Evidence map›Paper›PMID 31893287›Full record

ArticleCancer immunology, immunotherapy : CII2020

Immunogenic cell death by neoadjuvant oxaliplatin and radiation protects against metastatic failure in high-risk rectal cancer.

Simer J Bains, Hanna Abrahamsson, Kjersti Flatmark, Svein Dueland, Knut H Hole, Therese Seierstad, Kathrine Røe Redalen, Sebastian Meltzer, Anne Hansen Ree

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Cancer immunology, immunotherapy : CII, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05504252 (METIMMOX-2), which is not on this map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
2.7field-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.

NCT05504252 phase2active not recruitingnot on this mapstarted 2022, after this paper: background citation

METIMMOX-2: Metastatic pMMR/MSS Colorectal Cancer - Shaping Anti-Tumor Immunity by Oxaliplatin

TypeinterventionalSponsorUniversity Hospital, AkershusRan2022 to 2028Enrolled80ConditionsColorectal Adenocarcinoma, Mucinous Adenocarcinoma, Signet Ring Cell AdenocarcinomaArmsNivolumab, Oxaliplatin
3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 46 citations in OpenAlex.

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  17. Can Cisplatin Therapy Be Improved? Pathways That Can Be Targeted.International journal of molecular sciences · 2022
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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

9 authors at 4 institutions in 1 country.

Simer J BainsDepartment of Oncology, Akershus University Hospital, P.O. Box 1000, 1478, Lørenskog, Norway.
Hanna AbrahamssonDepartment of Oncology, Akershus University Hospital, P.O. Box 1000, 1478, Lørenskog, Norway.
Kjersti FlatmarkInstitute of Clinical Medicine, University of Oslo, Oslo, Norway.
Svein DuelandDepartment of Oncology, Oslo University Hospital, Oslo, Norway.
Knut H HoleInstitute of Clinical Medicine, University of Oslo, Oslo, Norway.
Therese SeierstadDivision of Radiology and Nuclear Medicine, Department of Research and Development, Oslo University Hospital, Oslo, Norway.
Kathrine Røe RedalenDepartment of Oncology, Akershus University Hospital, P.O. Box 1000, 1478, Lørenskog, Norway.
Sebastian MeltzerDepartment of Oncology, Akershus University Hospital, P.O. Box 1000, 1478, Lørenskog, Norway.
Anne Hansen ReeDepartment of Oncology, Akershus University Hospital, P.O. Box 1000, 1478, Lørenskog, Norway. a.h.ree@medisin.uio.no.ORCID http://orcid.org/0000-0002-8264-3223
Oslo University Hospital · NOAkershus University Hospital · NOUniversity of Oslo · NONorwegian University of Science and Technology · NO

Funding

Akershus Universitetssykehus 2017014Akershus Universitetssykehus 2018002Helse Sør-Øst RHF 2015033Helse Sør-Øst RHF 2017109Helse Sør-Øst RHF 2018054
6 · The paper itself

Abstract

objectiveHigh rates of systemic failure in locally advanced rectal cancer call for a rational use of conventional therapies to foster tumor-defeating immunity.

methodsWe analyzed the high-mobility group box-1 (HMGB1) protein, a measure of immunogenic cell death (ICD), in plasma sampled from 50 patients at the time of diagnosis and following 4 weeks of induction chemotherapy and 5 weeks of sequential chemoradiotherapy, both neoadjuvant modalities containing oxaliplatin. The patients had the residual tumor resected and were followed for long-term outcome.

resultsPatients who met the main study end point-freedom from distant recurrence-showed a significant rise in HMGB1 during the induction chemotherapy and consolidation over the chemoradiotherapy. The higher the ICD increase, the lower was the metastatic failure risk (hazard ratio 0.26, 95% confidence interval 0.11-0.62, P = 0.002). However, patients who received the full-planned oxaliplatin dose of the chemoradiotherapy regimen had poorer metastasis-free survival (P = 0.020) than those who had the oxaliplatin dose reduced to avert breach of the radiation delivery, which is critical to maintain efficient tumor cell kill and in the present case, probably also protected the ongoing radiation-dependent ICD response from systemic oxaliplatin toxicity.

conclusionThe findings indicated that full-dose induction oxaliplatin followed by an adapted oxaliplatin dose that was compliant with full-intensity radiation caused induction and maintenance of ICD and as a result, durable disease-free outcome for a patient population prone to metastatic progression.

Indexed as

AdultAgedFemaleHumansMaleMiddle AgedNeoadjuvant TherapyNeoplasm MetastasisOxaliplatinRectal NeoplasmsRisk FactorsTreatment OutcomeOxaliplatinImmunogenic cell deathMetastasisOxaliplatinRadiotherapyRectal cancer

Identifiers

PMID31893287
PMCPMC7044156
OpenAlexW2997466052

What OpenQuestion holds

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LicenceCC BY
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.