Evidence map›Paper›PMID 29453281›Full record

ArticleJournal of immunology (Baltimore, Md. : 1950)2018

The PI3Kδ-Selective Inhibitor Idelalisib Minimally Interferes with Immune Effector Function Mediated by Rituximab or Obinutuzumab and Significantly Augments B Cell Depletion In Vivo.

Adam Palazzo, Sylvia Herter, Laura Grosmaire, Randy Jones, Christian R Frey, Florian Limani, Marina Bacac, Pablo Umana, Robert J Oldham, Michael J E Marshall and 6 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of immunology (Baltimore, Md. : 1950), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.6field-weighted citation impact, top 17% 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

8 citing papers in PubMed, 15 citations in OpenAlex.

  1. Duvelisib Eliminates CLL B Cells, Impairs CLL-Supporting Cells, and Overcomes Ibrutinib Resistance in a Xenograft Model.Clinical cancer research : an official journal of the American Association for Cancer Research · 2023
    Article
  2. Article
  3. Review
  4. Review
  5. Article
  6. Identification of Candidate Risk Factor Genes for Human Idelalisib Toxicity Using a Collaborative Cross Approach.Toxicological sciences : an official journal of the Society of Toxicology · 2019
    Article
  7. Article
  8. Review
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 3 countries.

Adam PalazzoGilead Sciences, Inc., Foster City, CA 98102; adam.palazzo@gilead.com.ORCID 0000-0003-4703-2686
Sylvia HerterRoche Pharmaceutical Research and Early Development, Roche Innovation Center Zurich, CH-8952 Zurich, Switzerland; and.ORCID 0000-0002-2446-696X
Laura GrosmaireGilead Sciences, Inc., Foster City, CA 98102.
Randy JonesGilead Sciences, Inc., Foster City, CA 98102.
Christian R FreyGilead Sciences, Inc., Foster City, CA 98102.
Florian LimaniRoche Pharmaceutical Research and Early Development, Roche Innovation Center Zurich, CH-8952 Zurich, Switzerland; and.
Marina BacacRoche Pharmaceutical Research and Early Development, Roche Innovation Center Zurich, CH-8952 Zurich, Switzerland; and.
Pablo UmanaRoche Pharmaceutical Research and Early Development, Roche Innovation Center Zurich, CH-8952 Zurich, Switzerland; and.
Robert J OldhamAntibody and Vaccine Group, Cancer Sciences Unit, Faculty of Medicine, University of Southampton, Southampton SO17 1BJ, United Kingdom.ORCID 0000-0002-8007-1145
Michael J E MarshallAntibody and Vaccine Group, Cancer Sciences Unit, Faculty of Medicine, University of Southampton, Southampton SO17 1BJ, United Kingdom.
Kerry L CoxAntibody and Vaccine Group, Cancer Sciences Unit, Faculty of Medicine, University of Southampton, Southampton SO17 1BJ, United Kingdom.
Anna H TurajAntibody and Vaccine Group, Cancer Sciences Unit, Faculty of Medicine, University of Southampton, Southampton SO17 1BJ, United Kingdom.ORCID 0000-0002-2664-8417
Mark S CraggAntibody and Vaccine Group, Cancer Sciences Unit, Faculty of Medicine, University of Southampton, Southampton SO17 1BJ, United Kingdom.ORCID 0000-0003-2077-089X
Christian KleinRoche Pharmaceutical Research and Early Development, Roche Innovation Center Zurich, CH-8952 Zurich, Switzerland; and.ORCID 0000-0001-7594-7280
Matthew J CarterAntibody and Vaccine Group, Cancer Sciences Unit, Faculty of Medicine, University of Southampton, Southampton SO17 1BJ, United Kingdom.
Stacey TannheimerGilead Sciences, Inc., Foster City, CA 98102.
University of Southampton · GBGilead Sciences (United States) · USRoche (Switzerland) · CH

Funding

Cancer Research UK 23669Cancer Research UK C34999/A18087
6 · The paper itself

Abstract

Idelalisib is a highly selective oral inhibitor of PI3Kδ indicated for the treatment of patients with relapsed chronic lymphocytic leukemia in combination with rituximab. Despite additive clinical effects, previous studies have paradoxically demonstrated that targeted therapies potentially negatively affect anti-CD20 mAb effector mechanisms. To address these potential effects, we investigated the impact of PI3Kδ inhibition by idelalisib on the effector mechanisms of rituximab and obinutuzumab. At clinically relevant concentrations, idelalisib minimally influenced rituximab- and obinutuzumab-mediated Ab-dependent cellular cytotoxicity and phagocytosis on human lymphoma cell lines, while maintaining the superiority of obinutuzumab-mediated Ab-dependent cellular cytotoxicity. Consistent with this, idelalisib did not influence obinutuzumab-mediated B cell depletion in whole-blood B cell-depletion assays. Further, idelalisib significantly enhanced obinutuzumab-mediated direct cell death of chronic lymphocytic leukemia cells. In murine systems, in vivo inhibition of PI3Kδ minimally interfered with maximal rituximab- or obinutuzumab-mediated depletion of leukemic targets. In addition, the duration of rituximab- and obinutuzumab-mediated depletion of leukemia cells was extended by combination with PI3Kδ inhibition. Collectively, these data demonstrate that PI3Kδ inhibition does not significantly affect the effector mechanisms induced by rituximab or obinutuzumab and provides an effective in vivo therapeutic combination. Therefore, combinations of obinutuzumab and idelalisib are currently being assessed in clinical studies.

Indexed as

AnimalsAntibodies, Monoclonal, HumanizedAntibody-Dependent Cell CytotoxicityAntineoplastic AgentsCell Line, TumorClass I Phosphatidylinositol 3-KinasesDrug InteractionsEnzyme InhibitorsHumansLeukemia, Lymphocytic, Chronic, B-CellLymphomaMiceMice, Inbred C57BLMice, SCIDMice, TransgenicPhagocytosisAntibodies, Monoclonal, HumanizedAntineoplastic AgentsClass I Phosphatidylinositol 3-KinasesEnzyme InhibitorsidelalisibobinutuzumabPIK3CD protein, humanPurinesQuinazolinonesRituximab

Identifiers

PMID29453281
PMCPMC5857647
OpenAlexW2789043747

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.