Evidence map›Paper›PMID 31765263›Full record

Trial reportJournal of clinical oncology : official journal of the American Society of Clinical Oncology2020

Nivolumab Is Effective in Mismatch Repair-Deficient Noncolorectal Cancers: Results From Arm Z1D-A Subprotocol of the NCI-MATCH (EAY131) Study.

Nilofer S Azad, Robert J Gray, Michael J Overman, Jonathan D Schoenfeld, Edith P Mitchell, James A Zwiebel, Elad Sharon, Howard Streicher, Shuli Li, Lisa M McShane and 15 more

Registry-linked trialAbstract readClinical Trial, Phase II
In one paragraph

Trial report in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04439214 (MATCH Treatment Subprotocol Z1D), which is not on this map. Cited by 79 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
79citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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.

NCT04439214 phase2completednot on this map

MATCH Treatment Subprotocol Z1D: Nivolumab in Patients With Tumors With Mismatch Repair Deficiency

TypeinterventionalSponsorNational Cancer Institute (NCI)Ran2016 to 2020Enrolled47ConditionsAdvanced Lymphoma, Advanced Malignant Solid Neoplasm, Hematopoietic and Lymphoid Cell Neoplasm, Refractory LymphomaArmsNivolumab
3 · Its place in the literature

Who cites it

79 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Pooled it
  4. Trial
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  6. Phase II Trial of Nivolumab in Metastatic Rare Cancer with dMMR or MSI-H and Relation with Immune Phenotypic Analysis (the ROCK Trial).Clinical cancer research : an official journal of the American Association for Cancer Research · 2023
    Trial
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  10. Article
  11. Review
  12. Review
  13. Review
  14. Article
  15. Concordance between Tumor Tissue and Plasma DNA Genotyping in the NCI-MATCH Trial (EAY131).Clinical cancer research : an official journal of the American Association for Cancer Research · 2025
    Article
  16. Next-Generation Sequencing-Based MSI Scoring Predicts Benefit in Mismatch Repair-Deficient Tumors Treated with Nivolumab: Follow-up on NCI-MATCH Arm Z1D.Clinical cancer research : an official journal of the American Association for Cancer Research · 2025
    Article
  17. Review
  18. Review
  19. Review
  20. Recent Advances in Immunotherapy for Advanced Biliary Tract Cancer.Current treatment options in oncology · 2024
    Review

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

25 authors.

Nilofer S AzadJohns Hopkins University, Baltimore, MD.
Robert J GrayDana-Farber Cancer Institute, Boston, MA.
Michael J OvermanThe University of Texas MD Anderson Cancer Center, Houston, TX.
Jonathan D SchoenfeldBrigham and Women's Cancer Center, Boston, MA.
Edith P MitchellThomas Jefferson University, Philadelphia, PA.
James A ZwiebelNational Cancer Institute, Bethesda, MD.
Elad SharonNational Cancer Institute, Bethesda, MD.
Howard StreicherNational Cancer Institute, Bethesda, MD.
Shuli LiDana-Farber Cancer Institute, Boston, MA.
Lisa M McShaneNational Cancer Institute, Bethesda, MD.
Larry RubinsteinNational Cancer Institute, Bethesda, MD.
David R PattonNational Cancer Institute, Bethesda, MD.
P Mickey WilliamsFrederick National Laboratory for Cancer Research, Frederick, MD.
Brent CoffeyFrederick National Laboratory for Cancer Research, Frederick, MD.
Stanley R HamiltonThe University of Texas MD Anderson Cancer Center, Houston, TX.
Nathan BaharyUniversity of Pittsburgh, Pittsburgh, PA.
J Marie SugaKaiser Permanente Vallejo Medical Center, San Diego, CA.
Hassan HatoumUniversity of Oklahoma Health Sciences Center, Oklahoma City, OK.
Jeffrey S AbramsNational Cancer Institute, Bethesda, MD.
Barbara A ConleyNational Cancer Institute, Bethesda, MD.
Carlos L ArteagaUniversity of Texas Southwestern Medical Center, Dallas, TX.
Lyndsay HarrisNational Cancer Institute, Bethesda, MD.
Peter J O'DwyerUniversity of Pennsylvania, Philadelphia, PA.
Alice P ChenNational Cancer Institute, Bethesda, MD.
Keith T FlahertyMassachusetts General Hospital, Boston, MA.

