Evidence map›Paper›PMID 33127658›Full record

ArticleJournal for immunotherapy of cancer2020

Antitumor efficacy of combined CTLA4/PD-1 blockade without intestinal inflammation is achieved by elimination of FcγR interactions.

David Bauché, Smita Mauze, Christina Kochel, Jeff Grein, Anandi Sawant, Yulia Zybina, Wendy Blumenschein, Peng Yang, Lakshmanan Annamalai, Jennifer H Yearley and 4 more

Open access · goldAbstract read
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. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
1.0field-weighted citation impact, top 21% 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

17 citing papers in PubMed, 23 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. CTLA-4-two pathways to anti-tumour immunity?Immunotherapy advances · 2025
    Review
  6. Article
  7. Article
  8. Microbiota-dependent activation of CD4Science (New York, N.Y.) · 2024
    Article
  9. Efficacy and advantage of immunotherapy for melanomaAmerican journal of cancer research · 2024
    Article
  10. Review
  11. Both intratumoral regulatory T cell depletion and CTLA-4 antagonism are required for maximum efficacy of anti-CTLA-4 antibodies.Proceedings of the National Academy of Sciences of the United States of America · 2023
    Article
  12. Review
  13. Article
  14. Review
  15. Article
  16. Article
  17. 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

14 authors at 1 institution in 1 country.

David BauchéDiscovery Oncology, Merck & Co. Inc, South San Francisco, California, USA david.bauche@merck.com.ORCID 0000-0002-1156-9441
Smita MauzeDiscovery Oncology, Merck & Co. Inc, South San Francisco, California, USA.
Christina KochelDiscovery Oncology, Merck & Co. Inc, South San Francisco, California, USA.
Jeff GreinMolecular Discovery, Merck & Co. Inc, South San Francisco, California, USA.
Anandi SawantDiscovery Oncology, Merck & Co. Inc, South San Francisco, California, USA.
Yulia ZybinaMolecular Discovery, Merck & Co. Inc, South San Francisco, California, USA.
Wendy BlumenscheinMolecular Discovery, Merck & Co. Inc, South San Francisco, California, USA.
Peng YangAnatomic Pathology, Merck & Co. Inc, South San Francisco, California, USA.
Lakshmanan AnnamalaiAnatomic Pathology, Merck & Co. Inc, South San Francisco, California, USA.
Jennifer H YearleyAnatomic Pathology, Merck & Co. Inc, South San Francisco, California, USA.
Juha PunnonenDiscovery Oncology, Merck & Co. Inc, South San Francisco, California, USA.
Edward P BowmanDiscovery Oncology, Merck & Co. Inc, South San Francisco, California, USA.
Alissa Chackerian *Discovery Oncology, Merck & Co. Inc, South San Francisco, California, USA.
Drake Laface *Discovery Oncology, Merck & Co. Inc, South San Francisco, California, USA.
Merck & Co., Inc., Rahway, NJ, USA (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundProgrammed cell death protein 1 (PD-1) and CTLA4 combination blockade enhances clinical efficacy in melanoma compared with targeting either checkpoint alone; however, clinical response improvement is coupled with increased risk of developing immune-related adverse events (irAE). Delineating the mechanisms of checkpoint blockade-mediated irAE has been hampered by the lack of animal models that replicate these clinical events.

methodsWe have developed a mouse model of checkpoint blockade-mediated enterocolitis via prolonged administration of an Fc-competent anti-CTLA4 antibody.

resultsSustained treatment with Fc-effector, but not Fc-mutant or Fc-null, anti-CTLA4 antagonist for 7 weeks resulted in enterocolitis. Moreover, combining Fc-null or Fc-mutant CTLA4 antagonists with PD-1 blockade results in potent antitumor combination efficacy indicating that Fc-effector function is not required for combination benefit.

conclusionThese data suggest that using CTLA4 antagonists with no Fc-effector function can mitigate gut inflammation associated with anti-CTLA4 antibody therapy yet retain potent antitumor activity in combination with PD-1 blockade.

Indexed as

AnimalsCTLA-4 AntigenHumansInflammationMiceProgrammed Cell Death 1 ReceptorCTLA-4 AntigenPDCD1 protein, humanProgrammed Cell Death 1 ReceptorCTLA-4 antigenimmunotherapyinflammation

Identifiers

PMID33127658
PMCPMC7604872
OpenAlexW3094791504

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.