Evidence map›Paper›PMID 32479189›Full record

ArticleJournal of clinical oncology : official journal of the American Society of Clinical Oncology2020

Safety and Efficacy of Pembrolizumab With Chemoradiotherapy in Locally Advanced Head and Neck Squamous Cell Carcinoma: A Phase IB Study.

Steven F Powell, Kathryn A Gold, Mark M Gitau, Christopher J Sumey, Michele M Lohr, Steven C McGraw, Ryan K Nowak, Ashley W Jensen, Miran J Blanchard, Christopher D Fischer and 8 more

Open access · bronzeAbstract readClinical Trial, Phase I
In one paragraph

Article in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed, 5 pooled it
15.1field-weighted citation impact, top 1% 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

59 citing papers in PubMed, 5 syntheses or guidelines pooled it, 117 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Trial
  7. Trial
  8. Systemic therapy in the curative treatment of laryngeal cancer.Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale · 2026
    Review
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. A Review of Immunotherapy for Head and Neck Cancer.Journal of dental research · 2024
    Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
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

18 authors at 4 institutions in 1 country.

Steven F PowellSanford Cancer Center, Sanford Health, Sioux Falls, SD.
Kathryn A GoldMoores Cancer Center, University of California San Diego, La Jolla, CA.
Mark M GitauRoger Maris Cancer Center, Sanford Health, Fargo, ND.
Christopher J SumeySanford Cancer Center, Sanford Health, Sioux Falls, SD.
Michele M LohrSanford Cancer Center, Sanford Health, Sioux Falls, SD.
Steven C McGrawSanford Cancer Center, Sanford Health, Sioux Falls, SD.
Ryan K NowakSanford Cancer Center, Sanford Health, Sioux Falls, SD.
Ashley W JensenRoger Maris Cancer Center, Sanford Health, Fargo, ND.
Miran J BlanchardRoger Maris Cancer Center, Sanford Health, Fargo, ND.
Christopher D FischerRadiology, Sanford Health, Sioux Falls, SD.
Julie BykowskiMoores Cancer Center, University of California San Diego, La Jolla, CA.
Christie A EllisonSanford Research, Sanford Health, Sioux Falls, SD.
Lora J BlackSanford Research, Sanford Health, Sioux Falls, SD.
Paul A ThompsonSanford Research, Sanford Health, Sioux Falls, SD.
Juan L Callejas-ValeraSanford Research, Sanford Health, Sioux Falls, SD.
John H LeeImmunityBio, Culver City, CA.
Ezra E W CohenMoores Cancer Center, University of California San Diego, La Jolla, CA.
William C SpanosSanford Cancer Center, Sanford Health, Sioux Falls, SD.
Sanford Health · USSanford Research · USUniversity of California, San Diego · USImmunityBio (United States) · US

Funding

VIRAL MALIGNANCYP30CA023100 · NCI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI DIANE M SIMEONE · 1985 to 2026
$124.9M
The Impact of PD-1 Inhibition on Immune-Response to ChemoradiotherapyP20GM103548 · NIGMS · SANFORD RESEARCH/USD · PI MISKIMINS, W KEITH · 2012 to 2020
$20.8M
Chemokine-mediated antigen-specific T cell responses and immunotherapies to treat head and neck cancerR01DE029524 · NIDCR · MICHIGAN STATE UNIVERSITY · PI PYEON, DOHUN, SPANOS, WILLIAM CHARLES · 2020 to 2024
$3.2M
Immune Dysregulation by Human Papillomavirus during Head and Neck Cancer ProgressionR01DE026125 · NIDCR · UNIVERSITY OF COLORADO DENVER · PI PYEON, DOHUN, SPANOS, WILLIAM CHARLES · 2016 to 2020
$2.8M
NCI NIH HHS P30 CA023100NIDCR NIH HHS R01 DE026125NIDCR NIH HHS R01 DE029524NIGMS NIH HHS P20 GM103548
6 · The paper itself

Abstract

purposePembrolizumab is a humanized monoclonal antibody that blocks interaction between programmed death receptor-1 (PD-1) and its ligands (PD-L1, PD-L2). Although pembrolizumab is approved for recurrent/metastatic head and neck squamous cell carcinoma (HNSCC), its role in the management of locally advanced (LA) disease is not defined. We report a phase IB study evaluating the safety and efficacy of adding pembrolizumab to cisplatin-based chemoradiotherapy in patients with LA HNSCC. PATIENTS AND

methodsEligible patients included those with oral cavity (excluding lip), oropharyngeal, hypopharyngeal, or laryngeal stage III to IVB HNSCC (according to American Joint Committee on Cancer, 7th edition, staging system) eligible for cisplatin-based, standard-dose (70 Gy) chemoradiotherapy. Pembrolizumab was administered concurrently with and after chemoradiotherapy with weekly cisplatin. Safety was the primary end point and was determined by incidence of chemoradiotherapy adverse events (AEs) and immune-related AEs (irAEs). Efficacy was defined as complete response (CR) rate on end-of-treatment (EOT) imaging or with pathologic confirmation at 100 days postradiotherapy completion. Key secondary end points included overall (OS) and progression-free survival (PFS).

resultsThe study accrued 59 patients (human papillomavirus [HPV] positive, n = 34; HPV negative, n = 25) from November 2015 to October 2018. Five patients (8.8%) required discontinuation of pembrolizumab because of irAEs, all of which occurred during concurrent chemoradiotherapy; 98.3% of patients completed the full planned treatment dose (70 Gy) of radiotherapy without any delays ≥ 5 days; 88.1% of patients completed the goal cisplatin dose of ≥ 200 mg/m

conclusionPembrolizumab in combination with weekly cisplatin-based chemoradiotherapy is safe and does not impair delivery of curative radiotherapy or chemotherapy in HNSCC. Early efficacy data support further investigation of this approach.

Indexed as

AdultAgedAged, 80 and overAntibodies, Monoclonal, HumanizedAntineoplastic Agents, ImmunologicalChemoradiotherapyFemaleHumansMaleMiddle AgedRetrospective StudiesSquamous Cell Carcinoma of Head and NeckAntibodies, Monoclonal, HumanizedAntineoplastic Agents, Immunologicalpembrolizumab

Identifiers

PMID32479189
PMCPMC7365766
OpenAlexW3029965317

What OpenQuestion holds

Textmetadata
LicenceTDM
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.