Evidence map›Paper›PMID 33151369›Full record

ArticleCancer immunology, immunotherapy : CII2021

Low-dose ipilimumab plus nivolumab combined with IL-2 and hyperthermia in cancer patients with advanced disease: exploratory findings of a case series of 131 stage IV cancers - a retrospective study of a single institution.

R Kleef, R Nagy, A Baierl, V Bacher, H Bojar, D L McKee, R Moss, N H Thoennissen, M Szász, T Bakacs

Open access · hybridAbstract read
In one paragraph

Article in Cancer immunology, immunotherapy : CII, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
2.1field-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.

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

29 citing papers in PubMed, 42 citations in OpenAlex.

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  5. Synthesis of ε-FeJournal of functional biomaterials · 2025
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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

10 authors at 4 institutions in 3 countries.

R KleefImmunology and Integrative Oncology, Auhofstraße 1, 1130, Vienna, Austria.
R NagyImmunology and Integrative Oncology, Auhofstraße 1, 1130, Vienna, Austria.
A BaierlDepartment of Statistic and Operations Research, University of Vienna, Oskar-Morgenstern-Platz 1, 1090, Vienna, Austria.
V BacherImmunology and Integrative Oncology, Auhofstraße 1, 1130, Vienna, Austria.
H BojarNextGen Oncology, Dusseldorf, Germany.
D L McKeeIntegrative Cancer Consulting, Aptos, CA, USA.
R MossMoss Reports, 104 Main Street, Unit 1422, Blue Hill, ME, 04614-1422, USA.
N H ThoennissenOncology Center at Lenbachplatz, Ottostr. 3, 80333, Munich, Germany.
M SzászCancer Centre, Semmelweis University, 1083, Budapest, Hungary.
T BakacsPRET Therapeutics Ltd, 1124, Budapest, Hungary. tiborbakacs@gmail.com.ORCID http://orcid.org/0000-0002-9145-9276
Budapest University of Economics and Business · HUMoss Rehabilitation Hospital · USSemmelweis University · HUUniversity of Vienna · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The 3-year overall survival (OS) rate of patients with previously treated or untreated stage III or IV melanoma has by now reached 63% using ipilimumab and nivolumab therapy. However, immune-related adverse events (irAEs) of grade 3 or 4 occurred in 59% of patients leading to discontinuation of therapy in 24.5% of patients and one death. Therapy with checkpoint inhibitors could be safer and more effective in combination with hyperthermia and fever inducing therapies. We conducted a retrospective analysis to test the safety and efficacy of a new combination immune therapy in 131 unselected stage IV solid cancer patients with 23 different histological types of cancer who exhausted all conventional treatments. Treatment consisted of locoregional- and whole-body hyperthermia, individually dose adapted interleukin 2 (IL-2) combined with low-dose ipilimumab (0.3 mg/kg) plus nivolumab (0.5 mg/kg). The objective response rate (ORR) was 31.3%, progression-free survival (PFS) was 10 months, survival probabilities at 6 months was 86.7% (95% CI, 81.0-92.8%), at 9 months was 73.5% (95% CI, 66.2-81.7%), at 12 months was 66.5% (95% CI, 58.6-75.4%), while at 24 months survival was 36.6% (95% CI:28.2%; 47.3%). irAEs of World Health Organization (WHO) Toxicity Scale grade 1, 2, 3, and 4 were observed in 23.66%, 16.03%, 6.11%, and 2.29% of patients, respectively. Our results suggest that the irAEs profile of the combined treatment is safer than that of the established protocols without compromising efficacy.

Indexed as

AgedAntineoplastic AgentsDrug-Related Side Effects and Adverse ReactionsDrug Therapy, CombinationFemaleHumansHyperthermia, InducedInterleukin-2IpilimumabMaleMelanomaMiddle AgedNeoplasm StagingNivolumabRetrospective StudiesSkin NeoplasmsAntineoplastic AgentsInterleukin-2IpilimumabNivolumabCheckpoint inhibitorsHyperthermiaIL-2ImmunotherapyirAEsStage IV cancer

Identifiers

PMID33151369
PMCPMC8053148
OpenAlexW3096185164

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.