Evidence map›Paper›PMID 34255535›Full record

Trial reportJournal of clinical oncology : official journal of the American Society of Clinical Oncology2021

Bempegaldesleukin Plus Nivolumab in First-Line Metastatic Melanoma.

Adi Diab, Scott S Tykodi, Gregory A Daniels, Michele Maio, Brendan D Curti, Karl D Lewis, Sekwon Jang, Ewa Kalinka, Igor Puzanov, Alexander I Spira and 11 more

Open access · hybridAbstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 1 pooled it
6.4field-weighted citation impact, top 2% 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

48 citing papers in PubMed, 1 synthesis or guideline pooled it, 81 citations in OpenAlex.

  1. Pooled it
  2. Bempegaldesleukin Plus Nivolumab in Untreated Advanced Melanoma: The Open-Label, Phase III PIVOT IO 001 Trial Results.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2023
    Trial
  3. Trial
  4. Review
  5. Review
  6. Article
  7. Review
  8. Review
  9. Review
  10. Article
  11. Review
  12. Review
  13. Review
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Review
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

21 authors at 13 institutions in 3 countries.

Adi DiabThe University of Texas MD Anderson Cancer Center, Houston, TX.ORCID 0000-0002-0153-0244
Scott S TykodiUniversity of Washington and Fred Hutchinson Cancer Research Center, Seattle, WA.
Gregory A DanielsUniversity of California, La Jolla, San Diego, CA.ORCID 0000-0001-9087-8009
Michele MaioAzienda Ospedaliera Universitaria Senese, Siena, Italy.ORCID 0000-0002-0323-6321
Brendan D CurtiProvidence Cancer Institute and Earle A. Chiles Research Institute, Portland, OR.
Karl D LewisUniversity of Colorado Cancer Center, Aurora, CO.
Sekwon JangInova Schar Cancer Institute, Fairfax, VA.
Ewa KalinkaPolish Mother's Memorial Hospital-Research Institute, Lodz, Poland.ORCID 0000-0003-4791-8372
Igor PuzanovRoswell Park Comprehensive Cancer Center, Buffalo, NY.
Alexander I SpiraVirginia Cancer Specialists, Fairfax, VA.ORCID 0000-0003-1303-0447
Daniel C ChoPerlmutter Cancer Center at NYU Langone Medical Center, New York, NY.ORCID 0000-0002-4248-6382
Shanhong GuanNektar Therapeutics, San Francisco, CA.
Erika PuenteNektar Therapeutics, San Francisco, CA.ORCID 0000-0002-6655-0203
Tuan NguyenNektar Therapeutics, San Francisco, CA.
Ute HochNektar Therapeutics, San Francisco, CA.ORCID 0000-0001-7927-9830
Sue L CurrieNektar Therapeutics, San Francisco, CA.
Wei LinNektar Therapeutics, San Francisco, CA.
Mary A TagliaferriNektar Therapeutics, San Francisco, CA.ORCID 0000-0002-1043-2662
Jonathan ZalevskyNektar Therapeutics, San Francisco, CA.
Mario SznolYale School of Medicine, New Haven, CT.
Michael E HurwitzYale School of Medicine, New Haven, CT.ORCID 0000-0002-1326-7308
Nektar Therapeutics (United States) · USYale University · USAzienda Ospedaliera Universitaria Senese · ITNYU Langone Health · USPolish Mother’s Memorial Hospital Research Institute · PLProvidence Portland Medical Center · USRoswell Park Comprehensive Cancer Center · USThe University of Texas MD Anderson Cancer Center · USUniversity of California San Diego · USUniversity of Colorado Cancer Center · USUniversity of Washington · USVirginia Cancer Institute · USVirginia Cancer Specialists · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
NCATS NIH HHS UL1 TR001863
6 · The paper itself

Abstract

purposeTherapies that produce deep and durable responses in patients with metastatic melanoma are needed. This phase II cohort from the international, single-arm PIVOT-02 study evaluated the CD122-preferential interleukin-2 pathway agonist bempegaldesleukin (BEMPEG) plus nivolumab (NIVO) in first-line metastatic melanoma.

methodsA total of 41 previously untreated patients with stage III/IV melanoma received BEMPEG 0.006 mg/kg plus NIVO 360 mg once every 3 weeks for ≤ 2 years; 38 were efficacy-evaluable (≥ 1 postbaseline scan). Primary end points were safety and objective response rate (blinded independent central review); other end points included progression-free survival, overall survival (OS), and exploratory biomarkers.

resultsAt 29.0 months' median follow-up, the objective response rate was 52.6% (20 of 38 patients), and the complete response rate was 34.2% (13 of 38 patients). Median change in size of target lesions from baseline was -78.5% (response-evaluable population); 47.4% (18 of 38 patients) experienced complete clearance of target lesions. Median progression-free survival was 30.9 months (95% CI, 5.3 to not estimable). Median OS was not reached; the 24-month OS rate was 77.0% (95% CI, 60.4 to 87.3). Grade 3 and 4 treatment-related and immune-mediated adverse events occurred in 17.1% (7 of 41) and 4.9% (2 of 41) of patients, respectively. Increased polyfunctional responses in CD8+ and CD4+ T cells were seen in blood after treatment, driven by cytokines with effector functions. Early on-treatment blood biomarkers (CD8+ polyfunctional strength difference and eosinophils) correlated with treatment response.

conclusionBEMPEG in combination with NIVO was tolerated, with relatively low rates of grade 3 and 4 treatment-related and immune-mediated adverse events. The combination had encouraging antitumor activity in first-line metastatic melanoma, including an extended median progression-free survival. Exploratory analyses associated noninvasive, on-treatment biomarkers with response, before radiologic evidence was observed.

Indexed as

AgedAntineoplastic Combined Chemotherapy ProtocolsEuropeFemaleHumansImmune Checkpoint InhibitorsInterleukin-2MaleMelanomaMiddle AgedNeoplasm StagingNivolumabPolyethylene GlycolsProgression-Free SurvivalSkin NeoplasmsTime FactorsbempegaldesleukinImmune Checkpoint InhibitorsInterleukin-2NivolumabPolyethylene Glycols

Identifiers

PMID34255535
PMCPMC8425826
OpenAlexW3177841093

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.