Evidence map›Paper›PMID 27197192›Full record

Trial reportCancer research2016

Improved Survival of HER2+ Breast Cancer Patients Treated with Trastuzumab and Chemotherapy Is Associated with Host Antibody Immunity against the HER2 Intracellular Domain.

Keith L Knutson, Raphael Clynes, Barath Shreeder, Patrick Yeramian, Kathleen P Kemp, Karla Ballman, Kathleen S Tenner, Courtney L Erskine, Nadine Norton, Donald Northfelt and 5 more

Open access · greenAbstract readClinical Trial, Phase IIComparative StudyMulticenter Study
In one paragraph

Trial report in Cancer research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
7.4field-weighted citation impact, top 3% 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

34 citing papers in PubMed, 60 citations in OpenAlex.

  1. The immune profile of small HER2-positive breast cancers: a secondary analysis from the APT trial.Annals of oncology : official journal of the European Society for Medical Oncology · 2019
    Trial
  2. Trial
  3. Trial
  4. FCGR Polymorphisms Influence Response to IL2 in Metastatic Renal Cell Carcinoma.Clinical cancer research : an official journal of the American Association for Cancer Research · 2017
    Trial
  5. Review
  6. Article
  7. Article
  8. Review
  9. Review
  10. Review
  11. Review
  12. Article
  13. Role of Fcγ receptors in HER2-targeted breast cancer therapy.Journal for immunotherapy of cancer · 2022
    Review
  14. Article
  15. Review
  16. Article
  17. Rapid Generation of Sustainable HER2-specific T-cell Immunity in Patients with HER2 Breast Cancer using a Degenerate HLA Class II Epitope Vaccine.Clinical cancer research : an official journal of the American Association for Cancer Research · 2020
    Article
  18. HER2-Positive Breast Cancer Immunotherapy: A Focus on Vaccine Development.Archivum immunologiae et therapiae experimentalis · 2020
    Review
  19. Review
  20. Article
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

15 authors at 1 institution in 1 country.

Keith L KnutsonDepartment of Immunology, Mayo Clinic, Jacksonville, Florida. knutson.keith@mayo.edu.
Raphael ClynesDivision of Hematology and Oncology, Columbia University, New York, New York.
Barath ShreederDepartment of Immunology, Mayo Clinic, Jacksonville, Florida.
Patrick YeramianCancer Vaccines and Immune Therapies Program, Center for Diseases of Aging, Vaccine and Gene Therapy Institute of Florida, Port St. Lucie, Florida.
Kathleen P KempCancer Vaccines and Immune Therapies Program, Center for Diseases of Aging, Vaccine and Gene Therapy Institute of Florida, Port St. Lucie, Florida.
Karla BallmanDepartment of Health Sciences Research, Mayo Clinic, Rochester, Minnesota.
Kathleen S TennerDepartment of Health Sciences Research, Mayo Clinic, Rochester, Minnesota.
Courtney L ErskineDepartment of Immunology, Mayo Clinic, Rochester, Minnesota.
Nadine NortonDepartment of Cancer Biology, Mayo Clinic, Jacksonville, Florida.
Donald NorthfeltDivision of Hematology and Oncology, Mayo Clinic, Scottsdale, Arizona.
Winston TanDivision of Hematology and Oncology, Mayo Clinic, Jacksonville, Florida.
Carmen CalfaMemorial Hospital, Hollywood, Florida.
Mark PegramStanford University, Stanford, California.
Elizabeth A MittendorfDepartment of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas.
Edith A PerezDivision of Hematology and Oncology, Mayo Clinic, Jacksonville, Florida.
Mayo Clinic · US

Funding

Member Site CoreU10CA180821 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI Evanthia Galanis · 2014 to 2026
$177.3M
TRANSLATIONAL RESEARCHU10CA025224 · NCI · MAYO CLINIC ROCHESTER · PI BUCKNER, JAN C · 1985 to 2013
$85.0M
NCTN Lead Academic Participating Site at Dana-Farber/Partners Cancer CareU10CA180867 · NCI · DANA-FARBER CANCER INST · PI BURSTEIN, HAROLD JOHN, KIBEL, ADAM S · 2014 to 2018
$6.2M
Role of Immunity in Efficacy of Chemotherapy Plus TrastuzumabR01CA152045 · NCI · MAYO CLINIC JACKSONVILLE · PI KNUTSON, KEITH L., PEREZ, EDITH A. · 2011 to 2015
$2.7M
NCI NIH HHS R01 CA152045NCI NIH HHS U10 CA025224NCI NIH HHS U10 CA180821NCI NIH HHS U10 CA180867
6 · The paper itself

Abstract

The addition of trastuzumab to chemotherapy extends survival among patients with HER2(+) breast cancer. Prior work showed that trastuzumab and chemotherapy augments HER2 extracellular domain (ECD)-specific antibodies. The current study investigated whether combination therapy induced immune responses beyond HER2-ECD and, importantly, whether those immune responses were associated with survival. Pretreatment and posttreatment sera were obtained from 48 women with metastatic HER2(+) breast cancer on NCCTG (now Alliance for Clinical Trials in Oncology) studies, N0337 and N983252. IgG to HER2 intracellular domain (ICD), HER2-ECD, p53, IGFBP2, CEA, and tetanus toxoid were examined. Sera from 25 age-matched controls and 26 surgically resected HER2(+) patients were also examined. Prior to therapy, some patients with metastatic disease had elevated antibodies to IGFBP2, p53, HER2-ICD, HER2-ECD, and CEA, but not to tetanus toxin, relative to controls and surgically resected patients. Treatment augmented antibody responses to HER2-ICD in 69% of metastatic patients, which was highly associated with improved progression-free survival (PFS; HR = 0.5, P = 0.0042) and overall survival (OS; HR = 0.7, P = 0.038). Augmented antibody responses to HER2-ICD also correlated (P = 0.03) with increased antibody responses to CEA, IGFBP2, and p53, indicating that treatment induces epitope spreading. Paradoxically, patients who already had high preexisting immunity to HER2-ICD did not respond to therapy with increased antibodies to HER2-ICD and demonstrated poorer PFS (HR = 1.6, P < 0.0001) and OS (HR = 1.4, P = 0.0006). Overall, the findings further demonstrate the importance of the adaptive immune system in the efficacy of trastuzumab-containing regimens. Cancer Res; 76(13); 3702-10. ©2016 AACR.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsBiomarkers, TumorBreast NeoplasmsCapecitabineCarboplatinCase-Control StudiesErb-b2 Receptor Tyrosine KinasesFemaleFollow-Up StudiesHumansImmunizationNeoplasm StagingPaclitaxelPrognosisProspective StudiesSurvival RateBiomarkers, TumorCapecitabineCarboplatinErb-b2 Receptor Tyrosine KinasesPaclitaxelTrastuzumabVinblastineVinorelbine

Identifiers

PMID27197192
PMCPMC5594563
OpenAlexW2341719138

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.