Evidence map›Paper›PMID 28894934›Full record

ArticleCancer immunology, immunotherapy : CII2018

Tumor infiltrating lymphocytes in lymph node metastases of stage III melanoma correspond to response and survival in nine patients treated with ipilimumab at the time of stage IV disease.

Stefan Diem, Omar Hasan Ali, Christoph J Ackermann, David Bomze, Viktor H Koelzer, Wolfram Jochum, Daniel E Speiser, Kirsten D Mertz, Lukas Flatz

Open access · greenAbstract read
In one paragraph

Article in Cancer immunology, immunotherapy : CII, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
2.5field-weighted citation impact, top 9% 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

32 citing papers in PubMed, 44 citations in OpenAlex.

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  19. Article
  20. Frontiers in immunology · 2021
    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

9 authors at 4 institutions in 1 country.

Stefan DiemDepartment of Oncology and Hematology, Cantonal Hospital St. Gallen, St. Gallen, Switzerland.
Omar Hasan AliDepartment of Dermatology/Allergology, Cantonal Hospital St. Gallen, Rorschacherstrasse 95, 9007, St. Gallen, Switzerland.
Christoph J AckermannDepartment of Oncology and Hematology, Cantonal Hospital St. Gallen, St. Gallen, Switzerland.
David BomzeInstitute of Immunobiology, Cantonal Hospital St. Gallen, St. Gallen, Switzerland.
Viktor H KoelzerInstitute of Pathology, Cantonal Hospital Baselland, Liestal, Switzerland.
Wolfram JochumInstitute of Pathology, Cantonal Hospital St. Gallen, St. Gallen, Switzerland.
Daniel E SpeiserDepartment of Oncology, Lausanne University Hospital Center (CHUV) and University of Lausanne, Epalinges, Switzerland.
Kirsten D MertzInstitute of Pathology, Cantonal Hospital Baselland, Liestal, Switzerland.
Lukas FlatzDepartment of Dermatology/Allergology, Cantonal Hospital St. Gallen, Rorschacherstrasse 95, 9007, St. Gallen, Switzerland. lukas.flatz@kssg.ch.
Kantonsspital St. Gallen · CHUniversity of Bern · CHUniversity of Lausanne · CHUniversity of St.Gallen · CH

Funding

Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung PP00P3_157448
6 · The paper itself

Abstract

Prognosis of metastatic melanoma improved with the development of checkpoint inhibitors. The role of tumor infiltrating lymphocytes (TILs) in lymph node metastases of stage III melanoma remains unclear. We retrospectively characterized TILs in primary melanomas and matched lymph node metastases (stage III melanoma) of patients treated with the checkpoint inhibitor ipilimumab. Tumor infiltrating lymphocytes were characterized for CD3, CD4, and CD8 expressions by immunohistochemistry. 4/9 patients (44%) responded to treatment with ipilimumab (1 complete and 2 partial remissions, 1 stable disease). All responders exhibited CD4 and CD8 T-cell infiltration in their lymph node metastases, whereas all non-responders did not show an infiltration of the lymph node metastasis with TILs. The correlation between the presence and absence of TILs in responders vs. non-responders was statistically significant (p = 0.008). Median distant metastases free survival, i.e., progression from stage III to stage IV melanoma, was similar in responders and non-responders (22.1 vs. 19.3 months; p = 0.462). Median progression free and overall survival show a trend in favor of the patients having TIL rich lymph node metastases (6.8 vs. 3.3 months, p = 0.09; and all alive at last follow-up vs. 8.2 months, respectively, p = 0.08). Our data suggest a correlation between the T-cell infiltration of the lymph node metastases in stage III melanoma and the response to ipilimumab once these patients progress to stage IV disease.

Indexed as

AdultAgedAnimalsAntineoplastic AgentsCD4-Positive T-LymphocytesCD8-Positive T-LymphocytesCTLA-4 AntigenFemaleHumansImmunotherapyIpilimumabLymphatic MetastasisLymph NodesLymphocytes, Tumor-InfiltratingMaleMelanomaAntineoplastic AgentsCTLA-4 AntigenIpilimumabImmunotherapyIpilimumabMelanomaTumor infiltrating lymphocytes

Identifiers

PMID28894934
PMCPMC11028172
OpenAlexW2756273588

What OpenQuestion holds

Textmetadata
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.