Evidence map›Paper›PMID 27242164›Full record

Trial reportThe Journal of experimental medicine2016

Combined IL-21-primed polyclonal CTL plus CTLA4 blockade controls refractory metastatic melanoma in a patient.

Aude G Chapuis, Sylvia M Lee, John A Thompson, Ilana M Roberts, Kim A Margolin, Shailender Bhatia, Heather L Sloan, Ivy Lai, Felecia Wagener, Kendall Shibuya and 4 more

Open access · bronzeAbstract readClinical Trial
In one paragraph

Trial report in The Journal of experimental medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed
6.5field-weighted citation impact, top 2% 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

52 citing papers in PubMed, 82 citations in OpenAlex.

  1. CD8Molecular therapy : the journal of the American Society of Gene Therapy · 2020
    Trial
  2. Review
  3. Cytokines in cancer.Cancer cell · 2025
    Review
  4. Review
  5. Article
  6. Article
  7. Cancer Nano-Immunotherapy: The Novel and Promising Weapon to Fight Cancer.International journal of molecular sciences · 2024
    Review
  8. Review
  9. CD8Immunity · 2023
    Review
  10. Engineered murine IL-21-secreting leukemia cells induce granzyme BCancer immunology, immunotherapy : CII · 2023
    Article
  11. Article
  12. Implications of IL-21 in solid tumor therapy.Medical oncology (Northwood, London, England) · 2023
    Review
  13. Article
  14. Review
  15. Review
  16. Review
  17. Review
  18. Article
  19. Nanotechnology synergized immunoengineering for cancer.European journal of pharmaceutics and biopharmaceutics : official journal of Arbeitsgemeinschaft fur Pharmazeutische Verfahrenstechnik e.V · 2021
    Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 4 institutions in 1 country.

Aude G ChapuisProgram in Immunology, Fred Hutchinson Cancer Research Center (FHCRC), Seattle, WA 98109.
Sylvia M LeeProgram in Immunology, Fred Hutchinson Cancer Research Center (FHCRC), Seattle, WA 98109.
John A ThompsonDivision of Medical Oncology, Department of Medicine, University of Washington Medical Center/FHCRC/Seattle Cancer Care Alliance, Seattle, WA 98109.
Ilana M RobertsProgram in Immunology, Fred Hutchinson Cancer Research Center (FHCRC), Seattle, WA 98109.
Kim A MargolinDivision of Medical Oncology, Department of Medicine, University of Washington Medical Center/FHCRC/Seattle Cancer Care Alliance, Seattle, WA 98109.
Shailender BhatiaDivision of Medical Oncology, Department of Medicine, University of Washington Medical Center/FHCRC/Seattle Cancer Care Alliance, Seattle, WA 98109.
Heather L SloanProgram in Immunology, Fred Hutchinson Cancer Research Center (FHCRC), Seattle, WA 98109.
Ivy LaiProgram in Immunology, Fred Hutchinson Cancer Research Center (FHCRC), Seattle, WA 98109.
Felecia WagenerProgram in Immunology, Fred Hutchinson Cancer Research Center (FHCRC), Seattle, WA 98109.
Kendall ShibuyaProgram in Immunology, Fred Hutchinson Cancer Research Center (FHCRC), Seattle, WA 98109.
Jianhong CaoProgram in Immunology, Fred Hutchinson Cancer Research Center (FHCRC), Seattle, WA 98109.
Jedd D WolchokLudwig Center, Memorial Sloan-Kettering Cancer Center, New York, NY 100165.
Philip D GreenbergProgram in Immunology, Fred Hutchinson Cancer Research Center (FHCRC), Seattle, WA 98109 Department of Immunology, University of Washington School of Medicine, Seattle, WA 98195 cyee@mdanderson.org pgreen@u.washington.edu.
Cassian YeeProgram in Immunology, Fred Hutchinson Cancer Research Center (FHCRC), Seattle, WA 98109 cyee@mdanderson.org pgreen@u.washington.edu.
Fred Hutch Cancer Center · USSeattle Cancer Care Alliance · USMemorial Sloan Kettering Cancer Center · USUniversity of Washington · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
Translational Bioimaging Core Shared ResourceP30CA015704 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI Marian Esvelt · 1985 to 2026
$296.4M
Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Scott Kopetz · 1985 to 2026
$290.8M
VIRUS-MEDIATED MYELOSUPPRESSIONP01CA018029 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI STEPHANIE J LEE · 1985 to 2026
$128.4M
RPCI-UPCI Ovarian Cancer SPOREP50CA159981 · NCI · ROSWELL PARK CANCER INSTITUTE CORP · PI MOYSICH, KIRSTEN B. · 2013 to 2025
$19.6M
CAREER DEVELOPMENT IN PEDIATRIC AND MEDICAL ONCOLOGYK12CA076930 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI DAVIDSON, NANCY ELLEN, MESHINCHI, SOHEIL · 1997 to 2025
$13.1M
Targeting Leukemia with Memory CD8+ T cells Transduced to Express High-Affinity WK08CA169485 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI CHAPUIS, AUDE · 2013 to 2017
$857k
NCI NIH HHS K08 CA169485NCI NIH HHS K12 CA076930NCI NIH HHS P01 CA018029NCI NIH HHS P30 CA008748NCI NIH HHS P30 CA015704NCI NIH HHS P30 CA016672NCI NIH HHS P50 CA159981
6 · The paper itself

Abstract

Adoptive transfer of peripheral blood-derived, melanoma-reactive CD8(+) cytotoxic T lymphocytes (CTLs) alone is generally insufficient to eliminate bulky tumors. Similarly, monotherapy with anti-CTLA4 infrequently yields sustained remissions in patients with metastatic melanoma. We postulated that a bolus of enhanced IL-21-primed polyclonal antigen-specific CTL combined with CTLA4 blockade might boost antitumor efficacy. In this first-in-human case study, the combination successfully led to a durable complete remission (CR) in a patient whose disease was refractory to both monoclonal CTL and anti-CTLA4. Long-term persistence and sustained anti-tumor activity of transferred CTL, as well as responses to nontargeted antigens, confirmed mutually beneficial effects of the combined treatment. In this first-in-human study, Chapuis et al. demonstrate that the combination of adoptive cellular therapy with CTLA4 blockade induces long-term remission in a melanoma patient resistant to both modalities administered serially and individually.

Indexed as

MelanomaAdoptive TransferCD8-Positive T-LymphocytesCTLA-4 AntigenFemaleHumansInterleukin-21InterleukinsMaleMiddle AgedNeoplasm MetastasisCTLA-4 AntigenCTLA4 protein, humanInterleukin-21Interleukins

Identifiers

PMID27242164
PMCPMC4925025
OpenAlexW2404484778

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.