Evidence map›Paper›PMID 34642316›Full record

Trial reportNature communications2021

Genomic and transcriptomic correlates of immunotherapy response within the tumor microenvironment of leptomeningeal metastases.

Sanjay M Prakadan, Christopher A Alvarez-Breckenridge, Samuel C Markson, Albert E Kim, Robert H Klein, Naema Nayyar, Andrew W Navia, Benjamin M Kuter, Kellie E Kolb, Ivanna Bihun and 19 more

Erratum issuedOpen access · goldAbstract readClinical Trial, Phase II
In one paragraph

Trial report in Nature communications, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 53 papers.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed
6.3field-weighted citation impact, top 3% 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

53 citing papers in PubMed, 65 citations in OpenAlex.

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  12. The evolving landscape of leptomeningeal metastases from NSCLC: an international, contemporary, multicenter cohort study.Annals of oncology : official journal of the European Society for Medical Oncology · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

29 authors at 4 institutions in 1 country.

Sanjay M Prakadan *Department of Chemistry, Massachusetts Institute of Technology, Cambridge, MA, USA.
Christopher A Alvarez-Breckenridge *Broad Institute, Harvard University & Massachusetts Institute of Technology, Cambridge, MA, USA.
Samuel C Markson *Broad Institute, Harvard University & Massachusetts Institute of Technology, Cambridge, MA, USA.
Albert E KimDepartment of Medicine, Harvard Medical School & Massachusetts General Hospital, Boston, MA, USA.ORCID http://orcid.org/0000-0003-2359-6209
Robert H KleinBroad Institute, Harvard University & Massachusetts Institute of Technology, Cambridge, MA, USA.ORCID http://orcid.org/0000-0002-7794-5753
Naema NayyarDepartment of Medicine, Harvard Medical School & Massachusetts General Hospital, Boston, MA, USA.ORCID http://orcid.org/0000-0003-3436-8404
Andrew W NaviaDepartment of Chemistry, Massachusetts Institute of Technology, Cambridge, MA, USA.
Benjamin M KuterDepartment of Medicine, Harvard Medical School & Massachusetts General Hospital, Boston, MA, USA.
Kellie E KolbDepartment of Chemistry, Massachusetts Institute of Technology, Cambridge, MA, USA.
Ivanna BihunDepartment of Medicine, Harvard Medical School & Massachusetts General Hospital, Boston, MA, USA.
Joana L MoraDepartment of Medicine, Harvard Medical School & Massachusetts General Hospital, Boston, MA, USA.ORCID http://orcid.org/0000-0002-5913-1107
Mia Solana BertalanDepartment of Medicine, Harvard Medical School & Massachusetts General Hospital, Boston, MA, USA.
Brian ShawDepartment of Medicine, Harvard Medical School & Massachusetts General Hospital, Boston, MA, USA.
Michael WhiteDepartment of Medicine, Harvard Medical School & Massachusetts General Hospital, Boston, MA, USA.ORCID http://orcid.org/0000-0002-3855-9243
Alexander KaplanDepartment of Medicine, Harvard Medical School & Massachusetts General Hospital, Boston, MA, USA.
Jackson H StockingDepartment of Medicine, Harvard Medical School & Massachusetts General Hospital, Boston, MA, USA.ORCID http://orcid.org/0000-0003-2759-2125
Marc H WadsworthDepartment of Chemistry, Massachusetts Institute of Technology, Cambridge, MA, USA.
Eudocia Q LeeDivision of Neuro-Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Ugonma ChukwuekeDivision of Neuro-Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Nancy WangMassachusetts General Hospital Cancer Center, Boston, MA, USA.
Megha SubramanianDepartment of Medicine, Harvard Medical School & Massachusetts General Hospital, Boston, MA, USA.
Denisse RotemBroad Institute, Harvard University & Massachusetts Institute of Technology, Cambridge, MA, USA.ORCID http://orcid.org/0000-0001-5030-5919
Daniel P CahillDepartment of Neurosurgery, Harvard Medical School & Massachusetts General Hospital, Boston, MA, USA.
Viktor A AdalsteinssonBroad Institute, Harvard University & Massachusetts Institute of Technology, Cambridge, MA, USA.ORCID http://orcid.org/0000-0003-4555-2485
Jeffrey W MillerDepartment of Biostatistics, Harvard TH Chan School of Public Health, Boston, MA, USA.
Ryan J SullivanDepartment of Medicine, Harvard Medical School & Massachusetts General Hospital, Boston, MA, USA.ORCID http://orcid.org/0000-0001-5344-6645
Scott L CarterBroad Institute, Harvard University & Massachusetts Institute of Technology, Cambridge, MA, USA. carter.scott@jimmy.harvard.edu.ORCID http://orcid.org/0000-0002-8480-1475
Priscilla K BrastianosBroad Institute, Harvard University & Massachusetts Institute of Technology, Cambridge, MA, USA. pbrastianos@mgh.harvard.edu.ORCID http://orcid.org/0000-0003-4470-8425
Alex K ShalekDepartment of Chemistry, Massachusetts Institute of Technology, Cambridge, MA, USA. shalek@mit.edu.ORCID http://orcid.org/0000-0001-5670-8778
Harvard University · USBroad Institute · USDana-Farber Cancer Institute · USMassachusetts General Hospital · US

