Evidence map›Paper›PMID 32169873›Full record

ArticleJournal for immunotherapy of cancer2020

Molecular and immunological features of a prolonged exceptional responder with malignant pleural mesothelioma treated initially and rechallenged with pembrolizumab.

Anna Minchom, Wei Yuan, Mateus Crespo, Bora Gurel, Ines Figueiredo, Andrew Wotherspoon, Susana Miranda, Ruth Riisnaes, Ana Ferreira, Claudia Bertan and 12 more

Open access · goldAbstract readCase Reports
In one paragraph

Article in Journal for immunotherapy of cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.0field-weighted citation impact, top 21% 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

9 citing papers in PubMed, 10 citations in OpenAlex.

  1. Phase I Trial of Ipatasertib plus Atezolizumab Enhances PI3K/AKT Pathway Immune Responses in Solid Tumors and Refractory Glioblastoma.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
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  8. Characterizing CDK12-Mutated Prostate Cancers.Clinical cancer research : an official journal of the American Association for Cancer Research · 2021
    Article
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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

22 authors at 2 institutions in 1 country.

Anna MinchomDrug Development Unit, Royal Marsden Hospital/ Institute of Cancer Research, Sutton, UK anna.minchom@icr.ac.uk.
Wei YuanDrug Development Unit, Royal Marsden Hospital/ Institute of Cancer Research, Sutton, UK.
Mateus CrespoDrug Development Unit, Royal Marsden Hospital/ Institute of Cancer Research, Sutton, UK.
Bora GurelDrug Development Unit, Royal Marsden Hospital/ Institute of Cancer Research, Sutton, UK.
Ines FigueiredoDrug Development Unit, Royal Marsden Hospital/ Institute of Cancer Research, Sutton, UK.
Andrew WotherspoonDepartment of Histopathology, Royal Marsden Hospital, London, UK.
Susana MirandaDrug Development Unit, Royal Marsden Hospital/ Institute of Cancer Research, Sutton, UK.
Ruth RiisnaesDrug Development Unit, Royal Marsden Hospital/ Institute of Cancer Research, Sutton, UK.
Ana FerreiraDrug Development Unit, Royal Marsden Hospital/ Institute of Cancer Research, Sutton, UK.
Claudia BertanDrug Development Unit, Royal Marsden Hospital/ Institute of Cancer Research, Sutton, UK.
Rita PereiraDrug Development Unit, Royal Marsden Hospital/ Institute of Cancer Research, Sutton, UK.
Matt ClarkeDrug Development Unit, Royal Marsden Hospital/ Institute of Cancer Research, Sutton, UK.
Chloe BakerDrug Development Unit, Royal Marsden Hospital/ Institute of Cancer Research, Sutton, UK.
Joo Ern AngDrug Development Unit, Royal Marsden Hospital/ Institute of Cancer Research, Sutton, UK.
Nicos FotiadisDepartment of Radiology, Royal Marsden Hospital, London, UK.
Nina TunariuDrug Development Unit, Royal Marsden Hospital/ Institute of Cancer Research, Sutton, UK.
Suzanne CarreiraDrug Development Unit, Royal Marsden Hospital/ Institute of Cancer Research, Sutton, UK.ORCID 0000-0002-5077-5379
Sanjay PopatLung Unit, Royal Marsden Hospital, London, UK.
Mary O'BrienLung Unit, Royal Marsden Hospital, Sutton, UK.
Udai BanerjiDrug Development Unit, Royal Marsden Hospital/ Institute of Cancer Research, Sutton, UK.
Johann de BonoDrug Development Unit, Royal Marsden Hospital/ Institute of Cancer Research, Sutton, UK.
Juanita LopezDrug Development Unit, Royal Marsden Hospital/ Institute of Cancer Research, Sutton, UK.
Institute of Cancer Research · GBRoyal Marsden Hospital · GB

Funding

Cancer Research UK 22897Department of Health
6 · The paper itself

Abstract

backgroundThis case represents an exceptional response to pembrolizumab in a patient with epithelioid mesothelioma with a further response on rechallenge. CASE PRESENTATION: A 77-year-old woman with advanced epithelioid mesothelioma extensively pretreated with chemotherapy demonstrated a prolonged response of 45 months to 52 cycles of pembrolizumab. On rechallenge with pembrolizumab, further disease stability was achieved. Serial biopsies and analysis by immunohistochemistry and immunofluorescence demonstrated marked immune infiltration and documented the emergency of markers of immune exhaustion. Whole exome sequencing demonstrated a reduction in tumor mutational burden consistent with subclone elimination by immune checkpoint inhibitor (CPI) therapy. The relapse biopsy had missense mutation in BTN2A1.

conclusionThis case supports rechallenge of programme death receptor 1 inhibitor in cases of previous CPI sensitivity and gives molecular insights.

Indexed as

AgedAntibodies, Monoclonal, HumanizedB7-H1 AntigenBiomarkers, TumorFemaleHumansLung NeoplasmsMesotheliomaMesothelioma, MalignantPleural NeoplasmsPrognosisRetreatmentAntibodies, Monoclonal, HumanizedB7-H1 AntigenBiomarkers, TumorCD274 protein, humanpembrolizumabimmunotherapymesotheliomaPD-1PD-L1TMB

Identifiers

PMID32169873
PMCPMC7069263
OpenAlexW3011918526

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.