Evidence map›Paper›PMID 28923537›Full record

ArticleNeoplasia (New York, N.Y.)2017

Metagenomic Shotgun Sequencing and Unbiased Metabolomic Profiling Identify Specific Human Gut Microbiota and Metabolites Associated with Immune Checkpoint Therapy Efficacy in Melanoma Patients.

Arthur E Frankel, Laura A Coughlin, Jiwoong Kim, Thomas W Froehlich, Yang Xie, Eugene P Frenkel, Andrew Y Koh

Registry-linked trialAbstract read
In one paragraph

Article in Neoplasia (New York, N.Y.), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04698161 (Costituzione Della Biobanca Del Microbiota Intestinale e Salivare Umano), which is not on this map. Cited by 425 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
425citing papers in PubMed, 6 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.

NCT04698161 completednot on this mapstarted 2021, after this paper: background citation

Costituzione Della Biobanca Del Microbiota Intestinale e Salivare Umano: Dalla Disbiosi Alla Simbiosi

TypeobservationalSponsorAzienda Ospedaliero-Universitaria Consorziale Policlinico di BariRan2021 to 2022Enrolled50ConditionsNon Small Cell Lung Cancer, Metastatic MelanomaArmsBiological sample collection, Questionnaire, Medical examination
3 · Its place in the literature

Who cites it

425 citing papers in PubMed, 6 syntheses or guidelines pooled it.

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365 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

7 authors.

Arthur E FrankelDepartment of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, TX. Electronic address: Arthur.frankel@utsouthwestern.edu.
Laura A CoughlinDepartment of Pediatrics, University of Texas Southwestern Medical Center, Dallas, TX.
Jiwoong KimDepartment of Clinical Sciences, University of Texas Southwestern Medical Center, Dallas, TX.
Thomas W FroehlichDepartment of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, TX.
Yang XieDepartment of Clinical Sciences, University of Texas Southwestern Medical Center, Dallas, TX.
Eugene P FrenkelDepartment of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, TX.
Andrew Y KohDepartment of Pediatrics, University of Texas Southwestern Medical Center, Dallas, TX; Department of Microbiology, University of Texas Southwestern Medical Center, Dallas, TX.

Funding

UT Southwestern Medical Center Simmons Comprehensive Cancer CenterP30CA142543 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI Sandi Leigh Pruitt · 2010 to 2026
$53.7M
Integrative Analysis to Identify Therapeutic Targets for Lung CancerR01CA172211 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI XIAO, GUANGHUA · 2013 to 2017
$1.6M
Predicting Adjuvant Chemotherapy Response in Lung CancerR01CA152301 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI XIE, YANG · 2010 to 2014
$1.5M
NCI NIH HHS P30 CA142543NCI NIH HHS R01 CA152301NCI NIH HHS R01 CA172211
6 · The paper itself

Abstract

This is the first prospective study of the effects of human gut microbiota and metabolites on immune checkpoint inhibitor (ICT) response in metastatic melanoma patients. Whereas many melanoma patients exhibit profound response to ICT, there are fewer options for patients failing ICT-particularly with BRAF-wild-type disease. In preclinical studies, specific gut microbiota promotes regression of melanoma in mice. We therefore conducted a study of the effects of pretreatment gut microbiota and metabolites on ICT Response Evaluation Criteria in Solid Tumors response in 39 metastatic melanoma patients treated with ipilimumab, nivolumab, ipilimumab plus nivolumab (IN), or pembrolizumab (P). IN yielded 67% responses and 8% stable disease; P achieved 23% responses and 23% stable disease. ICT responders for all types of therapies were enriched for Bacteroides caccae. Among IN responders, the gut microbiome was enriched for Faecalibacterium prausnitzii, Bacteroides thetaiotamicron, and Holdemania filiformis. Among P responders, the microbiome was enriched for Dorea formicogenerans. Unbiased shotgun metabolomics revealed high levels of anacardic acid in ICT responders. Based on these pilot studies, both additional confirmatory clinical studies and preclinical testing of these bacterial species and metabolites are warranted to confirm their ICT enhancing activity.

Indexed as

Gastrointestinal MicrobiomeMetabolomicsMetagenomeMetagenomicsAdultAgedAged, 80 and overAntineoplastic Agents, ImmunologicalBiomarkers, TumorChromatography, High Pressure LiquidCluster AnalysisFemaleHigh-Throughput Nucleotide SequencingHumansMaleMelanomaAntineoplastic Agents, ImmunologicalBiomarkers, Tumor

Identifiers

PMID28923537
PMCPMC5602478

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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.