Evidence map›Paper›PMID 32641320›Full record

ArticleJournal for immunotherapy of cancer2020

Bintrafusp alfa, a bifunctional fusion protein targeting TGF-β and PD-L1, in advanced squamous cell carcinoma of the head and neck: results from a phase I cohort.

Byoung Chul Cho, Amaury Daste, Alain Ravaud, Sébastien Salas, Nicolas Isambert, Edward McClay, Ahmad Awada, Christian Borel, Laureen S Ojalvo, Christoph Helwig and 3 more

Erratum issued Registry-linked trialOpen access · goldAbstract readClinical Trial, Phase I
In one paragraph

Article 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. An erratum has been issued. It is linked to trial NCT02517398 (A Phase I, Open-label, Multiple-ascending Dose Trial to Investigate the Safety, Tolerability, PK, Biological and Clinical Activity of MSB0011359C in Subjects With Metastatic or Locally Advanced Solid Tumors and Expansion to Selected Indications), which is not on this map. Cited by 59 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed, 1 pooled it
9.6field-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.

NCT02517398 phase1completednot on this map

A Phase I, Open-label, Multiple-ascending Dose Trial to Investigate the Safety, Tolerability, PK, Biological and Clinical Activity of MSB0011359C in Subjects With Metastatic or Locally Advanced Solid Tumors and Expansion to Selected Indications

TypeinterventionalSponsorEMD Serono Research & Development Institute, Inc.Ran2015 to 2022Enrolled600ConditionsSolid TumorsArmsMSB0011359C
3 · Its place in the literature

Who cites it

59 citing papers in PubMed, 1 synthesis or guideline pooled it, 81 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Review
  6. Review
  7. Review
  8. Redefining oropharyngeal cancer in the HPV era: integrating precision medicine and immunotherapeutic frontiers.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Review
  9. Review
  10. Review
  11. Review
  12. Review
  13. Target neutrophil heterogeneity and plasticity in cancer.Journal of hematology & oncology · 2025
    Review
  14. Bispecific Antibodies in Solid Tumors: Advances and Challenges.International journal of molecular sciences · 2025
    Review
  15. Review
  16. Article
  17. Review
  18. Article
  19. Large-Scale Comparative Analysis of Canine and Human Osteosarcomas Uncovers Conserved Clinically Relevant Tumor Microenvironment Subtypes.Clinical cancer research : an official journal of the American Association for Cancer Research · 2024
    Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 10 institutions in 5 countries.

Byoung Chul ChoDepartment of Internal Medicine, Yonsei University College of Medicine, Seoul, The Republic of Korea cbc1971@yuhs.ac.ORCID 0000-0002-5562-270X
Amaury DasteDepartment of Medical Oncology, Hôpital Saint-André, University of Bordeaux-CHU, Bordeaux, France.
Alain RavaudDepartment of Medical Oncology, Hôpital Saint-André, University of Bordeaux-CHU, Bordeaux, France.
Sébastien SalasCEPCM Assistance Publique des Hôpitaux de Marseille, Aix-Marseille Université, Marseille, France.
Nicolas IsambertService d'Oncologie médicale, CLCC Georges-François Leclerc, Dijon Cedex, France.
Edward McClayInstitute for Melanoma Research & Education, California Cancer Associates for Research & Excellence, Encinitas, California, USA.
Ahmad AwadaDepartment of Oncology Medicine, Institut Jules Bordet, Université Libre de Bruxelles, Brussels, Belgium.
Christian BorelService d'Oncologie médicale, CLCC Paul Strauss, Strasbourg, France.
Laureen S OjalvoEMD Serono Research & Development Institute, Billerica, Massachusetts, USA.
Christoph HelwigMerck KGaA, Darmstadt, Germany.
P Alexander RolfeEMD Serono Research & Development Institute, Billerica, Massachusetts, USA.
James L GulleyGenitourinary Malignancies Branch, National Cancer Institute, National Institutes of Health, Bethesda, Maryland, USA.ORCID 0000-0002-6569-2912
Nicolas PenelDepartment of Medical Oncology, Centre Oscar Lambret and Lille University Hospital, Lille, France.
Ono Pharmaceutical (United States) · USUniversité de Bordeaux · FRAix-Marseille Université · FRCalifornia Cancer Associates for Research and Excellence · USCentre Georges François Leclerc · FRCentre Oscar Lambret · FRMerck (Germany) · DENational Institutes of Health · USUniversité Libre de Bruxelles · BEYonsei University · KR

Funding

Clinical trials employing cancer vaccine combination therapiesZIABC010945 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI GULLEY, JAMES L. · 2009 to 2022
$9.6M
6 · The paper itself

Abstract

backgroundWe report the clinical activity and safety of bintrafusp alfa, a first-in-class bifunctional fusion protein composed of the extracellular domain of the transforming growth factor β (TGF-β)RII receptor (a TGF-β 'trap') fused to a human IgG1 monoclonal antibody blocking programmed death-ligand 1 (PD-L1), in patients with heavily pretreated squamous cell carcinoma of the head and neck (SCCHN).

methodsIn this phase I dose-expansion cohort, patients with advanced SCCHN not amenable to curative therapy that progressed/recurred after platinum therapy in the recurrent/metastatic setting, or <6 months after platinum therapy in the locally advanced setting, received bintrafusp alfa 1200 mg intravenously every 2 weeks. The primary endpoint was confirmed best overall response (BOR; Response Evaluation Criteria for Solid Tumors (RECIST) 1.1) per independent review committee (IRC); other endpoints included BOR per investigator and safety.

resultsAs of August 24, 2018, 32 patients had received bintrafusp alfa (median follow-up 86.4 weeks; range 2-97). Per IRC, the confirmed objective response rate (ORR) was 13% (95% CI 4% to 29%; 4 partial responses (PR)); 4 patients had stable disease (SD) (disease control rate 34%; 95% CI 12% to 43%). Per investigator, there were 5 PRs (ORR, 16%), including 2 patients who developed delayed PRs after initial disease increase (total clinical response rate 22%). Responses (ORRs) were observed in patients with PD-L1-positive (12%), PD-L1-negative (17%; 73-10 antibody for immunohistochemistry), human papillomavirus (HPV)-positive (33%) and HPV-negative tumors (5%). Grade 3 treatment-related adverse events (TRAEs) were reported in 11 patients (34%), with no grade 4 TRAEs or treatment-related deaths.

conclusionsBintrafusp alfa showed clinical activity across subgroups of PD-L1 expression and in HPV-positive tumors and had a manageable safety profile in patients with heavily pretreated advanced SCCHN. Activity in HPV-positive tumors is favorable compared with historical data from PD-L1 inhibitors and is being further investigated in an ongoing study of HPV-associated tumors. TRIAL REGISTRATION NUMBER: NCT02517398.

Indexed as

AgedAntineoplastic Agents, ImmunologicalB7-H1 AntigenFemaleHumansMaleSquamous Cell Carcinoma of Head and NeckTransforming Growth Factor betaAntineoplastic Agents, ImmunologicalB7-H1 AntigenTransforming Growth Factor betaclinical trials as topichead and neck neoplasmsimmunotherapy

Identifiers

PMID32641320
PMCPMC7342865
OpenAlexW3038704019

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.