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Scott Kopetz · 1985 to 2026
$290.8M
NRG Oncology Network Group Operations Center - GY9 BIQSFP Reports/BudgetsU10CA180868 · NCI · NRG ONCOLOGY FOUNDATION, INC. · PI NORMAN WOLMARK · 2014 to 2026
$206.8M
Project-006U10CA180820 · NCI · ECOG-ACRIN MEDICAL RESEARCH FOUNDATION · PI Peter J ODwyer, MITCHELL D. SCHNALL · 2014 to 2026
$167.6M
Statistics CoreU10CA180794 · NCI · DANA-FARBER CANCER INST · PI PAUL J CATALANO, CONSTANTINE A. GATSONIS · 2014 to 2026
$111.2M
Convalescent Plasma to Limit Coronavirus Associated ComplicationsUL1TR003167 · NCATS · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI KARP, DANIEL D, MCPHERSON, DAVID D · 2019 to 2023
$45.3M
Kaiser Permanente NCI National Community Oncology Research Program, NCORPUG1CA189821 · NCI · KAISER FOUNDATION RESEARCH INSTITUTE · PI Jennifer Marie Suga · 2014 to 2026
$44.4M
Lead Academic Participating Site for the Development and Conduct of NCTN TrialsU10CA180798 · NCI · UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR · PI MANNEL, ROBERT S., MOORE, KATHLEEN N. · 2014 to 2018
$6.7M
NCTN Lead Academic Participating Site at Dana-Farber/Partners Cancer CareU10CA180867 · NCI · DANA-FARBER CANCER INST · PI BURSTEIN, HAROLD JOHN, KIBEL, ADAM S · 2014 to 2018
$6.2M
UT MD Anderson Cancer Center Network Lead Academic Participating Site (LAP)U10CA180858 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI HUNT, KELLY K, PINNIX, CHELSEA CAMILLE · 2014 to 2018
$5.6M
NCI NCTN-Network Lead Academic Site at UPCIU10CA180844 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI BRUFSKY, ADAM M, EDWARDS, ROBERT PAGE · 2014 to 2018
$4.5M
Sidney Kimmel Cancer Center LAPS Institutional CollaborationUG1CA233341 · NCI · THOMAS JEFFERSON UNIVERSITY · PI Steven Cohen, Mitchell Edelson · 2019 to 2026
$3.5M
UT Southwestern NCI National Clinical Trials Network Lead Academic Site - U10U10CA180870 · NCI · UT SOUTHWESTERN MEDICAL CENTER · PI GERBER, DAVID ERIC · 2014 to 2018
$3.4M
NCATS NIH HHS UL1 TR003167NCI NIH HHS P30 CA016672NCI NIH HHS U10 CA180794NCI NIH HHS U10 CA180798NCI NIH HHS U10 CA180802NCI NIH HHS U10 CA180820NCI NIH HHS U10 CA180844NCI NIH HHS U10 CA180858NCI NIH HHS U10 CA180867NCI NIH HHS U10 CA180868NCI NIH HHS U10 CA180870NCI NIH HHS UG1 CA189821NCI NIH HHS UG1 CA233341
6 · The paper itself

Abstract

purposeThe National Cancer Institute Molecular Analysis for Therapy Choice (NCI-MATCH) trial, the largest national precision oncology study to date (> 1,100 sites) of patients with relapsed or refractory malignancies, assigned patients to targeted therapy in parallel phase II studies based on tumor molecular alterations. The anti-programmed death receptor 1 inhibitor nivolumab previously showed activity in mismatch repair (MMR)-deficient colon cancer. We hypothesized that nivolumab would have activity in patients with MMR-deficient, noncolorectal tumors. PATIENTS AND

methodsEligible patients with relapsed or refractory tumors, good end-organ function, and Eastern Cooperative Oncology Group performance status of ≤ 1 underwent tumor biopsy for centralized screening of molecular alterations. MMR deficiency was defined by complete loss of nuclear expression of

resultsTwo percent of 4,902 screened patients had an MMR-deficient cancer by IHC. Forty-two evaluable patients were enrolled, with a median age of 60 years and a median of 3 prior therapies. The most common histologies were endometrioid endometrial adenocarcinoma (n = 13), prostate adenocarcinoma (n = 5), and uterine carcinosarcoma (n = 4). ORR was 36% (15 of 42 patients). An additional 21% of patients had stable disease. The estimated 6-, 12-, and 18-month progression-free survival rates were 51.3% (90% CI, 38.2% to 64.5%), 46.2% (90% CI, 33.1% to 59.3%), and 31.4% (90% CI, 18.7% to 44.2%), respectively. Median overall survival was 17.3 months. Toxicity was predominantly low grade.

conclusionA variety of refractory cancers (2.0% of those screened) had MMR deficiency as defined in NCI-MATCH. Nivolumab has promising activity in MMR-deficient noncolorectal cancers of a wide variety of histopathologic types.

Indexed as

Brain NeoplasmsColorectal NeoplasmsNeoplastic Syndromes, HereditaryAdultAgedAged, 80 and overAntineoplastic Agents, ImmunologicalDrug Resistance, NeoplasmFemaleHumansMaleMiddle AgedNeoplasm Recurrence, LocalNeoplasmsNivolumabAntineoplastic Agents, ImmunologicalNivolumab

Identifiers

PMID31765263
PMCPMC6968795

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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.