Evidence map›Paper›PMID 33594075›Full record

ArticleNature communications2021

Neoadjuvant anti-OX40 (MEDI6469) therapy in patients with head and neck squamous cell carcinoma activates and expands antigen-specific tumor-infiltrating T cells.

Rebekka Duhen, Carmen Ballesteros-Merino, Alexandra K Frye, Eric Tran, Venkatesh Rajamanickam, Shu-Ching Chang, Yoshinobu Koguchi, Carlo B Bifulco, Brady Bernard, Rom S Leidner and 5 more

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

Article in Nature communications, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02274155 (Phase Ib Study of a Monoclonal Antibody to OX40), which is not on this map. Cited by 108 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
108citing papers in PubMed, 2 pooled it
11.4field-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.

NCT02274155 phase1completednot on this map

Phase Ib Study of a Monoclonal Antibody to OX40 (MEDI6469) Administered Prior to Definitive Surgical Resection Patients With Locoregionally Advanced, Oral Head and Neck Squamous Cell Carcinoma

TypeinterventionalSponsorProvidence Health & ServicesRan2014 to 2023Enrolled17ConditionsHead and Neck CancerArmsAnti-OX40 antibody administration, Surgical Resection
3 · Its place in the literature

Who cites it

108 citing papers in PubMed, 2 syntheses or guidelines pooled it, 153 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  5. Article
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  7. Identification of proliferating CD103Virchows Archiv : an international journal of pathology · 2026
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  8. Article
  9. Review
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  11. Article
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  16. Trends in immunotherapy for oral squamous cell carcinoma.Cellular oncology (Dordrecht, Netherlands) · 2025
    Review
  17. Review
  18. Article
  19. Article
  20. Article

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

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

15 authors at 2 institutions in 1 country.

Rebekka DuhenEarle A. Chiles Research Institute, Providence Cancer Institute, Portland, OR, USA. rebekka.duhen@providence.org.ORCID 0000-0001-7426-0794
Carmen Ballesteros-MerinoEarle A. Chiles Research Institute, Providence Cancer Institute, Portland, OR, USA.
Alexandra K FryeEarle A. Chiles Research Institute, Providence Cancer Institute, Portland, OR, USA.ORCID 0000-0001-5846-5175
Eric TranEarle A. Chiles Research Institute, Providence Cancer Institute, Portland, OR, USA.ORCID 0000-0001-9070-0980
Venkatesh RajamanickamEarle A. Chiles Research Institute, Providence Cancer Institute, Portland, OR, USA.ORCID 0000-0001-6864-7589
Shu-Ching ChangMedical Data Research Center, Providence Saint Joseph's Health, Portland, OR, USA.
Yoshinobu KoguchiEarle A. Chiles Research Institute, Providence Cancer Institute, Portland, OR, USA.
Carlo B BifulcoEarle A. Chiles Research Institute, Providence Cancer Institute, Portland, OR, USA.
Brady BernardEarle A. Chiles Research Institute, Providence Cancer Institute, Portland, OR, USA.
Rom S LeidnerEarle A. Chiles Research Institute, Providence Cancer Institute, Portland, OR, USA.ORCID 0000-0003-0788-7938
Brendan D CurtiEarle A. Chiles Research Institute, Providence Cancer Institute, Portland, OR, USA.
Bernard A FoxEarle A. Chiles Research Institute, Providence Cancer Institute, Portland, OR, USA.
Walter J UrbaEarle A. Chiles Research Institute, Providence Cancer Institute, Portland, OR, USA.
R Bryan BellEarle A. Chiles Research Institute, Providence Cancer Institute, Portland, OR, USA.ORCID 0000-0002-3775-109X
Andrew D WeinbergEarle A. Chiles Research Institute, Providence Cancer Institute, Portland, OR, USA. andrew.weinberg@providence.org.ORCID 0000-0003-1617-7276
Providence Portland Medical Center · USProvidence College · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite the success of checkpoint blockade in some cancer patients, there is an unmet need to improve outcomes. Targeting alternative pathways, such as costimulatory molecules (e.g. OX40, GITR, and 4-1BB), can enhance T cell immunity in tumor-bearing hosts. Here we describe the results from a phase Ib clinical trial (NCT02274155) in which 17 patients with locally advanced head and neck squamous cell carcinoma (HNSCC) received a murine anti-human OX40 agonist antibody (MEDI6469) prior to definitive surgical resection. The primary endpoint was to determine safety and feasibility of the anti-OX40 neoadjuvant treatment. The secondary objective was to assess the effect of anti-OX40 on lymphocyte subsets in the tumor and blood. Neoadjuvant anti-OX40 was well tolerated and did not delay surgery, thus meeting the primary endpoint. Peripheral blood phenotyping data show increases in CD4+ and CD8+ T cell proliferation two weeks after anti-OX40 administration. Comparison of tumor biopsies before and after treatment reveals an increase of activated, conventional CD4+ tumor-infiltrating lymphocytes (TIL) in most patients and higher clonality by TCRβ sequencing. Analyses of CD8+ TIL show increases in tumor-antigen reactive, proliferating CD103+ CD39+ cells in 25% of patients with evaluable tumor tissue (N = 4/16), all of whom remain disease-free. These data provide evidence that anti-OX40 prior to surgery is safe and can increase activation and proliferation of CD4+ and CD8+ T cells in blood and tumor. Our work suggests that increases in the tumor-reactive CD103+ CD39+ CD8+ TIL could serve as a potential biomarker of anti-OX40 clinical activity.

Indexed as

Neoadjuvant TherapyBiopsyCD8-Positive T-LymphocytesCell ProliferationClone CellsDisease-Free SurvivalEpitopesHuman papillomavirus 16HumansKaplan-Meier EstimateLymphocyte ActivationLymphocytes, Tumor-InfiltratingLymphocyte SubsetsReceptors, Antigen, T-CellReceptors, OX40Squamous Cell Carcinoma of Head and NeckEpitopesReceptors, Antigen, T-CellReceptors, OX40

Identifiers

PMID33594075
PMCPMC7886909
OpenAlexW3129355986

What OpenQuestion holds

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LicenceCC BY
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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.