Evidence map›Paper›PMID 34714450›Full record

ReviewBreast cancer research and treatment2022

Current advances in immune checkpoint inhibitor combinations with radiation therapy or cryotherapy for breast cancer.

Alice Y Ho, Shervin Tabrizi, Samantha A Dunn, Heather L McArthur

2 registry-linked trialsAbstract readReview
PubMed Publisher
In one paragraph

Review in Breast cancer research and treatment, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 13% 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.

NCT03546686 phase2active not recruitingnot on this map

A Single Arm Phase 2 Study of Peri-Operative Immune Checkpoint Inhibition and Cryoablation in Women With Hormone Receptor-Negative, HER2-Negative Early Stage/Resectable Breast Cancer.

TypeinterventionalSponsorUniversity of Texas Southwestern Medical CenterRan2019 to 2029Enrolled51ConditionsBreast CancerArmsPembrolizumab, Core Biopsy/Cryoablation, Breast Surgery, Ipilimumab, Nivolumab
NCT04443348 phase2active not recruitingnot on this map

P-RAD: A Randomized Study of Preoperative Chemotherapy, Pembrolizumab and No, Low or High Dose RADiation in Node-Positive, HER2-Negative Breast Cancer

TypeinterventionalSponsorLaura M. Spring, MDRan2020 to 2026Enrolled120ConditionsTriple Negative Breast Cancer, Hormone Receptor Positive (HR+), HER2-negative Breast Cancer, Biopsy-proven, Positive Lymph Node(s)ArmsRadiation Therapy Boost, Pembrolizumab, Paclitaxel, Carboplatin, Cyclophosphamide
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

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  8. Exosomes in Cancer: Diagnostic and Therapeutic Applications.Clinical Medicine Insights. 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

4 authors at 2 institutions in 1 country.

Alice Y HoDepartment of Radiation Oncology, Cox Level 3, Massachusetts General Hospital, 55 Fruit St, Boston, MA, 02114, USA. alice.ho@mgh.harvard.edu.ORCID http://orcid.org/0000-0002-6812-4187
Shervin TabriziDepartment of Radiation Oncology, Cox Level 3, Massachusetts General Hospital, 55 Fruit St, Boston, MA, 02114, USA.
Samantha A DunnDepartment of Radiation Oncology, Cox Level 3, Massachusetts General Hospital, 55 Fruit St, Boston, MA, 02114, USA.
Heather L McArthurInternal Medicine, UT Southwestern Medical Center, Dallas, TX, USA.
Massachusetts General Hospital · USSouthwestern Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeImmune checkpoint inhibition (ICI) has demonstrated clinically significant efficacy when combined with chemotherapy in triple negative breast cancer (TNBC). Although many patients derived benefit, others do not respond to immunotherapy, therefore relying upon innovative combinations to enhance response. Local therapies such as radiation therapy (RT) and cryotherapy are immunogenic and potentially optimize responses to immunotherapy. Strategies combining these therapies and ICI are actively under investigation. This review will describe the rationale for combining ICI with targeted local therapies in breast cancer.

methodsA literature search was performed to identify pre-clinical and clinical studies assessing ICI combined with RT or cryotherapy published as of August 2021 using PubMed and ClinicalTrials.gov.

resultsPublished studies of ICI with RT and IPI have demonstrated safety and signals of early efficacy.

conclusionRT and cryotherapy are local therapies that can be integrated safely with ICI and has shown promise in early trials. Randomized phase II studies testing both of these approaches, such as P-RAD (NCT04443348) and ipilimumab/nivolumab/cryoablation for TNBC (NCT03546686) are current enrolling. The results of these studies are paramount as they will provide long term data on the safety and efficacy of these regimens.

Indexed as

Immune Checkpoint InhibitorsTriple Negative Breast NeoplasmsClinical Trials, Phase II as TopicCryotherapyHumansImmunotherapyRandomized Controlled Trials as TopicImmune Checkpoint InhibitorsAbscopal effectBreast cancerCheckpoint inhibitionCryoablationImmunotherapyRadiation

Identifiers

PMID34714450
OpenAlexW3208768855

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.