Evidence map›Paper›PMID 28616701›Full record

ArticleJournal of cancer research and clinical oncology2017

Predictive value of PD-L1 based on mRNA level in the treatment of stage IV melanoma with ipilimumab.

C Brüggemann, M C Kirchberger, S M Goldinger, B Weide, A Konrad, M Erdmann, D Schadendorf, R S Croner, L Krähenbühl, K C Kähler and 7 more

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in Journal of cancer research and clinical oncology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.1field-weighted citation impact, top 21% 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

13 citing papers in PubMed, 18 citations in OpenAlex.

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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

17 authors at 6 institutions in 2 countries.

C BrüggemannDepartment of Dermatology, University Hospital Erlangen, 91052, Erlangen, Germany.ORCID http://orcid.org/0000-0002-1862-2065
M C KirchbergerDepartment of Dermatology, University Hospital Erlangen, 91052, Erlangen, Germany.
S M GoldingerDepartment of Dermatology, University Hospital Zurich, Zurich, Switzerland.
B WeideDepartment of Dermatology, University Hospital Tübingen, Tübingen, Germany.
A KonradDivision of Molecular and Experimental Surgery, University Hospital Erlangen, Erlangen, Germany.
M ErdmannDepartment of Dermatology, University Hospital Erlangen, 91052, Erlangen, Germany.
D SchadendorfDepartment of Dermatology, University Hospital Essen, Essen, Germany.
R S CronerDepartment of Surgery, University Hospital Erlangen, Erlangen, Germany.
L KrähenbühlDepartment of Dermatology, University Hospital Zurich, Zurich, Switzerland.
K C KählerDepartment of Dermatology, University Hospital Kiel, Kiel, Germany.
C HafnerDepartment of Dermatology, University Hospital Regensburg, Regensburg, Germany.
W LeisgangDepartment of Dermatology, University Hospital Erlangen, 91052, Erlangen, Germany.
F KiesewetterDepartment of Dermatology, University Hospital Erlangen, 91052, Erlangen, Germany.
R DummerDepartment of Dermatology, University Hospital Zurich, Zurich, Switzerland.
G SchulerDepartment of Dermatology, University Hospital Erlangen, 91052, Erlangen, Germany.
M StürzlDivision of Molecular and Experimental Surgery, University Hospital Erlangen, Erlangen, Germany.
L HeinzerlingDepartment of Dermatology, University Hospital Erlangen, 91052, Erlangen, Germany. lheinzer@post.harvard.edu.
Universitätsklinikum Erlangen · DEUniversity Hospital of Zurich · CHEssen University Hospital · DEFriedrich-Alexander-Universität Erlangen-Nürnberg · DEUniversity Children's Hospital Tübingen · DEUniversity Hospital Regensburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPD-L1 is established as a predictive marker for therapy of non-small cell lung cancer with pembrolizumab. Furthermore, PD-L1 positive melanoma has shown more favorable outcomes when treated with anti-PD1 antibodies and dacarbazine compared to PD-L1 negative melanoma. However, the role of PD-L1 expression with regard to response to checkpoint inhibition with anti-CTLA-4 is not clear, yet. In addition, the lack of standardization in the immunohistochemical assessment of PD-L1 makes the comparison of results difficult. In this study, we investigated the PD-L1 gene expression with a new fully automated technique via RT-PCR and correlated the findings with the response to the anti-CTLA-4 antibody ipilimumab. MATERIALS AND

methodsWithin a retrospective multi-center trial, PD-L1 gene expression was evaluated in 78 melanoma patients in a total of 111 pre-treatment tumor samples from 6 skin cancer centers and analyzed with regard to response to ipilimumab. For meaningful statistical analysis, the cohort was enriched for responders with 30 responders and 48 non-responders. Gene expression was assessed by quantitative RT-PCR after extracting mRNA from formalin-fixed paraffin embedded tumor tissue and correlated with results from immunohistochemical (IHC) stainings. RESULTS AND DISCUSSION: The evaluation of PD-L1 expression based on mRNA level is feasible. Correlation between PD-L1 expression as assessed by IHC and RT-PCR showed varying levels of concordance depending on the antibody employed. RT-PCR should be further investigated to measure PD-L1 expression, since it is a semi-quantitative method with observer-independent evaluation. With this approach, there was no statistical significant difference in the PD-L1 expression between responders and non-responders to the therapy with ipilimumab. The evaluation of PD-L1 expression based on mRNA level is feasible. Correlation between PD-L1 expression as assessed by IHC and RT-PCR showed varying levels of concordance depending on the antibody employed. RT-PCR should be further investigated to measure PD-L1 expression, since it is a semi-quantitative method with observer-independent evaluation. With this approach, there was no statistical significant difference in the PD-L1 expression between responders and non-responders to the therapy with ipilimumab.

Indexed as

AdultAgedAged, 80 and overB7-H1 AntigenCase-Control StudiesFemaleGene ExpressionHumansImmunohistochemistryIpilimumabMaleMelanomaMiddle AgedNeoplasm StagingPredictive Value of TestsReal-Time Polymerase Chain ReactionB7-H1 AntigenCD274 protein, humanIpilimumabRNA, MessengerBiomarkerCheckpoint inhibitorsIpilimumabMelanomaPD-L1Predictive markerPrognostic marker

Identifiers

PMID28616701
PMCPMC11819317
OpenAlexW2698994816

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.