Evidence map›Paper›PMID 32430334›Full record

Trial reportProceedings of the National Academy of Sciences of the United States of America2020

Polygenic risk for skin autoimmunity impacts immune checkpoint blockade in bladder cancer.

Zia Khan, Flavia Di Nucci, Antonia Kwan, Christian Hammer, Sanjeev Mariathasan, Vincent Rouilly, Jonathan Carroll, Magnus Fontes, Sergio Ley Acosta, Ellie Guardino and 8 more

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Proceedings of the National Academy of Sciences of the United States of America, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 69 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
69citing papers in PubMed, 3 pooled it
5.4field-weighted citation impact, top 3% 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

69 citing papers in PubMed, 3 syntheses or guidelines pooled it, 92 citations in OpenAlex.

  1. Pooled it
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  4. Trial
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  6. Article
  7. Article
  8. Article
  9. Biomarkers and testing in pathology.Current opinion in urology · 2026
    Review
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  12. Article
  13. Genetic haplotypes inJournal for immunotherapy of cancer · 2025
    Article
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  15. Article
  16. Review
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9 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors at 2 institutions in 2 countries.

Zia KhanGenentech, South San Francisco, CA 94080; khanz12@gene.com iram@gene.com albertm@insitro.com.ORCID 0000-0002-7859-3489
Flavia Di NucciGenentech, South San Francisco, CA 94080.
Antonia KwanGenentech, South San Francisco, CA 94080.
Christian HammerGenentech, South San Francisco, CA 94080.
Sanjeev MariathasanGenentech, South San Francisco, CA 94080.
Vincent RouillyGenentech, South San Francisco, CA 94080.
Jonathan CarrollGenentech, South San Francisco, CA 94080.ORCID 0000-0002-1404-5264
Magnus FontesGenentech, South San Francisco, CA 94080.
Sergio Ley AcostaGenentech, South San Francisco, CA 94080.
Ellie GuardinoGenentech, South San Francisco, CA 94080.ORCID 0000-0003-3617-5788
Haiyin Chen-HarrisGenentech, South San Francisco, CA 94080.
Tushar BhangaleGenentech, South San Francisco, CA 94080.
Ira MellmanGenentech, South San Francisco, CA 94080; khanz12@gene.com iram@gene.com albertm@insitro.com.ORCID 0000-0002-6132-7299
Jonathan RosenbergGenitourinary Oncology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY 10065.
Thomas PowlesBarts Experimental Cancer Medicine Centre, Barts Cancer Institute, Queen Mary University of London, EC1M 6BQ London, United Kingdom.
Julie HunkapillerGenentech, South San Francisco, CA 94080.
G Scott ChandlerGenentech, South San Francisco, CA 94080.
Matthew L AlbertGenentech, South San Francisco, CA 94080; khanz12@gene.com iram@gene.com albertm@insitro.com.
Memorial Sloan Kettering Cancer Center · USQueen Mary University of London · GB

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

PD-1 and PD-L1 act to restrict T cell responses in cancer and contribute to self-tolerance. Consistent with this role, PD-1 checkpoint inhibitors have been associated with immune-related adverse events (irAEs), immune toxicities thought to be autoimmune in origin. Analyses of dermatological irAEs have identified an association with improved overall survival (OS) following anti-PD-(L)1 therapy, but the factors that contribute to this relationship are poorly understood. We collected germline whole-genome sequencing data from IMvigor211, a recent phase 3 randomized controlled trial comparing atezolizumab (anti-PD-L1) monotherapy to chemotherapy in bladder cancer. We found that high vitiligo, high psoriasis, and low atopic dermatitis polygenic risk scores (PRSs) were associated with longer OS under anti-PD-L1 monotherapy as compared to chemotherapy, reflecting the Th17 polarization of these diseases. PRSs were not correlated with tumor mutation burden, PD-L1 immunohistochemistry, nor T-effector gene signatures. Shared genetic factors impact risk for dermatological autoimmunity and anti-PD-L1 monotherapy in bladder cancer.

Indexed as

Antibodies, Monoclonal, HumanizedAutoimmunityB7-H1 AntigenCohort StudiesHumansMultifactorial InheritanceProgrammed Cell Death 1 ReceptorSkinTh17 CellsUrinary Bladder NeoplasmsAntibodies, Monoclonal, HumanizedatezolizumabB7-H1 AntigenCD274 protein, humanPDCD1 protein, humanProgrammed Cell Death 1 Receptoratezolizumabautoimmunitycancer immunologyimmune-related adverse events

Identifiers

PMID32430334
PMCPMC7275757
OpenAlexW3026699635

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.