Evidence map›Paper›PMID 30832716›Full record

ArticleJournal for immunotherapy of cancer2019

Exceptional response and multisystem autoimmune-like toxicities associated with the same T cell clone in a patient with uveal melanoma treated with immune checkpoint inhibitors.

Suthee Rapisuwon, Benjamin Izar, Cory Batenchuk, Alexandre Avila, Shaolin Mei, Peter Sorger, Jerry M Parks, Sarah J Cooper, David Wagner, Jay C Zeck and 2 more

Open access · goldAbstract readCase Reports
In one paragraph

Article in Journal for immunotherapy of cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
2.9field-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.

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

24 citing papers in PubMed, 39 citations in OpenAlex.

  1. Article
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  5. Review
  6. Challenges in posterior uveitis-tips and tricks for the retina specialist.Journal of ophthalmic inflammation and infection · 2023
    Review
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  19. Article
  20. Melanoma and Vitiligo: In Good Company.International journal of molecular sciences · 2019
    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

12 authors at 5 institutions in 2 countries.

Suthee RapisuwonDepartment of Oncology, Lombardi Comprehensive Cancer Center, Georgetown University Medical Center, 3970 Reservoir Rd NW, New Research Building Suite E 501, Washington, DC, 20057, USA. sr905@georgetown.edu.ORCID 0000-0002-1389-925X
Benjamin IzarDana-Farber Cancer Institute, Boston, MA, USA.
Cory BatenchukBristol-Myers Squibb, Princeton, NJ, USA.
Alexandre AvilaBristol-Myers Squibb, Princeton, NJ, USA.
Shaolin MeiDana-Farber Cancer Institute, Boston, MA, USA.
Peter SorgerHarvard Medical School-Harvard University, Boston, MA, USA.
Jerry M ParksCenter for Molecular Biophysics, Biosciences Division, Oak Ridge National Laboratory, Oak Ridge, TN, USA.
Sarah J CooperCenter for Molecular Biophysics, Biosciences Division, Oak Ridge National Laboratory, Oak Ridge, TN, USA.
David WagnerMedstar Georgetown University Hospital, Washington, DC, USA.
Jay C ZeckMedstar Georgetown University Hospital, Washington, DC, USA.
Aline J CharabatyMedstar Georgetown University Hospital, Washington, DC, USA.
Michael B AtkinsDepartment of Oncology, Lombardi Comprehensive Cancer Center, Georgetown University Medical Center, 3970 Reservoir Rd NW, New Research Building Suite E 501, Washington, DC, 20057, USA.
Georgetown University · USBristol-Myers Squibb (Germany) · DEDana-Farber Cancer Institute · USOak Ridge National Laboratory · USHarvard University · US

Funding

Dissecting mechanisms of immunotherapy resistance in melanoma patientsK08CA222663 · NCI · DANA-FARBER CANCER INST · PI IZAR, BENJAMIN · 2017 to 2021
$827k
NCI NIH HHS K08 CA222663
6 · The paper itself

Abstract

Balancing the potential for durable remissions with autoimmune-like toxicities is a key clinical challenge in the use of immune checkpoint inhibitors (ICI). Certain toxicities are associated with an increased response rate; however, the molecular underpinnings of this association are poorly understood. Here, we report a patient with wide spread uveal melanoma who had an exceptional response to treatment with ipilimumab and nivolumab, but suffered severe immune-related sequelae, including central serous retinopathy with retinal detachment, tinnitus, and vitiligo resembling Vogt-Koyanagi-Harada disease, and refractory enteritis. TCR-sequencing of the primary tumor, a hepatic metastasis, duodenal biopsy and peripheral blood mononuclear cells, identified the identical T cell clone in all four tissues. This case provides preliminary evidence for cross-reactivity as a mechanism for the association between effect and toxicity of ICIs.

Indexed as

Antineoplastic Agents, ImmunologicalBone NeoplasmsCTLA-4 AntigenFatal OutcomeFemaleHumansIpilimumabLiver NeoplasmsLung NeoplasmsMelanomaMiddle AgedNivolumabProgrammed Cell Death 1 ReceptorRetinal DiseasesT-LymphocytesUveal MelanomaAntineoplastic Agents, ImmunologicalCTLA-4 AntigenCTLA4 protein, humanIpilimumabNivolumabPDCD1 protein, humanProgrammed Cell Death 1 Receptor

Identifiers

PMID30832716
PMCPMC6399858
OpenAlexW2921021458

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.