Evidence map›Paper›PMID 34561270›Full record

ReviewClinical cancer research : an official journal of the American Association for Cancer Research2022

Designing Clinical Trials for Combination Immunotherapy: A Framework for Glioblastoma.

Kirit Singh, Kristen A Batich, Patrick Y Wen, Aaron C Tan, Stephen J Bagley, Michael Lim, Michael Platten, Howard Colman, David M Ashley, Susan M Chang and 16 more

Abstract readReview
In one paragraph

Review in Clinical cancer research : an official journal of the American Association for Cancer Research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing 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

28 citing papers in PubMed.

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  17. Review
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  20. Novel Immunotherapeutic Approaches for the Treatment of Glioblastoma.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2023
    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

26 authors.

Kirit SinghDuke University, Durham, North Carolina.ORCID 0000-0002-0419-5381
Kristen A BatichDuke University, Durham, North Carolina.ORCID 0000-0002-8699-8769
Patrick Y WenDana-Farber Cancer Institute, Boston, Massachusetts.
Aaron C TanNational Cancer Centre Singapore, Singapore.ORCID 0000-0001-7292-1114
Stephen J BagleyUniversity of Pennsylvania, Philadelphia, Pennsylvania.
Michael LimStanford University, Stanford, California.
Michael PlattenMedical Faculty Mannheim, MCTN, Heidelberg University and German Cancer Research Center, Heidelberg, Germany.ORCID 0000-0002-4746-887X
Howard ColmanHuntsman Cancer Institute, Salt Lake City, Utah.ORCID 0000-0002-4027-7317
David M AshleyDuke University, Durham, North Carolina.
Susan M ChangUniversity of California, San Francisco (UCSF), San Francisco, California.
Rifaquat RahmanDana-Farber Cancer Institute, Boston, Massachusetts.
Evanthia GalanisMayo Clinic Rochester, Rochester, Minnesota.ORCID 0000-0001-8014-786X
Alireza MansouriPenn State Cancer Institute, Hershey, Pennsylvania.
Vinay K PuduvalliMD Anderson Cancer Center, Houston, Texas.
David A ReardonDana-Farber Cancer Institute, Boston, Massachusetts.
Solmaz SahebjamMoffitt Cancer Center, University of South Florida, Tampa, Florida.
John H SampsonDuke University, Durham, North Carolina.
John SimesNHMRC Clinical Trials Centre, University of Sydney, NSW, Australia.
Donald A BerryMD Anderson Cancer Center, Houston, Texas.ORCID 0000-0002-7657-3871
Gelareh ZadehUniversity of Toronto, Toronto, ON, Canada.
Tim F CloughesyUniversity of California Los Angeles, Los Angeles, California.
Minesh P MehtaMiami Cancer Institute, Miami, Florida.ORCID 0000-0002-4812-5713
Steven PiantadosiBrigham and Women's Hospital, Boston, Massachusetts.ORCID 0000-0002-4409-9896
Michael WellerUniversity Hospital and University of Zurich, Department of Neurology, Zürich, Switzerland.ORCID 0000-0002-1748-174X
Amy B HeimbergerNorthwestern University, Chicago, Illinois.
Mustafa KhasrawDuke University, Durham, North Carolina.ORCID 0000-0003-3249-9849

Funding

Medical Scientist Training Program Training GrantT32GM145449 · NIGMS · DUKE UNIVERSITY · PI Christopher D Kontos · 2022 to 2026
$6.6M
NIGMS NIH HHS T32 GM145449
6 · The paper itself

Abstract

Immunotherapy has revolutionized treatment for many hard-to-treat cancers but has yet to produce significant improvement in outcomes for patients with glioblastoma. This reflects the multiple and unique mechanisms of immune evasion and escape in this highly heterogeneous tumor. Glioblastoma engenders profound local and systemic immunosuppression and is remarkably effective at inducing T-cell dysfunction, posing a challenge to any immunotherapy-based approach. To overcome these mechanisms, multiple disparate modes of immune-oriented therapy will be required. However, designing trials that can evaluate these combinatorial approaches requires careful consideration. In this review, we explore the immunotherapy resistance mechanisms that have been encountered to date and how combinatorial approaches may address these. We also describe the unique aspects of trial design in both preclinical and clinical settings and consider endpoints and markers of response best suited for an intervention involving multiple agents.

Indexed as

Brain NeoplasmsGlioblastomaHumansImmune ToleranceImmunosuppression TherapyImmunotherapy

Identifiers

PMID34561270
PMCPMC9306329

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.