Evidence map›Paper›PMID 32391189›Full record

ArticleOncoimmunology2020

Evaluation of PD-L1 expression on circulating tumor cells (CTCs) in patients with advanced urothelial carcinoma (UC).

Sonja Bergmann, Anja Coym, Leonie Ott, Armin Soave, Michael Rink, Melanie Janning, Malgorzata Stoupiec, Cornelia Coith, Sven Peine, Gunhild von Amsberg and 2 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Oncoimmunology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05810402 (Liver Cancer and Immunotherapy), which is not on this map. Cited by 42 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 2 pooled it
7.4field-weighted citation impact, top 2% 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.

NCT05810402 narecruitingnot on this mapstarted 2023, after this paper: background citation

Liver Cancer and Immunotherapy : Clinical Relevance of LIquid BioPSY

TypeinterventionalSponsorUniversity Hospital, MontpellierRan2023 to 2027Enrolled60ConditionsHepatocellular Carcinoma, BCLC Stage B Hepatocellular Carcinoma, BCLC Stage C Hepatocellular Carcinoma, Immune Checkpoint InhibitorArmsLiquid Biopsy
3 · Its place in the literature

Who cites it

42 citing papers in PubMed, 2 syntheses or guidelines pooled it, 83 citations in OpenAlex.

  1. Pooled it
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  11. The Duality of Collagens in Metastases of Solid Tumors.International journal of molecular sciences · 2025
    Review
  12. Review
  13. PD-L1Journal of translational medicine · 2025
    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

12 authors at 1 institution in 1 country.

Sonja BergmannInstitute of Tumor Biology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.ORCID 0000-0002-5393-1015
Anja CoymDepartment of Oncology, Hematology and Bone Marrow Transplantation with Section Pneumology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Leonie OttInstitute of Tumor Biology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Armin SoaveDepartment of Urology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Michael RinkDepartment of Urology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Melanie JanningInstitute of Tumor Biology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Malgorzata StoupiecInstitute of Tumor Biology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Cornelia CoithInstitute of Tumor Biology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Sven PeineInstitute of Transfusion Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Gunhild von AmsbergDepartment of Oncology, Hematology and Bone Marrow Transplantation with Section Pneumology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Klaus PantelInstitute of Tumor Biology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.ORCID 0000-0001-5736-2772
Sabine RiethdorfInstitute of Tumor Biology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.ORCID 0000-0003-0028-5643
Universität Hamburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Immune checkpoint inhibition (ICI) of the PD-1/PD-L1 axis shows durable responses in a subset of patients with metastatic urothelial carcinoma (UC). However, PD-L1 expression in tumor biopsies does not necessarily correlate with response to PD-1/PD-L1 inhibitors. Thus, a reliable predictive biomarker is urgently needed. Here, the expression of PD-L1 on circulating tumor cells (CTCs) in blood from patients with advanced UC was analyzed. For this purpose, an assay to test PD-L1 expression on CTCs using the CellSearch® system was established using cells of five UC cell lines spiked into blood samples from healthy donors and applied to a heterogeneous cohort of UC patients. Enumeration of CTCs was performed in blood samples from 49 patients with advanced UC. PD-L1 expression in ≥1 CTC was found in 10 of 16 CTC-positive samples (63%). Both intra- and inter-patient heterogeneity regarding PD-L1 expression of CTCs were observed. Furthermore, vimentin-expressing CTCs were detected in 4 of 15 CTC-positive samples (27%), independently of PD-L1 analysis. Both CTC detection and presence of CTCs with moderate or strong PD-L1 expression correlated with worse overall survival. Analyses during disease course of three individual patients receiving ICI suggest that apart from CTC numbers also PD-L1 expression on CTCs might potentially indicate disease progression. This is the first study demonstrating the feasibility to detect CTC-PD-L1 expression in patients with advanced UC using the CellSearch® system. This assay is readily available for clinical application and could be implemented in future clinical trials to evaluate its relevance for predicting and monitoring response to ICI.

Indexed as

Carcinoma, Transitional CellNeoplastic Cells, CirculatingUrinary Bladder NeoplasmsB7-H1 AntigenHumansVimentinB7-H1 AntigenVimentincellsearchcirculating tumor cellsimmune checkpoint inhibitionPD-L1urothelial carcinomavimentin

Identifiers

PMID32391189
PMCPMC7199812
OpenAlexW3013054503

What OpenQuestion holds

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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.