 immune checkpoint inhibitor, improved overall survival versus everolimus in a phase 3 trial of previously treated patients with metastatic renal cell carcinoma (mRCC). We investigated immunomodulatory activity of nivolumab in a hypothesis-generating prospective mRCC trial. EXPERIMENTAL

designNivolumab was administered intravenously every 3 weeks at 0.3, 2, or 10 mg/kg to previously treated patients and 10 mg/kg to treatment-naïve patients with mRCC. Baseline and on-treatment biopsies and blood were obtained. Clinical activity, tumor-associated lymphocytes, PD-L1 expression (Dako immunohistochemistry; ≥5% vs. <5% tumor membrane staining), tumor gene expression (Affymetrix U219), serum chemokines, and safety were assessed.

resultsIn 91 treated patients, median overall survival [95% confidence interval (CI)] was 16.4 months [10.1 to not reached (NR)] for nivolumab 0.3 mg/kg, NR for 2 mg/kg, 25.2 months (12.0 to NR) for 10 mg/kg, and NR for treatment-naïve patients. Median percent change from baseline in tumor-associated lymphocytes was 69% (CD3

conclusionsImmunomodulatory effects of PD-1 inhibition were demonstrated through multiple lines of evidence across nivolumab doses. Biomarker changes from baseline reflect nivolumab pharmacodynamics in the tumor microenvironment. These data may inform potential combinations. Clin Cancer Res; 22(22); 5461-71. ©2016 AACR.

Indexed as

Antibodies, MonoclonalAntineoplastic AgentsB7-H1 AntigenCarcinoma, Renal CellChemokine CXCL10Chemokine CXCL9EverolimusFemaleHumansImmunologic FactorsInterferon-gammaKidney NeoplasmsLymphocytesMaleMiddle AgedNivolumabAntibodies, MonoclonalAntineoplastic AgentsB7-H1 AntigenChemokine CXCL10Chemokine CXCL9EverolimusImmunologic FactorsInterferon-gammaNivolumab

Identifiers

PMID27169994
PMCPMC5106340
OpenAlexW2371138393

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.