Evidence map›Paper›PMID 27571927›Full record

Trial reportNature communications2016

Atezolizumab in combination with bevacizumab enhances antigen-specific T-cell migration in metastatic renal cell carcinoma.

Jeffrey J Wallin, Johanna C Bendell, Roel Funke, Mario Sznol, Konstanty Korski, Suzanne Jones, Genevive Hernandez, James Mier, Xian He, F Stephen Hodi and 12 more

3 registry-linked trialsOpen access · goldAbstract readClinical Trial, Phase IRandomized Controlled Trial
In one paragraph

Trial report in Nature communications, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 434 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
434citing papers in PubMed, 5 pooled it
29.8field-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.

NCT03762018 phase3completednot on this mapstarted 2019, after this paper: background citation

A Multicentre Randomised Phase III Trial Comparing Atezolizumab Plus Bevacizumab and Standard Chemotherapy Versus Bevacizumab and Standard Chemotherapy as First-line Treatment for Advanced Malignant Pleural Mesothelioma

TypeinterventionalSponsorETOP IBCSG Partners FoundationRan2019 to 2024Enrolled400ConditionsPleural Mesothelioma Malignant AdvancedArmsCarboplatin, Pemetrexed, Bevacizumab, Atezolizumab
NCT04310943 phase2completednot on this mapstarted 2021, after this paper: background citation

Tislelizumab Combined With Bevacizumab and Albumin Paclitaxel in the Treatment of Advanced Lung Adenocarcinoma: a Single-arm, Phase Ⅱ Clinical Trial

TypeinterventionalSponsorZhou ChengzhiRan2021 to 2023Enrolled24ConditionsLung Adenocarcinoma Stage IVArmsTislelizumab
NCT04387500 phase2unknown statusnot on this mapstarted 2021, after this paper: background citation

Single-arm Phase II Clinical Trial to Evaluate the Initial Efficacy and Safety of Sintilimab Injection Combined With Inlyta in Fumarate Hydratase- Deficient Renal Cell Carcinoma

TypeinterventionalSponsorWest China HospitalRan2021 to 2026Enrolled41ConditionsCarcinoma, Renal Cell, Fumarate Hydratase Deficiency, ImmunotherapyArmsSintilimab injection plus Inlyta treatment
3 · Its place in the literature

Who cites it

434 citing papers in PubMed, 5 syntheses or guidelines pooled it, 702 citations in OpenAlex.

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  16. Phase III, Randomized Study of Atezolizumab Plus Bevacizumab and Chemotherapy in Patients WithJournal of clinical oncology : official journal of the American Society of Clinical Oncology · 2024
    Trial
  17. Atezolizumab plus Bevacizumab in Patients with Unresectable or Metastatic Mucosal Melanoma: A Multicenter, Open-Label, Single-Arm Phase II Study.Clinical cancer research : an official journal of the American Association for Cancer Research · 2022
    Trial
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  20. Circulating Immune Cell and Outcome Analysis from the Phase II Study of PD-L1 Blockade with Durvalumab for Newly Diagnosed and Recurrent Glioblastoma.Clinical cancer research : an official journal of the American Association for Cancer Research · 2022
    Trial

374 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

22 authors at 5 institutions in 2 countries.

