Evidence map›Paper›PMID 32870269›Full record

Trial reportBlood2021

Efficacy and safety results from CheckMate 140, a phase 2 study of nivolumab for relapsed/refractory follicular lymphoma.

Philippe Armand, Ann Janssens, Giuseppe Gritti, John Radford, John Timmerman, Antonio Pinto, Santiago Mercadal Vilchez, Peter Johnson, David Cunningham, John P Leonard and 6 more

Registry-linked trialOpen access · bronzeAbstract readClinical Trial, Phase II
In one paragraph

Trial report in Blood, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02038946 (A Single Arm, Open-Label Phase 2 Study of Nivolumab), which is not on this map. Cited by 68 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
68citing papers in PubMed, 1 pooled it
9.9field-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.

NCT02038946 phase2completednot on this map

A Single Arm, Open-Label Phase 2 Study of Nivolumab (BMS-936558) in Subjects With Relapsed or Refractory Follicular Lymphoma (FL)

TypeinterventionalSponsorBristol-Myers SquibbRan2014 to 2020Enrolled116ConditionsLymphomaArmsNivolumab
3 · Its place in the literature

Who cites it

68 citing papers in PubMed, 1 synthesis or guideline pooled it, 93 citations in OpenAlex.

  1. Pooled it
  2. CD27 Agonist Antibodies Mediate Clinical Responses through Intratumoral Stimulation in B-cell Malignancies: Multicenter RiVa Trial.Clinical cancer research : an official journal of the American Association for Cancer Research · 2025
    Trial
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Article
  8. Molecular Insights and Novel Therapies for Lymphoproliferative Disorders.International journal of molecular sciences · 2026
    Review
  9. Article
  10. Review
  11. Review
  12. Review
  13. Review
  14. Review
  15. Article
  16. Review
  17. Review
  18. Current and future therapies for follicular lymphoma.Experimental hematology & oncology · 2024
    Review
  19. Review
  20. Article

8 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 13 institutions in 5 countries.

Philippe ArmandDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA.
Ann JanssensUniversitaire Ziekenhuizen Leuven, Leuven, Belgium.
Giuseppe GrittiOspedale Papa Giovanni XXIII, Bergamo, Italy.
John RadfordDepartment of Medical Oncology, University of Manchester, Manchester, United Kingdom.
John TimmermanDivision of Hematology & Oncology, University of California Los Angeles, Los Angeles, CA.
Antonio PintoIstituto Nazionale Tumori, Fondazione Pascale, Istituto di Ricovero e Cura a Carattere Scientifico, Naples, Italy.
Santiago Mercadal VilchezInstitut Català d'Oncologia-Duran y Reynals, Hospitalet de Llobregat, Barcelona, Spain.
Peter JohnsonCancer Research UK Centre, University of Southampton, Southampton, United Kingdom.
David CunninghamThe Royal Marsden Hospital, Surrey, United Kingdom.
John P LeonardWeill Cornell Medicine, New York, NY.
Scott J RodigDana-Farber Cancer Institute, Boston, MA.
Patricia Martín-RegueiraBristol Myers Squibb, Princeton, NJ; and.
Anne SumbulBristol Myers Squibb, Princeton, NJ; and.
Selda SamakogluBristol Myers Squibb, Princeton, NJ; and.
Hao TangBristol Myers Squibb, Princeton, NJ; and.
Stephen M AnsellMayo Clinic, Rochester, MN.
Bristol-Myers Squibb (United States) · USBrigham and Women's Hospital · USCancer Research UK · GBDana-Farber Cancer Institute · USInstitut Català d'Oncologia · ESIstituto Nazionale Tumori IRCCS "Fondazione G. Pascale" · ITManchester Academic Health Science Centre · GBMayo Clinic in Arizona · USNewYork–Presbyterian Hospital · USOspedale Papa Giovanni XXIII · ITRoyal Marsden Hospital · GBUniversitair Ziekenhuis Leuven · BEUniversity of California, Los Angeles · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Nivolumab, an anti-programmed death-1 (PD-1) monoclonal antibody, showed promising activity in relapsed or refractory (R/R) follicular lymphoma (FL) in a phase 1 study. We conducted a phase 2 trial to further evaluate its efficacy and safety in patients with R/R FL and to explore biomarkers of response. Patients with R/R FL and at least 2 prior lines of therapy, each containing a CD20 antibody or an alkylating agent, were treated with nivolumab 3 mg/kg every 2 weeks. The primary end point was objective response rate (ORR) assessed by an independent radiologic review committee. Biomarker analyses included gene expression profiling and multiplex immunofluorescence studies of pretreatment tumor samples. A total of 92 patients were treated. After a minimum follow-up of 12 months, ORR was 4% (4 of 92 patients). Median progression-free survival (PFS) was 2.2 months (95% confidence interval [CI], 1.9-3.6 months). Median duration of response was 11 months (95% CI, 8-14 months). Exploratory analyses suggested that responders had significantly higher proportion of CD3+ T cells in the tumor microenvironment than nonresponders, but no significant differences in PD-1 or programmed death-ligand 1 expression were observed. High expression of a set of tumor-associated macrophage genes was associated with reduced PFS (hazard ratio, 3.28; 95% CI, 1.76-6.11; P = .001). The safety profile was consistent with previous reports of nivolumab. In conclusion, nivolumab monotherapy was associated with very limited activity in patients with R/R FL. Better understanding of the immune biology of this disease may facilitate the development of effective checkpoint-based strategies. This trial was registered at www.clinicaltrials.gov as #NCT02038946.

Indexed as

Salvage TherapyAdultAgedAntineoplastic Agents, AlkylatingAntineoplastic Agents, ImmunologicalAntineoplastic Combined Chemotherapy ProtocolsBiomarkers, TumorFemaleFollow-Up StudiesGene Expression ProfilingHumansKaplan-Meier EstimateLymphoma, FollicularMaleMiddle AgedNeoplasm ProteinsAntineoplastic Agents, AlkylatingAntineoplastic Agents, ImmunologicalBiomarkers, TumorNeoplasm ProteinsNivolumabPDCD1 protein, humanProgrammed Cell Death 1 ReceptorRituximab

Identifiers

PMID32870269
PMCPMC7869188
OpenAlexW3082441287

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.