Evidence map›Paper›PMID 32333082›Full record

ArticleCancer immunology, immunotherapy : CII2020

Peri-tumor administration of controlled release anti-CTLA-4 synergizes with systemic anti-PD-1 to induce systemic antitumor immunity while sparing autoimmune toxicity.

Airi Harui, Sandra M McLachlan, Basil Rapoport, Thomas I Zarembinski, Michael D Roth

Open access · bronzeAbstract 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. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.4field-weighted citation impact, top 37% 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

8 citing papers in PubMed, 11 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

5 authors at 2 institutions in 1 country.

Airi HaruiDivision of Pulmonary and Critical Care, David Geffen School of Medicine at UCLA, Los Angeles, CA, 90095, USA.
Sandra M McLachlanDepartment of Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CA, 90095, USA.
Basil RapoportDepartment of Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CA, 90095, USA.
Thomas I ZarembinskiBioTime Inc., 1010 Atlantic Ave. Suite 101, Alameda, CA, 94501, USA.
Michael D RothDivision of Pulmonary and Critical Care, David Geffen School of Medicine at UCLA, Los Angeles, CA, 90095, USA. mroth@mednet.ucla.edu.ORCID http://orcid.org/0000-0003-2194-6578
University of California, Los Angeles · USLineage Cell Therapeutics (United States) · US

Funding

Virology CoreP30AI028697 · NIAID · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ANTON, PETER A · 1991 to 2018
$39.9M
NIAID NIH HHS P30 AI028697
6 · The paper itself

Abstract

Combination immunotherapy targeting the PD-1 and CTLA-4 checkpoint inhibitor pathways provides substantial clinical benefit in patients with advanced-stage cancer but at the risk of dose-limiting inflammatory and autoimmune toxicity. The delicate balance that exists between unleashing tumor killing and promoting systemic autoimmune toxicity represents a major clinical challenge. We hypothesized that targeting anti-CTLA-4 so that it perfuses tumor-draining lymph nodes would provide a significant therapeutic advantage and developed an injectable hydrogel with controlled antibody release characteristics for this purpose. Injection of hydrogel-encapsulated anti-CTLA-4 at a peri-tumor location (MC-38 tumor model) produced dose-dependent antitumor responses and survival that exceeded those by anti-CTLA-4 alone (p < 0.05). Responses to 100 µg of targeted anti-CTLA-4 also equaled or exceeded those observed with a series of systemic injections delivering 600 µg (p < 0.05). While preserving antitumor activity, this approach resulted in serum anti-CTLA-4 exposure (area under the curve) that averaged only 1/16th of that measured with systemic therapy. Consistent with the marked differences in systemic exposure, systemic anti-CTLA-4 stimulated the onset of autoimmune thyroiditis in iodide-exposed NOD.H-2

Indexed as

AnimalsAntineoplastic AgentsAutoimmunityCell Line, TumorCell ProliferationCombined Modality TherapyCTLA-4 AntigenDelayed-Action PreparationsDrug SynergismFemaleImmunityImmunotherapyMiceMice, Inbred C57BLMice, Inbred NODProgrammed Cell Death 1 ReceptorAntineoplastic AgentsCTLA-4 AntigenDelayed-Action PreparationsPdcd1 protein, mouseProgrammed Cell Death 1 ReceptorAutoimmune toxicityCheckpoint inhibitor blockadeCTLA-4HydrogelNOD.H-2h4Peri-tumor injection

Identifiers

PMID32333082
PMCPMC11027619
OpenAlexW3019672920

What OpenQuestion holds

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Registered trials

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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.