Evidence map›Paper›PMID 30652208›Full record

ArticleCancer immunology, immunotherapy : CII2019

The effect of everolimus and low-dose cyclophosphamide on immune cell subsets in patients with metastatic renal cell carcinoma: results from a phase I clinical trial.

Charlotte M Huijts, Sinéad M Lougheed, Zuhir Bodalal, Carla M van Herpen, Paul Hamberg, Metin Tascilar, John B Haanen, Henk M Verheul, Tanja D de Gruijl, Hans J van der Vliet and 1 more

Open access · hybridAbstract readClinical Trial, Phase I
In one paragraph

Article in Cancer immunology, immunotherapy : CII, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing 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

23 citing papers in PubMed, 33 citations in OpenAlex.

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  18. American journal of translational research · 2021
    Article
  19. Review
  20. Dendritic Cell Vaccines in Ovarian Cancer.Frontiers in immunology · 2020
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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

11 authors at 6 institutions in 1 country.

Charlotte M HuijtsDepartment of Medical Oncology, Amsterdam UMC, Vrije Universiteit Amsterdam, Cancer Center Amsterdam, De Boelelaan 1117, 1081 HV, Amsterdam, The Netherlands. c.huijts@vumc.nl.
Sinéad M LougheedDepartment of Medical Oncology, Amsterdam UMC, Vrije Universiteit Amsterdam, Cancer Center Amsterdam, De Boelelaan 1117, 1081 HV, Amsterdam, The Netherlands.
Zuhir BodalalDepartment of Medical Oncology, Amsterdam UMC, Vrije Universiteit Amsterdam, Cancer Center Amsterdam, De Boelelaan 1117, 1081 HV, Amsterdam, The Netherlands.
Carla M van HerpenDepartment of Medical Oncology, Radboud University Medical Center, Nijmegen, The Netherlands.
Paul HambergDepartment of Medical Oncology, Franciscus Gasthuis and Vlietland, Rotterdam, The Netherlands.
Metin TascilarDepartment of Medical Oncology, Isala Clinics, Zwolle, The Netherlands.
John B HaanenDivision of Medical Oncology, Netherlands Cancer Institute, Amsterdam, The Netherlands.
Henk M VerheulDepartment of Medical Oncology, Amsterdam UMC, Vrije Universiteit Amsterdam, Cancer Center Amsterdam, De Boelelaan 1117, 1081 HV, Amsterdam, The Netherlands.
Tanja D de GruijlDepartment of Medical Oncology, Amsterdam UMC, Vrije Universiteit Amsterdam, Cancer Center Amsterdam, De Boelelaan 1117, 1081 HV, Amsterdam, The Netherlands.
Hans J van der VlietDepartment of Medical Oncology, Amsterdam UMC, Vrije Universiteit Amsterdam, Cancer Center Amsterdam, De Boelelaan 1117, 1081 HV, Amsterdam, The Netherlands. jj.vandervliet@vumc.nl.
Dutch WIN-O Consortium
Vrije Universiteit Amsterdam · NLAmsterdam University Medical Centers · NLIsala · NLRadboud University Nijmegen · NLSint Franciscus Gasthuis · NLThe Netherlands Cancer Institute · NL

Funding

KWF Kankerbestrijding VU 2011-5144Novartis Novartis
6 · The paper itself

Abstract

For the treatment of metastatic renal cell cancer several strategies are used among which the mTOR inhibitor everolimus. As mTOR plays an important role in the immune system, e.g., by controlling the expression of the transcription factor FoxP3 thereby regulating regulatory T cells (Tregs), it plays a key role in the balance between tolerance and inflammation. Previous reports showed stimulatory effects of mTOR inhibition on the expansion of Tregs, an effect that can be considered detrimental in terms of cancer control. Since metronomic cyclophosphamide (CTX) was shown to selectively deplete Tregs, a phase 1 clinical trial was conducted to comprehensively investigate the immune-modulating effects of several dosages and schedules of CTX in combination with the standard dose of everolimus, with the explicit aim to achieve selective Treg depletion. Our data show that 50 mg of CTX once daily and continuously administered, in combination with the standard dose of 10 mg everolimus once daily, not only results in depletion of Tregs, but also leads to a reduction in MDSC, a sustained level of the CD8

Indexed as

B7-2 AntigenCarcinoma, Renal CellCD8-Positive T-LymphocytesCyclophosphamideEverolimusHumansKidney NeoplasmsKiller Cells, NaturalLymphocyte ActivationMyeloid-Derived Suppressor CellsNeoplasm MetastasisT-Lymphocytes, RegulatoryB7-2 AntigenCD86 protein, humanCyclophosphamideEverolimusCyclophosphamideEverolimusImmune monitoringmRCCmTORTregs

Identifiers

PMID30652208
PMCPMC6426984
OpenAlexW2909448611

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.