Evidence map›Paper›PMID 29867230›Full record

Trial reportNature medicine2018

Clinical activity and molecular correlates of response to atezolizumab alone or in combination with bevacizumab versus sunitinib in renal cell carcinoma.

David F McDermott, Mahrukh A Huseni, Michael B Atkins, Robert J Motzer, Brian I Rini, Bernard Escudier, Lawrence Fong, Richard W Joseph, Sumanta K Pal, James A Reeves and 22 more

Erratum issued 2 registry-linked trialsOpen access · greenAbstract readClinical Trial, Phase IIComparative StudyMulticenter Study
In one paragraph

Trial report in Nature medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to 2 registered trials, which are not on this map. Cited by 742 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
742citing papers in PubMed, 4 pooled it
101.5field-weighted citation impact, top 1% 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.

NCT05372302 unknown statusnot on this mapstarted 2021, after this paper: background citation

Collecting Ducts Carcinoma: in Depth Exploration and Biologically Driven Therapy (CICERONE)

TypeobservationalSponsorFondazione IRCCS Istituto Nazionale dei Tumori, MilanoRan2021 to 2022Enrolled100ConditionsCollecting Duct Carcinoma
NCT05782400 active not recruitingnot on this mapstarted 2023, after this paper: background citation

Multiomics Approach for Patients Stratification and Novel Target Identification in Metastatic Clear Renal Cell Carcnoma

TypeobservationalSponsorFondazione IRCCS Istituto Nazionale dei Tumori, MilanoRan2023 to 2027Enrolled100ConditionsMetastatic Clear Cell Renal CarcinomaArmsCT scan, Plasma collection
3 · Its place in the literature

Who cites it

742 citing papers in PubMed, 4 syntheses or guidelines pooled it, 1,227 citations in OpenAlex.

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682 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

32 authors at 20 institutions in 6 countries.

