Evidence map›Paper›PMID 33542072›Full record

ArticleJournal of investigative medicine : the official publication of the American Federation for Clinical Research2021

Long-term progression-free survival of patients with metastatic melanoma or renal cell carcinoma following high-dose interleukin-2.

Joseph I Clark, Brendan Curti, Elizabeth J Davis, Howard Kaufman, Asim Amin, Ajjai Alva, Theodore F Logan, Ralph Hauke, Gerald P Miletello, Ulka Vaishampayan and 4 more

Abstract read
In one paragraph

Article in Journal of investigative medicine : the official publication of the American Federation for Clinical Research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
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

14 citing papers in PubMed.

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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

14 authors.

Joseph I ClarkMedicine, Loyola University Chicago Stritch School of Medicine, Maywood, Illinois, USA.
Brendan CurtiEarle A. Chiles Research Institute, Providence Medical Center, Portland, Oregon, USA.
Elizabeth J DavisMedicine, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Howard KaufmanMedicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
Asim AminMedicine, Levine Cancer Institute, Charlotte, North Carolina, USA.
Ajjai AlvaMedicine, University of Michigan Health System, Ann Arbor, Michigan, USA.
Theodore F LoganMedicine, Indiana University Melvin and Bren Simon Cancer Center, Indianapolis, Indiana, USA.
Ralph HaukeMedicine, Nebraska Cancer Specialists, Omaha, Nebraska, USA.
Gerald P MiletelloMedicine, Hematology/Oncology Clinic, Baton Rouge, Louisiana, USA.
Ulka VaishampayanMedicine, University of Michigan Medical School, Ann Arbor, Michigan, USA.
Douglas B JohnsonMedicine, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Richard L WhiteMedicine, Levine Cancer Institute, Charlotte, North Carolina, USA.
Peter H WiernikMedicine, New York Medical College, Valhalla, New York, USA.ORCID 0000-0003-1473-813X
Janice P DutcherMedicine, New York Medical College, Valhalla, New York, USA jpd4401@aol.com.ORCID 0000-0002-2267-9187

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

High-dose interleukin-2 (HD IL-2) was approved in the 1990s after demonstrating durable complete responses (CRs) in some patients with metastatic melanoma (mM) and metastatic renal cell carcinoma (mRCC). Patients who achieve this level of disease control have also demonstrated improved survival compared with patients who progress, but limited data are available describing the long-term course. The aim of this study was to better characterize long-term survival following successful HD IL-2 treatment in patients with no subsequent systemic therapy. Eleven HD IL-2 treatment centers identified patients with survival ≥5 years after HD IL-2, with no subsequent systemic therapy. Survival was evaluated from the date of IL-2 treatment to June 2017. Treatment courses consisted of 2 1-week cycles of HD IL-2. Patients were treated with HD IL-2 alone, or HD IL-2 followed by local therapy to achieve maximal response. 100 patients are reported: 54 patients with mM and 46 patients with mRCC. Progression-free survival (PFS) after HD IL-2 ranges from 5+ years to 30+ years, with a median follow-up of 10+ years. 27 mRCC and 32 mM are alive ≥10 years after IL-2. Thus, a small subset of patients with mM and mRCC achieve long-term PFS (≥5 years) after treatment with HD IL-2 as their only systemic therapy. The ability of HD IL-2 therapy to induce prolonged PFS should be a major consideration in studies of new immunotherapy combinations for mM and mRCC.

Indexed as

adoptivecytokinesimmunotherapy

Identifiers

PMID33542072
PMCPMC8020079

What OpenQuestion holds

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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.