Evidence map›Paper›PMID 29157311›Full record

Trial reportJournal for immunotherapy of cancer2017

Peripheral and local predictive immune signatures identified in a phase II trial of ipilimumab with carboplatin/paclitaxel in unresectable stage III or stage IV melanoma.

Rahima Jamal, Réjean Lapointe, Eftihia Cocolakis, Paméla Thébault, Shirin Kazemi, Jennifer E Friedmann, Jeanne Dionne, Jean-François Cailhier, Karl Bélanger, Jean-Pierre Ayoub and 6 more

Registry-linked trialOpen access · goldAbstract readClinical Trial, Phase II
In one paragraph

Trial report in Journal for immunotherapy of cancer, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01676649 (A Phase II Study of Ipilimumab in Combination With Carboplatin and Paclitaxel in Patients With Unresectable Stage III or Stage IV Melanoma), which is not on this map. Cited by 35 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 3 pooled it
2.6field-weighted citation impact, top 8% 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.

NCT01676649 phase2unknown statusnot on this map

A Phase II Study of Ipilimumab in Combination With Carboplatin and Paclitaxel in Patients With Unresectable Stage III or Stage IV Melanoma

TypeinterventionalSponsorJewish General HospitalRan2012 to 2026Enrolled30ConditionsUntreated Stage III Melanoma or Stage IV MelanomaArmsIpilimumab, Carboplatin, Paclitaxel
3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 3 syntheses or guidelines pooled it, 53 citations in OpenAlex.

  1. Pooled it
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  3. Pooled it
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  6. Interleukin-8 in health and disease.Molecular biomedicine · 2026
    Review
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  16. A Phase I/II Trial of HER2 Vaccine-Primed Autologous T-Cell Infusions in Patients with Treatment Refractory HER2-Overexpressing Breast Cancer.Clinical cancer research : an official journal of the American Association for Cancer Research · 2023
    Article
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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

16 authors at 3 institutions in 2 countries.

Rahima JamalHôpital Notre-Dame, Centre de recherche du CHUM, Centre hospitalier de l'Université de Montréal, Montréal, QC, Canada.
Réjean LapointeCentre de recherche du CHUM, Institut du Cancer de Montréal, Université de Montréal, Montréal, QC, Canada.
Eftihia CocolakisSegal Cancer Center, Jewish General Hospital, Rossy Cancer Network, McGill University, 3755 Côte-St-Catherine, suite E670, Montreal, Québec, Canada.
Paméla ThébaultCentre de recherche du CHUM, Institut du Cancer de Montréal, Université de Montréal, Montréal, QC, Canada.
Shirin KazemiSegal Cancer Center, Jewish General Hospital, Rossy Cancer Network, McGill University, 3755 Côte-St-Catherine, suite E670, Montreal, Québec, Canada.
Jennifer E FriedmannSegal Cancer Center, Jewish General Hospital, Rossy Cancer Network, McGill University, 3755 Côte-St-Catherine, suite E670, Montreal, Québec, Canada.
Jeanne DionneHôpital Notre-Dame, Centre de recherche du CHUM, Centre hospitalier de l'Université de Montréal, Montréal, QC, Canada.
Jean-François CailhierCentre de recherche du CHUM, Institut du Cancer de Montréal, Université de Montréal, Montréal, QC, Canada.
Karl BélangerHôpital Notre-Dame, Centre de recherche du CHUM, Centre hospitalier de l'Université de Montréal, Montréal, QC, Canada.
Jean-Pierre AyoubHôpital Notre-Dame, Centre de recherche du CHUM, Centre hospitalier de l'Université de Montréal, Montréal, QC, Canada.
Huy LeSegal Cancer Center, Jewish General Hospital, Rossy Cancer Network, McGill University, 3755 Côte-St-Catherine, suite E670, Montreal, Québec, Canada.
Caroline LambertSegal Cancer Center, Jewish General Hospital, Rossy Cancer Network, McGill University, 3755 Côte-St-Catherine, suite E670, Montreal, Québec, Canada.
Jida El-HajjarSegal Cancer Center, Jewish General Hospital, Rossy Cancer Network, McGill University, 3755 Côte-St-Catherine, suite E670, Montreal, Québec, Canada.
Léon C van KempenDepartment of Pathology, Molecular Pathology Center, Jewish General Hospital, McGill University, Montreal, QC, Canada.
Alan SpatzDepartment of Pathology, Molecular Pathology Center, Jewish General Hospital, McGill University, Montreal, QC, Canada.
Wilson H MillerSegal Cancer Center, Jewish General Hospital, Rossy Cancer Network, McGill University, 3755 Côte-St-Catherine, suite E670, Montreal, Québec, Canada. wilsonmiller@gmail.com.
Jewish General Hospital · CAHôpital Notre-Dame · CACentre Hospitalier de l’Université de Montréal · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCheckpoint blockade with ipilimumab provides long-term survival to a significant proportion of patients with metastatic melanoma. New approaches to increase survival and to predict which patients will benefit from treatment are needed. This phase II trial combined ipilimumab with carboplatin/paclitaxel (CP) to assess its safety, efficacy, and to search for peripheral and tumor-based predictive biomarkers.

methodsThirty patients with untreated unresectable/metastatic melanoma were treated with ipilimumab and CP. Adverse events (AEs) were monitored and response to treatment was evaluated. Tumor tissue and peripheral blood were collected at specified time points to characterize tumor immune markers by immunohistochemistry and systemic immune activity by multiplex assays and flow cytometry.

resultsEighty three percent of patients received all 5 cycles of CP and 93% completed ipilimumab induction. Serious AEs occurred in 13% of patients, and no treatment-related deaths were observed. Best Overall Response Rate (BORR) and Disease Control Rate (DCR) were 27 and 57%, respectively. Median overall survival was 16.2 months. Response to treatment was positively correlated with a higher tumor CD3

conclusionsThe combination of ipilimumab and CP was well tolerated and revealed novel characteristics associated with patients likely to benefit from treatment. A pre-existing systemic inflammatory state characterized by elevation of selected chemokines and advanced B cell differentiation, was strongly associated with poor patient outcomes, revealing potential predictive circulating biomarkers.

trial registrationClinicaltrials.gov , NCT01676649 , registered on August 29, 2012.

Indexed as

AdultAgedAntineoplastic Combined Chemotherapy ProtocolsCarboplatinFemaleHumansIpilimumabMaleMelanomaMiddle AgedNeoplasm StagingPaclitaxelSkin NeoplasmsTreatment OutcomeCarboplatinIpilimumabPaclitaxelB lymphocytesChemokinesChemotherapyImmune scoreImmunotherapyIpilimumabMelanomaPD-1Predictive Biomarkers

Identifiers

PMID29157311
PMCPMC5696743
OpenAlexW2766923414

What OpenQuestion holds

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LicenceCC BY
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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.