Evidence map›Paper›PMID 30723580›Full record

ArticleOncoimmunology

Local immunomodulation combined to radiofrequency ablation results in a complete cure of local and distant colorectal carcinoma.

Katia Lemdani, Nathalie Mignet, Vincent Boudy, Johanne Seguin, Edward Oujagir, Olivia Bawa, Frédérique Peschaud, Jean-François Emile, Claude Capron, Robert Malafosse

2 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in Oncoimmunology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 36 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 7% 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.

NCT04062721 phase1not yet recruitingnot on this map

Feasibility and Safety of Local Immunomodulation Combined With Radiofrequency Ablation for Unresectable Colorectal Liver Metastases: A Monocentric Phase I Trial

TypeinterventionalSponsorAssistance Publique - Hôpitaux de ParisRan2025 to 2028Enrolled12ConditionsUnresectable Colorectal Liver MetastasesArmsChemotherapy, Radiofrequency ablation (RFA), In situ immunotherapy
NCT04420013 unknown statusnot on this map

Colorectal Cancer Immunomodulation Combined to Radiofrequency ablatIon

TypeobservationalSponsorAssistance Publique - Hôpitaux de ParisRan2020 to 2022Enrolled20ConditionsColorectal Cancer, Radiofrequency ablatIon
3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 1 synthesis or guideline pooled it, 48 citations in OpenAlex.

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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

10 authors at 4 institutions in 1 country.

Katia LemdaniEA4340 BCOH, Versailles University, Paris-Saclay University, Boulogne, France.
Nathalie MignetCNRS, UTCBS UMR 8258, Paris, France.ORCID 0000-0002-3323-2997
Vincent BoudyCNRS, UTCBS UMR 8258, Paris, France.
Johanne SeguinCNRS, UTCBS UMR 8258, Paris, France.ORCID 0000-0001-5689-7046
Edward OujagirCNRS, UTCBS UMR 8258, Paris, France.
Olivia BawaInstitut Gustave Roussy, Unité de pathologie expérimentale de l'IRCIV, Villejuif, France.
Frédérique PeschaudEA4340 BCOH, Versailles University, Paris-Saclay University, Boulogne, France.
Jean-François EmileEA4340 BCOH, Versailles University, Paris-Saclay University, Boulogne, France.
Claude CapronEA4340 BCOH, Versailles University, Paris-Saclay University, Boulogne, France.
Robert MalafosseEA4340 BCOH, Versailles University, Paris-Saclay University, Boulogne, France.
Délégation Paris 5 · FRUniversité Paris-Saclay · FRCentre National de la Recherche Scientifique · FRInstitut Gustave Roussy · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Radiofrequency ablation (RFA) of colorectal liver metastases activates a specific T-cell response that is ineffective in avoiding recurrence. Recently, local immunomodulation garnered interests as a way to improve the immune response. We were interested in improving the RFA immune response priming to propose a curative treatment of colorectal cancer (CRC) based on antitumor immunity. First, we demonstrated that the RFA did not increase the tumor infiltrating lymphocytes in secondary distant tumors of patients and in mice model and could not avoid relapse. Remarkably, RFA and in situ immunomodulation with GM-CSF-BCG hydrogel induced complete cure of microscopic secondary lesions in mice, related to a strong specific immune response. Then, we demonstrated that the immune escape of large secondary lesions was reversed by addition of the systemic PD-1 blockade to the in situ immunomodulation. The lack of an effective distant immune response in patients treated with RFA confirmed the relevance of this new combination strategy. Increasing the in situ priming response of radiofrequency ablation provides effective adjuvants to induce an abscopal effect. In the case of large lesions, synergy between PD1 blockade inhibitor, ineffective alone or after single RFA, with in situ immunomodulation, could lead to reconsideration of the use of checkpoint inhibition in metastatic MSS CRC.

Indexed as

anti-PD1 blockadeColorectal carcinomadistant tumorimmune responselocal immunomodulationradiofrequency ablationtumor infiltrating lymphocytes

Identifiers

PMID30723580
PMCPMC6350685
OpenAlexW2910530439

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.