Evidence map›Paper›PMID 33790764›Full record

ArticleCase reports in oncology

Treatment of Metastatic Extramammary Paget Disease with Combination Ipilimumab and Nivolumab: A Case Report.

Brendan John Guercio, Gopa Iyer, Wajih Zaheer Kidwai, Mario E Lacouture, Soleen Ghafoor, Anthony M Rossi, David N Assis, Ying-Bei Chen, Klaus J Busam, Yelena Y Janjigian and 8 more

Abstract readCase Reports
In one paragraph

Article in Case reports in oncology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 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

18 authors.

Brendan John GuercioDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Gopa IyerDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Wajih Zaheer KidwaiDepartment of Medicine, Yale Cancer Center/Smilow Cancer Hospital, New Haven, Connecticut, USA.
Mario E LacoutureDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Soleen GhafoorInstitute of Diagnostic and Interventional Radiology, University Hospital Zurich, Zurich, Switzerland.
Anthony M RossiDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
David N AssisDepartment of Medicine, Yale School of Medicine, New Haven, Connecticut, USA.
Ying-Bei ChenDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Klaus J BusamDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Yelena Y JanjigianDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Komal JhaveriDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Darren R FeldmanDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Anne CapozziDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Vanessa FigueroaDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Dean F BajorinDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Jonathan E RosenbergDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Travis J HollmannDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Samuel A FuntDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Investigational Cancer Therapeutics Training Program (ICTTP)T32CA009207 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Omar Abdel-Wahab, Alexander Drilon · 1985 to 2026
$13.7M
Summer research experiences for medical students supervised by faculty mentorsR25CA020449 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Charlotte Eielson Ariyan · 1985 to 2026
$6.2M
NCATS NIH HHS UL1 TR001863NCI NIH HHS P30 CA008748NCI NIH HHS R25 CA020449NCI NIH HHS T32 CA009207
6 · The paper itself

Abstract

Metastatic primary cutaneous extramammary Paget disease (EMPD) is a rare clinical entity with a 5-year survival <10% and no standard therapy. We report the first case to our knowledge of metastatic EMPD with treatment response to checkpoint inhibitor immunotherapy. The patient had diffusely metastatic disease and previously progressed on cytotoxic chemotherapy and a molecularly targeted agent. Treatment with four cycles of ipilimumab 1 mg/kg plus nivolumab 3 mg/kg resulted in a durable partial response lasting 7 months. Analysis of metastatic tumor tissue failed to identify known predictors of treatment response to immune checkpoint inhibitors, such as high PD-L1 expression, high tumor mutation burden, or microsatellite instability. These findings support further investigation of immune checkpoint inhibition for the management of metastatic EMPD, which currently has an abysmal prognosis and no standard therapies.

Indexed as

Extramammary Paget diseaseImmune checkpoint blockadeImmunotherapyIpilimumabNivolumab

Identifiers

PMID33790764
PMCPMC7983595

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.