Funding

VIRUS PRODUCTION COREP30CA014051 · NCI · MASSACHUSETTS INSTITUTE OF TECHNOLOGY · PI MATTHEW G. VANDER HEIDEN · 1985 to 2026
$93.9M
Role of Negative Costimulation in Regulation of AutoimmunityP01AI039671 · NIAID · YALE UNIVERSITY · PI David A. Hafler · 1996 to 2026
$51.7M
The Cellular Geography of Therapeutic Resistance in CancerU2CCA233195 · NCI · DANA-FARBER CANCER INST · PI JOHNSON, BRUCE E. · 2018 to 2023
$13.7M
Quantitative and functional characterization of therapeutic resistance in cancerU54CA217377 · NCI · MASSACHUSETTS INSTITUTE OF TECHNOLOGY · PI SHALEK, ALEX K · 2017 to 2021
$10.2M
Identification of genomic drivers of brain metastases in lung adenocarcinomaR01CA227156 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI BRASTIANOS, PRISCILLA KALIOPI, CARTER, SCOTT · 2018 to 2022
$3.5M
Using MRI and circulating tumor DNA to improve the interpretation of response to immunotherapy and targeted therapy in CNS metastasesR01CA244975 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI BRASTIANOS, PRISCILLA KALIOPI, GERSTNER, ELIZABETH · 2020 to 2024
$3.4M
An integrated multiplexed genomic assay for low input clinical samples1U24AI118672 · NIAID · BROAD INSTITUTE, INC. · PI SHALEK, ALEX K · 2015 to 2019
$2.0M
Identification of genomic drivers of brain metastases in renal cell carcinomaR21CA220253 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI BRASTIANOS, PRISCILLA KALIOPI, CARTER, SCOTT · 2018 to 2019
$421k
NCI NIH HHS P30 CA014051NCI NIH HHS R01 CA227156NCI NIH HHS R01 CA244975NCI NIH HHS R21 CA220253NCI NIH HHS U2C CA233195NCI NIH HHS U54 CA217377NIAID NIH HHS P01 AI039671NIAID NIH HHS U24 AI118672
6 · The paper itself

Abstract

Leptomeningeal disease (LMD) is a devastating complication of solid tumor malignancies, with dire prognosis and no effective systemic treatment options. Over the past decade, the incidence of LMD has steadily increased due to therapeutics that have extended the survival of cancer patients, highlighting the need for new interventions. To examine the efficacy of immune checkpoint inhibitors (ICI) in patients with LMD, we completed two phase II clinical trials. Here, we investigate the cellular and molecular features underpinning observed patient trajectories in these trials by applying single-cell RNA and cell-free DNA profiling to longitudinal cerebrospinal fluid (CSF) draws from enrolled patients. We recover immune and malignant cell types in the CSF, characterize cell behavior changes following ICI, and identify genomic features associated with relevant clinical phenomena. Overall, our study describes the liquid LMD tumor microenvironment prior to and following ICI treatment and demonstrates clinical utility of cell-free and single-cell genomic measurements for LMD research.

Indexed as

AdultAgedAntibodies, Monoclonal, HumanizedBrain NeoplasmsCD8-Positive T-LymphocytesCell-Free Nucleic AcidsCTLA-4 AntigenFemaleGene Expression Regulation, NeoplasticHumansImmune Checkpoint InhibitorsImmunotherapyInterferon-gammaIpilimumabMaleMeningeal CarcinomatosisAntibodies, Monoclonal, HumanizedCell-Free Nucleic AcidsCTLA-4 AntigenCTLA4 protein, humanImmune Checkpoint InhibitorsInterferon-gammaIpilimumabNivolumabPDCD1 protein, humanpembrolizumabProgrammed Cell Death 1 Receptor

Identifiers

PMID34642316
PMCPMC8511044
OpenAlexW3207775528

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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.