Jeffrey J WallinGenentech, Inc., 1 DNA Way, South San Francisco, California 94080, USA.
Johanna C BendellGI Oncology Research, Drug Development Unit, Sarah Cannon Research Institute, 250 25th Avenue North, Suite 100, Nashville, Tennessee, 37203, USA.
Roel FunkeGenentech, Inc., 1 DNA Way, South San Francisco, California 94080, USA.
Mario SznolDepartment of Internal Medicine and Melanoma Unit, Yale Cancer Center, New Haven, Connecticut 06511, USA.
Konstanty KorskiRoche Diagnostics GmbH, Nonnenwald 2, 82377 Penzberg, Germany.
Suzanne JonesGI Oncology Research, Drug Development Unit, Sarah Cannon Research Institute, 250 25th Avenue North, Suite 100, Nashville, Tennessee, 37203, USA.
Genevive HernandezGenentech, Inc., 1 DNA Way, South San Francisco, California 94080, USA.
James MierBeth Israel Deaconess Medical Center, 330 Brookline Avenue, Boston, Massachusets 02215, USA.
Xian HeGenentech, Inc., 1 DNA Way, South San Francisco, California 94080, USA.
F Stephen HodiDana-Farber/Brigham and Women's Cancer Center, 450 Brookline Avenue, Boston, Massachusets 02215, USA.
Mitchell DenkerGenentech, Inc., 1 DNA Way, South San Francisco, California 94080, USA.
Vincent LevequeGenentech, Inc., 1 DNA Way, South San Francisco, California 94080, USA.
Marta CañameroRoche Diagnostics GmbH, Nonnenwald 2, 82377 Penzberg, Germany.
Galina BabitskiRoche Diagnostics GmbH, Nonnenwald 2, 82377 Penzberg, Germany.
Hartmut KoeppenGenentech, Inc., 1 DNA Way, South San Francisco, California 94080, USA.
James ZiaiGenentech, Inc., 1 DNA Way, South San Francisco, California 94080, USA.
Neeraj SharmaGenentech, Inc., 1 DNA Way, South San Francisco, California 94080, USA.
Fabien GaireRoche Diagnostics GmbH, Nonnenwald 2, 82377 Penzberg, Germany.
Daniel S ChenGenentech, Inc., 1 DNA Way, South San Francisco, California 94080, USA.
Daniel WaterkampGenentech, Inc., 1 DNA Way, South San Francisco, California 94080, USA.
Priti S HegdeGenentech, Inc., 1 DNA Way, South San Francisco, California 94080, USA.
David F McDermottBeth Israel Deaconess Medical Center, 330 Brookline Avenue, Boston, Massachusets 02215, USA.
Roche Pharma AG (Germany) · DEBeth Israel Deaconess Medical Center · USSarah Cannon · USDana-Farber Brigham Cancer Center · USYale Cancer Center · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
NCATS NIH HHS UL1 TR001863
6 · The paper itself

Abstract

Anti-tumour immune activation by checkpoint inhibitors leads to durable responses in a variety of cancers, but combination approaches are required to extend this benefit beyond a subset of patients. In preclinical models tumour-derived VEGF limits immune cell activity while anti-VEGF augments intra-tumoral T-cell infiltration, potentially through vascular normalization and endothelial cell activation. This study investigates how VEGF blockade with bevacizumab could potentiate PD-L1 checkpoint inhibition with atezolizumab in mRCC. Tissue collections are before treatment, after bevacizumab and after the addition of atezolizumab. We discover that intra-tumoral CD8(+) T cells increase following combination treatment. A related increase is found in intra-tumoral MHC-I, Th1 and T-effector markers, and chemokines, most notably CX3CL1 (fractalkine). We also discover that the fractalkine receptor increases on peripheral CD8(+) T cells with treatment. Furthermore, trafficking lymphocyte increases are observed in tumors following bevacizumab and combination treatment. These data suggest that the anti-VEGF and anti-PD-L1 combination improves antigen-specific T-cell migration.

Indexed as

AdultAgedAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedAntigens, NeoplasmAntineoplastic Combined Chemotherapy ProtocolsB7-H1 AntigenBevacizumabCarcinoma, Renal CellCD8-Positive T-LymphocytesCell MovementDrug SynergismFemaleHumansKidneyKidney NeoplasmsAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedAntigens, NeoplasmatezolizumabB7-H1 AntigenBevacizumabCD274 protein, humanVascular Endothelial Growth Factor AVEGFA protein, human

Identifiers

PMID27571927
PMCPMC5013615
OpenAlexW2511951051

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.