Evidence map›Paper›PMID 32467299›Full record

Trial reportJournal for immunotherapy of cancer2020

Randomized phase II study of stereotactic body radiotherapy and interleukin-2 versus interleukin-2 in patients with metastatic melanoma.

Brendan Curti, Marka Crittenden, Steven K Seung, Christopher B Fountain, Roxanne Payne, ShuChing Chang, Jessica Fleser, Kimberly Phillips, Ian Malkasian, Lyn B Dobrunick and 1 more

Registry-linked trialOpen access · goldAbstract readClinical Trial, Phase IIComparative StudyRandomized Controlled Trial
In one paragraph

Trial report 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. It is linked to trial NCT01416831 (Phase II Randomized Study of High Dose Interleukin-2 Versus Stereotactic Body Radiation), which is not on this map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
2.3field-weighted citation impact, top 10% 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.

NCT01416831 phase2active not recruitingnot on this map

Phase II Randomized Study of High Dose Interleukin-2 Versus Stereotactic Body Radiation (SBRT) and High Dose Interleukin-2 (IL-2) in Patients With Metastatic Melanoma

TypeinterventionalSponsorProvidence Health & ServicesRan2011 to 2026Enrolled44ConditionsMetastatic MelanomaArmsRadiation therapy and high-dose IL-2, High-dose IL-2
3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 44 citations in OpenAlex.

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  16. Expansion of circulating stem-like CD8Nature communications · 2023
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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

11 authors at 3 institutions in 2 countries.

Brendan CurtiProvidence Cancer Institute, Earle A Chiles Research Institute, Providence Portland Medical Center, Portland, Oregon, USA brendan.curti@providence.org.ORCID 0000-0003-3948-2708
Marka CrittendenProvidence Cancer Institute, Earle A Chiles Research Institute, Providence Portland Medical Center, Portland, Oregon, USA.
Steven K SeungDivision of Radiation Oncology, The Oregon Clinic, Portland, Oregon, USA.
Christopher B FountainProvidence Cancer Institute, Providence Portland Medical Center, Portland, Oregon, USA.
Roxanne PayneProvidence Cancer Institute, Providence Portland Medical Center, Portland, Oregon, USA.
ShuChing ChangMedical Data Research Center, Providence St Joseph Health, Portland, Oregon, USA.
Jessica FleserProvidence Cancer Institute, Providence Portland Medical Center, Portland, Oregon, USA.
Kimberly PhillipsProvidence Cancer Institute, Providence Portland Medical Center, Portland, Oregon, USA.
Ian MalkasianProvidence Cancer Institute, Providence Portland Medical Center, Portland, Oregon, USA.
Lyn B DobrunickProvidence Cancer Institute, Providence Portland Medical Center, Portland, Oregon, USA.
Walter J UrbaProvidence Cancer Institute, Earle A Chiles Research Institute, Providence Portland Medical Center, Portland, Oregon, USA.
Cancer Institute (WIA) · INOregon Clinic · USProvidence College · US

Funding

Clinical and Immunological Effects of SBRT and IL-2 in Metastatic MelanomaR21CA176705 · NCI · PROVIDENCE PORTLAND MEDICAL CENTER · PI CRITTENDEN, MARKA, CURTI, BRENDAN D · 2013 to 2014
$349k
NCI NIH HHS R21 CA176705
6 · The paper itself

Abstract

backgroundA pilot study of stereotactic body radiation therapy (SBRT) followed by high-dose interleukin-2 (IL-2) showed a higher than anticipated objective response rate (ORR) among patients with metastatic melanoma (MM). We performed a prospective randomized study to determine if the ORR of SBRT + IL-2 was greater than IL-2 monotherapy in patients with advanced melanoma.

methodsPatients with MM who had adequate physiological reserve for IL-2 and at least one site suitable for SBRT were eligible. There was a 1:1 randomization to SBRT + IL-2 or IL-2 monotherapy. Patients received one or two doses of SBRT (20 Gy per fraction) with the last dose administered 3 days before starting the first cycle of IL-2. IL-2 (600,000 IU per kg via intravenous bolus infusion) was given every 8 hours for a maximum of 14 doses with a second cycle after a 2-week rest. Responding patients received up to six IL-2 cycles. Patients assigned to IL-2 monotherapy who exhibited progression of melanoma after cycle 2 were allowed to crossover and receive SBRT and additional IL-2. Response Evaluation Criteria in Solid Tumors 1.1 criteria were applied to non-irradiated lesions for response assessment.

results44 patients were included in the analysis. The ORR in the SBRT + IL-2 group was 54%: 21% complete response (CR), 33% partial response (PR), 21% stable disease (SD) and 25% progressive disease (PD). The ORR in patients receiving IL-2 monotherapy was 35%: 15% CR, 20% PR, 25% SD and 40% PD. Seven patients assigned to IL-2 subsequently received SBRT + IL-2. One CR and two PRs were observed in the crossover group. There was no difference in progression-free or overall survival (OS). At 5 years the OS was 26% in the SBRT + IL-2 group and 25% in the IL-2 monotherapy group. The disease control rate (DCR) was higher in the SBRT + IL-2 group (75% vs 60%, p=0.34).

conclusionsSBRT + IL-2 induced more objective responses with a higher DCR compared to IL-2 monotherapy in MM. IL-2 monotherapy resulted in a significantly higher ORR than anticipated. Some patients in the crossover group also achieved objective responses. TRIAL REGISTRATION NUMBER: NCT01416831.

Indexed as

ChemoradiotherapyDisease ProgressionDrug Administration ScheduleFemaleHumansInfusions, IntravenousInterleukin-2MaleMelanomaMiddle AgedPilot ProjectsProgression-Free SurvivalProspective StudiesRadiosurgeryRecombinant ProteinsResponse Evaluation Criteria in Solid TumorsIL2 protein, humanInterleukin-2Recombinant Proteinsclinical trials, phase II as topicmelanomaradiotherapy

Identifiers

PMID32467299
PMCPMC7259841
OpenAlexW3030986893

What OpenQuestion holds

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LicenceCC BY
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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.