Evidence map›Paper›PMID 34117114›Full record

Trial reportJournal for immunotherapy of cancer2021

Phase II clinical trial using anti-CD3 × anti-HER2 bispecific antibody armed activated T cells (HER2 BATs) consolidation therapy for HER2 negative (0-2+) metastatic breast cancer.

Lawrence G Lum, Zaid Al-Kadhimi, Abhinav Deol, Vidya Kondadasula, Dana Schalk, Elyse Tomashewski, Patricia Steele, Kristie Fields, Melissa Giroux, Qin Liu and 3 more

Open access · goldAbstract readClinical Trial, Phase II
In one paragraph

Trial report in Journal for immunotherapy of cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing 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

30 citing papers in PubMed, 34 citations in OpenAlex.

  1. Trial
  2. Phase II Trial of Pembrolizumab and Anti-CD3 x Anti-HER2 Bispecific Antibody-Armed Activated T Cells in Metastatic Castration-Resistant Prostate Cancer.Clinical cancer research : an official journal of the American Association for Cancer Research · 2023
    Trial
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  18. Current and future immunotherapy for breast cancer.Journal of hematology & oncology · 2024
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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

13 authors at 4 institutions in 1 country.

Lawrence G LumMedicine, University of Virginia, Charlottesville, Virginia, USA Lgl4f@hscmail.mcc.virginia.edu AT2Fx@hscmail.mcc.virginia.edu.ORCID 0000-0001-7561-6035
Zaid Al-KadhimiMedicine, University of Nebraska Medical Center, Omaha, Nebraska, USA.
Abhinav DeolOncology, Barbara Ann Karmanos Cancer Institute, Detroit, Michigan, USA.
Vidya KondadasulaOncology, Barbara Ann Karmanos Cancer Institute, Detroit, Michigan, USA.
Dana SchalkMedicine, University of Virginia, Charlottesville, Virginia, USA.
Elyse TomashewskiOncology, Barbara Ann Karmanos Cancer Institute, Detroit, Michigan, USA.
Patricia SteeleOncology, Barbara Ann Karmanos Cancer Institute, Detroit, Michigan, USA.
Kristie FieldsOncology, Barbara Ann Karmanos Cancer Institute, Detroit, Michigan, USA.
Melissa GirouxOncology, Barbara Ann Karmanos Cancer Institute, Detroit, Michigan, USA.
Qin LiuWistar Institute, Philadelphia, Pennsylvania, USA.
Lawrence FlahertyOncology, Barbara Ann Karmanos Cancer Institute, Detroit, Michigan, USA.
Michael SimonOncology, Barbara Ann Karmanos Cancer Institute, Detroit, Michigan, USA.
Archana ThakurMedicine, University of Virginia, Charlottesville, Virginia, USA Lgl4f@hscmail.mcc.virginia.edu AT2Fx@hscmail.mcc.virginia.edu.
The Barbara Ann Karmanos Cancer Institute · USUniversity of Virginia · USThe Wistar Institute · USUniversity of Nebraska Medical Center · US

Funding

Tumor Microenvironment and MetastasisP30CA010815 · NCI · WISTAR INSTITUTE · PI Luis J Montaner · 1985 to 2026
$75.9M
Women's Oncology Program - WONP30CA044579 · NCI · UNIVERSITY OF VIRGINIA CHARLOTTESVILLE · PI Thomas P. Loughran · 1987 to 2026
$72.1M
Tumor Biology and Microenvironment (Program 1)P30CA022453 · NCI · WAYNE STATE UNIVERSITY · PI PAUL M STEMMER · 1985 to 2026
$68.4M
Breast Cancer Treatment with Antibody Targeted T CellsR01CA092344 · NCI · WAYNE STATE UNIVERSITY · PI LUM, LAWRENCE G · 2002 to 2012
$4.6M
Targeting Neuroblastoma with armed T cellsR01CA182526 · NCI · WAYNE STATE UNIVERSITY · PI CHEUNG, NAI-KONG V, LUM, LAWRENCE G · 2014 to 2019
$3.9M
Enhancing neoadjuvant chemotherpay responses with targeted T cellsR01CA140314 · NCI · WAYNE STATE UNIVERSITY · PI BEPLER, GEROLD · 2010 to 2015
$2.5M
NCI NIH HHS P30 CA010815NCI NIH HHS P30 CA022453NCI NIH HHS P30 CA044579NCI NIH HHS R01 CA092344NCI NIH HHS R01 CA140314NCI NIH HHS R01 CA182526
6 · The paper itself

Abstract

backgroundMetastatic human epidermal growth receptor II (HER2) negative breast cancer remains incurable. Our phase I study showed that anti-CD3 × anti-HER2 bispecific antibody armed activated T cells (HER2 BATs) may be effective against HER2-tumors. This phase II trial evaluates the efficacy and immune responses of HER2 BATs given to patients with metastatic HER2-estrogen and/or progesterone receptor positive (HR+) and triple negative breast cancer (TNBC) as immune consolidation after chemotherapy. The primary objective of this study was to increase the traditional median time to progression after failure of first-line therapy of 2-4 months with the secondary endpoints of increasing overall survival (OS) and immune responses.

methodsHER2- metastatic breast cancer (MBC) patients received 3 weekly infusions of HER2 BATs and a boost after 12 weeks.

resultsThis phase II study included 24 HER2-HR+ and 8 TNBC patients who received a mean of 3.75 and 2.4 lines of prior chemotherapy, respectively. Eight of 32 evaluable patients were stable at 4 months after the first infusion. There were no dose limiting toxicities. Tumor markers decreased in 13 of 23 (56.5%) patients who had tumor markers. The median OS was 13.1 (95% CI 8.6 to 17.4), 15.2 (95% CI 8.6 to 19.8), and 12.3 (95% CI 2.1 to 17.8) months for the entire group, HER2-HR+, and TNBC patients, respectively. Median OS for patients with chemotherapy-sensitive and chemotherapy-resistant disease after chemotherapy was 14.6 (9.6-21.8) and 8.6 (3.3-17.3) months, respectively. There were statistically significant increases in interferon-γ immunospots, Th

conclusionsIn heavily pretreated HER2-patients, immune consolidation with HER2 BATs after chemotherapy appears to increase the proportion of patients who were stable at 4 months and the median OS for both groups as well as increased adaptive and innate antitumor responses. Future studies combining HER2 BATs with checkpoint inhibitors or other immunomodulators may improve clinical outcomes.

Indexed as

AdultAgedAntibodies, BispecificCD3 ComplexConsolidation ChemotherapyFemaleHumansMiddle AgedNeoplasm MetastasisT-LymphocytesTriple Negative Breast NeoplasmsAntibodies, BispecificCD3 Complexbreast neoplasmscell engineeringclinical trialscytokinescytotoxicityimmunologicphase II as topic

Identifiers

PMID34117114
PMCPMC8202097
OpenAlexW3172667787

What OpenQuestion holds

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LicenceCC BY-NC
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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.