Evidence map›Paper›PMID 32369447›Full record

Trial reportJCI insight2020

Nivolumab and ipilimumab are associated with distinct immune landscape changes and response-associated immunophenotypes.

David M Woods, Andressa S Laino, Aidan Winters, Jason Alexandre, Daniel Freeman, Vinay Rao, Santi S Adavani, Jeffery S Weber, Pratip K Chattopadhyay

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in JCI insight, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
1.1field-weighted citation impact, top 20% 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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  5. Article
  6. Deciphering CD4Molecular carcinogenesis · 2024
    Review
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  9. A Population of Tumor-Infiltrating CD4+ T Cells Co-Expressing CD38 and CD39 Is Associated with Checkpoint Inhibitor Resistance.Clinical cancer research : an official journal of the American Association for Cancer Research · 2023
    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

9 authors at 2 institutions in 1 country.

David M WoodsLaura and Isaac Perlmutter Cancer Center, NYU Langone Health, New York, New York, USA.
Andressa S LainoLaura and Isaac Perlmutter Cancer Center, NYU Langone Health, New York, New York, USA.
Aidan WintersLaura and Isaac Perlmutter Cancer Center, NYU Langone Health, New York, New York, USA.
Jason AlexandreLaura and Isaac Perlmutter Cancer Center, NYU Langone Health, New York, New York, USA.
Daniel FreemanLaura and Isaac Perlmutter Cancer Center, NYU Langone Health, New York, New York, USA.
Vinay RaoRocketML, Beaverton, Oregon, USA.
Santi S AdavaniRocketML, Beaverton, Oregon, USA.
Jeffery S WeberLaura and Isaac Perlmutter Cancer Center, NYU Langone Health, New York, New York, USA.
Pratip K ChattopadhyayLaura and Isaac Perlmutter Cancer Center, NYU Langone Health, New York, New York, USA.
NYU Langone Health · USCarepayment (United States) · US

Funding

Rational Sequencing of PD-1 and CTLA-4 Antibodies in Metastatic MelanomaR01CA175732 · NCI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI WEBER, JEFFREY S · 2013 to 2017
$1.7M
Elucidating the Contextual Roles of IL-10 in Patient Response to Cancer ImmunotherapyR00CA230201 · NCI · UNIVERSITY OF COLORADO DENVER · PI WOODS, DAVID MICHAEL · 2020 to 2022
$709k
Elucidating the Contextual Roles of IL-10 in Patient Response to Cancer ImmunotherapyK99CA230201 · NCI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI WOODS, DAVID MICHAEL · 2018 to 2019
$274k
NCI NIH HHS K99 CA230201NCI NIH HHS R00 CA230201NCI NIH HHS R01 CA175732
6 · The paper itself

Abstract

BACKGROUNDThe reshaping of the immune landscape by nivolumab (NIVO) and ipilimumab (IPI) and its relation to patient outcomes is not well described.METHODSWe used high-parameter flow cytometry and a computational platform, CytoBrute, to define immunophenotypes of up to 15 markers to assess peripheral blood samples from metastatic melanoma patients receiving sequential NIVO > IPI or IPI > NIVO (Checkmate-064).RESULTSThe 2 treatments were associated with distinct immunophenotypic changes and had differing profiles associated with response. Only 2 immunophenotypes were shared but had opposing relationships to response/survival. To understand the impact of sequential treatment on response/survival, phenotypes that changed after the initial treatment and differentiated response in the other cohort were identified. Immunophenotypic changes occurring after NIVO were predominately associated with response to IPI > NIVO, but changes occurring after IPI were predominately associated with progression after NIVO > IPI. Among these changes, CD4+CD38+CD39+CD127-GARP- T cell subsets were increased after IPI treatment and were negatively associated with response/survival for the NIVO > IPI cohort.CONCLUSIONCollectively, these data suggest that the impact of IPI and NIVO on the immunophenotypic landscape of patients is distinct and that the impact of IPI may be associated with resistance to subsequent NIVO therapy, consistent with poor outcomes in the IPI > NIVO cohort of Checkmate-064.

Indexed as

ImmunophenotypingMelanomaAntigens, DifferentiationFemaleFlow CytometryHumansIpilimumabMaleNeoplasm MetastasisNivolumabT-LymphocytesAntigens, DifferentiationIpilimumabNivolumabCancer immunotherapyImmunologyMelanomaOncology

Identifiers

PMID32369447
PMCPMC7308045
OpenAlexW3023365427

What OpenQuestion holds

Textmetadata
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.