Evidence map›Paper›PMID 28266140›Full record

Trial reportCancer science2017

Cytokine biomarkers to predict antitumor responses to nivolumab suggested in a phase 2 study for advanced melanoma.

Naoya Yamazaki, Yoshio Kiyohara, Hisashi Uhara, Hajime Iizuka, Jiro Uehara, Fujio Otsuka, Yasuhiro Fujisawa, Tatsuya Takenouchi, Taiki Isei, Keiji Iwatsuki and 4 more

Abstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Cancer science, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 86 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
86citing papers in PubMed, 4 pooled it
–field-weighted citation impact
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

86 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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26 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

14 authors.

Naoya YamazakiDepartment of Dermatologic Oncology, National Cancer Center Hospital, Tokyo, Japan.ORCID http://orcid.org/0000-0002-9638-0428
Yoshio KiyoharaDermatology Division, Shizuoka Cancer Center Hospital, Shizuoka, Japan.
Hisashi UharaDepartment of Dermatology, Shinshu University School of Medicine, Nagano, Japan.
Hajime IizukaDepartment of Dermatology, Asahikawa Medical University, Hokkaido, Japan.
Jiro UeharaDepartment of Dermatology, Asahikawa Medical University, Hokkaido, Japan.
Fujio OtsukaDepartment of Dermatology, Faculty of Medicine, University of Tsukuba, Ibaraki, Japan.
Yasuhiro FujisawaDepartment of Dermatology, Faculty of Medicine, University of Tsukuba, Ibaraki, Japan.
Tatsuya TakenouchiDepartment of Dermatology, Niigata Cancer Center Hospital, Niigata, Japan.
Taiki IseiDepartment of Dermatology, Kansai Medical University, Osaka, Japan.
Keiji IwatsukiDepartment of Dermatology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan.
Hiroshi UchiDepartment of Dermatology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Hironobu IhnDepartment of Dermatology and Plastic Surgery, Faculty of Life Sciences, Kumamoto University, Kumamoto, Japan.
Hironobu MinamiDepartment Medical Oncology/Hematology, Kobe University Graduate School of Medicine, Hyogo, Japan.
Hideaki TaharaDepartment of Surgery and Bioengineering, Advanced Clinical Research Center, Institute of Medical Science, The University of Tokyo, Tokyo, Japan.ORCID http://orcid.org/0000-0002-1735-5372

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Promising antitumor activities of nivolumab, a fully humanized IgG4 inhibitor antibody against the programmed death-1 protein, were suggested in previous phase 1 studies. The present phase 2, single-arm study (JAPIC-CTI #111681) evaluated the antitumor activities of nivolumab and explored its predictive correlates in advanced melanoma patients at 11 sites in Japan. Intravenous nivolumab 2 mg/kg was given repeatedly at 3-week intervals to 35 of 37 patients enrolled from December 2011 to May 2012 until they experienced unacceptable toxicity, disease progression, or complete response. Primary endpoint was objective response rate. Serum levels of immune modulators were assessed at multiple time points. As of 21 October 2014, median response duration, median progression-free survival, and median overall survival were 463 days, 169 days, and 18.0 months, respectively. The overall response rate and 1- and 2-year survival rates were 28.6%, 54.3%, and 42.9%, respectively. Thirteen patients remained alive at the end of the observation period and no deaths were drug related. Grade 3-4 drug-related adverse events were observed in 31.4% of patients. Pretreatment serum interferon-γ, and interleukin-6 and -10 levels were significantly higher in the patients with objective tumor responses than in those with tumor progression. In conclusion, giving repeated i.v. nivolumab had potent and durable antitumor effects and a manageable safety profile in advanced melanoma patients, strongly suggesting the usefulness of nivolumab for advanced melanoma and the usefulness of pretreatment serum cytokine profiles as correlates for predicting treatment efficacy.

Indexed as

AgedAntibodies, MonoclonalAntineoplastic AgentsBiomarkersCytokinesDisease-Free SurvivalDisease ProgressionFemaleHumansInterferon-gammaInterleukin-10Interleukin-6MaleMelanomaNivolumabSurvival RateAntibodies, MonoclonalAntineoplastic AgentsBiomarkersCytokinesInterferon-gammaInterleukin-10Interleukin-6NivolumabAntibody therapybiomarkercheck-point inhibitorclinical trialprogrammed cell death-1

Identifiers

PMID28266140
PMCPMC5448619

What OpenQuestion holds

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Registered trials

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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.