David F McDermottBeth Israel Deaconess Medical Center, Boston, MA, USA. dmcdermo@bidmc.harvard.edu.
Mahrukh A HuseniGenentech, Inc., South San Francisco, CA, USA.
Michael B AtkinsGeorgetown Lombardi Comprehensive Cancer Center, Washington, DC, USA.
Robert J MotzerMemorial Sloan Kettering Cancer Center, New York, NY, USA.
Brian I RiniCleveland Clinic Taussig Cancer Institute, Cleveland, OH, USA.
Bernard EscudierGustave Roussy, Villejuif, France.
Lawrence FongUniversity of California, San Francisco School of Medicine, San Francisco, CA, USA.
Richard W JosephMayo Clinic Hospital - Florida, Jacksonville, FL, USA.
Sumanta K PalCity of Hope Comprehensive Cancer Center, Duarte, CA, USA.
James A ReevesFlorida Cancer Specialists, Fort Myers, FL, USA.
Mario SznolYale School of Medicine, New Haven, CT, USA.
John HainsworthSarah Cannon Research Institute, Nashville, TN, USA.
W Kimryn RathmellVanderbilt University Medical Center, Nashville, TN, USA.
Walter M StadlerUniversity of Chicago Medicine, Chicago, IL, USA.
Thomas HutsonTexas Oncology - Baylor Charles A. Sammons Cancer Center, Dallas, TX, USA.
Martin E GoreRoyal Marsden Hospital, London, UK.
Alain RavaudCHU Hopitaux de Bordeaux - Hôpital Saint-André, Bordeaux, France.
Sergio BracardaOspedale San Donato, Azienda USL Toscana Sudest, Arezzo, Italy.
Cristina SuárezVall d'Hebron Institute of Oncology, Vall d'Hebron University Hospital, Universitat Autònoma de Barcelona, Barcelona, Spain.
Riccardo DanielliAzienda Ospedaliera Universitaria Senese, Center for Immune-Oncology, Siena, Italy.
Viktor GruenwaldMedizinische Hochschule, Zentrum Innere Medizin, Abt. Hämatologie u. Onkologie, Hannover, Germany.
Toni K ChoueiriDana-Farber Cancer Institute, Boston, MA, USA.
Dorothee NicklesGenentech, Inc., South San Francisco, CA, USA.
Suchit JhunjhunwalaGenentech, Inc., South San Francisco, CA, USA.
Elisabeth Piault-LouisGenentech, Inc., South San Francisco, CA, USA.
Alpa ThobhaniRoche Products Ltd, Welwyn Garden City, UK.
Jiaheng QiuGenentech, Inc., South San Francisco, CA, USA.
Daniel S ChenGenentech, Inc., South San Francisco, CA, USA.
Priti S HegdeGenentech, Inc., South San Francisco, CA, USA.
Christina SchiffGenentech, Inc., South San Francisco, CA, USA.
Gregg D FineGenentech, Inc., South San Francisco, CA, USA.
Thomas PowlesBarts Cancer Institute and the Royal Free Hospital, Queen Mary University of London, London, UK.
Azienda Ospedaliera Universitaria Senese · ITBeth Israel Deaconess Medical Center · USCity of Hope · USCleveland Clinic · USDana-Farber Cancer Institute · USFlorida Cancer Specialists & Research Institute · USGeorgetown Lombardi Comprehensive Cancer CenterHôpital Saint-André · FRInstitut Gustave Roussy · FRMayo Clinic Hospital · USMedizinische Hochschule Hannover · DEMemorial Sloan Kettering Cancer Center · USOspedale San Donato · ITQueen Mary University of London · GBRoche (United Kingdom) · GBRoyal Marsden Hospital · GBSarah Cannon · USTexas Oncology · USUniversitat Autònoma de Barcelona · ESUniversity of California, San Francisco · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
Tumor Immunology and Microenvironment Research ProgramP30CA068485 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI MATTHEW J TYSKA · 1995 to 2026
$172.8M
VIRAL ONCOLOGY CORE FACILITYP30CA014599 · NCI · UNIVERSITY OF CHICAGO · PI MARK W. LINGEN · 1985 to 2026
$122.1M
Treating the P13-Kinase/AKTP50CA101942 · NCI · BETH ISRAEL DEACONESS MEDICAL CENTER · PI Wanling Xie · 2003 to 2026
$53.4M
NCI NIH HHS P30 CA008748NCI NIH HHS P30 CA014599NCI NIH HHS P30 CA068485NCI NIH HHS P50 CA101942NIH HHS P30 CA008748NIH HHS P30 CA14599NIH HHS P50 CA101942-13
6 · The paper itself

Abstract

We describe results from IMmotion150, a randomized phase 2 study of atezolizumab (anti-PD-L1) alone or combined with bevacizumab (anti-VEGF) versus sunitinib in 305 patients with treatment-naive metastatic renal cell carcinoma. Co-primary endpoints were progression-free survival (PFS) in intent-to-treat and PD-L1+ populations. Intent-to-treat PFS hazard ratios for atezolizumab + bevacizumab or atezolizumab monotherapy versus sunitinib were 1.0 (95% confidence interval (CI), 0.69-1.45) and 1.19 (95% CI, 0.82-1.71), respectively; PD-L1+ PFS hazard ratios were 0.64 (95% CI, 0.38-1.08) and 1.03 (95% CI, 0.63-1.67), respectively. Exploratory biomarker analyses indicated that tumor mutation and neoantigen burden were not associated with PFS. Angiogenesis, T-effector/IFN-γ response, and myeloid inflammatory gene expression signatures were strongly and differentially associated with PFS within and across the treatments. These molecular profiles suggest that prediction of outcomes with anti-VEGF and immunotherapy may be possible and offer mechanistic insights into how blocking VEGF may overcome resistance to immune checkpoint blockade.

Indexed as

AdultAgedAged, 80 and overAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedAntineoplastic Combined Chemotherapy ProtocolsBevacizumabCarcinoma, Renal CellFemaleGene Expression ProfilingGene Expression Regulation, NeoplasticHumansKaplan-Meier EstimateKidney NeoplasmsMaleMiddle AgedAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedatezolizumabBevacizumabSunitinib

Identifiers

PMID29867230
PMCPMC6721896
OpenAlexW2805302875

What OpenQuestion holds

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Read underepoch 390

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.