Evidence map›Paper›PMID 34772758›Full record

ArticleJournal for immunotherapy of cancer2021

Combining CTLA-4 and angiopoietin-2 blockade in patients with advanced melanoma: a phase I trial.

Patrick A Ott, Matthew Nazzaro, Kathleen L Pfaff, Evisa Gjini, Kristen D Felt, Jacquelyn O Wolff, Elizabeth I Buchbinder, Rizwan Haq, Ryan J Sullivan, Donald P Lawrence and 5 more

Registry-linked trialOpen access · goldAbstract readClinical Trial, Phase I
In one paragraph

Article 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. It is linked to trial NCT02141542 (Phase I Clinical Trial of Tremelimumab Plus MEDI3617 in Patients With Unresectable Stage III or Stage IV Melanoma), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.1field-weighted citation impact, top 19% 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.

NCT02141542 phase1completednot on this map

Phase I Clinical Trial of Tremelimumab Plus MEDI3617 in Patients With Unresectable Stage III or Stage IV Melanoma

TypeinterventionalSponsorF. Stephen Hodi, MDRan2014 to 2020Enrolled15ConditionsMetastatic MelanomaArmsTremelimumab, MEDI3617
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 16 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. Advances in tumor vascular growth inhibition.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2024
    Review
  5. Article
  6. Bifidobacterium modulation of tumor immunotherapy and its mechanism.Cancer immunology, immunotherapy : CII · 2024
    Review
  7. Review
  8. Article
  9. Review
  10. Review
  11. Article
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

15 authors at 4 institutions in 1 country.

Patrick A OttDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts, USA Patrick_Ott@dfci.harvard.edu.ORCID 0000-0002-4253-943X
Matthew NazzaroDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.
Kathleen L PfaffCenter for Immuno-Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.
Evisa GjiniCenter for Immuno-Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.
Kristen D FeltCenter for Immuno-Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.
Jacquelyn O WolffCenter for Immuno-Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.
Elizabeth I BuchbinderDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.
Rizwan HaqDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.
Ryan J SullivanHarvard Medical School, Boston, Massachusetts, USA.ORCID 0000-0001-5344-6645
Donald P LawrenceHarvard Medical School, Boston, Massachusetts, USA.
David F McDermottHarvard Medical School, Boston, Massachusetts, USA.
Mariano SevergniniDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.
Anita Giobbie-HurderDivision of Biostatistics, Department of Data Sciences, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.
Scott J RodigCenter for Immuno-Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.
F Stephen HodiDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.
Brigham and Women's Hospital · USDana-Farber Cancer Institute · USHarvard University · USBeth Israel Deaconess Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAngiogenic factors promote the growth of tumor vasculature, modulate lymphocyte trafficking into tumors, and inhibit maturation of dendritic cells. We hypothesized that MEDI3617, a human IgG1 kappa monoclonal antibody directed against human angiopoietin-2, in combination with tremelimumab (treme), an IgG2 monoclonal antibody blocking cytotoxic T-lymphocyte-associated protein- (CTLA-4), is safe in patients with advanced melanoma.

methodsIn a phase I, 3+3 dose escalation trial, patients with metastatic or unresectable melanoma received treme in combination with MEDI3617. The primary objectives of the study were safety and determination of recommended phase II dose (RP2D). The secondary objectives included determination of 6-month and 1-year overall survival and best overall response rate. Immune cell populations and soluble factors were assessed in peripheral blood and metastatic tumors using Fluorescence activated cell sorting (FACS), Luminex, and multiplexed immunofluorescence.

resultsFifteen patients (median age: 62) were enrolled in the study (3 patients in cohort 1: treme at 10 mg/kg and MEDI3617 at 200 mg; and 12 patients in cohort 2: treme at 10 mg/kg and MEDI3617 at 600 mg). The most common all-grade treatment-related adverse events were rash, pruritus, fatigue, and extremity edema. No dose-limiting toxicities were observed. Cohort 2 was determined to be the RP2D. There were no patients with confirmed immune-related complete response or immune-related partial response. Six of 15 patients had immune-related stable disease, resulting in a disease control rate of 0.40 (95% CI 0.16 to 0.68). An increase in frequencies of circulating inducible T-cell costimulator (ICOS)

conclusionsTremelimumab in combination with MEDI3617 is safe in patients with advanced melanoma. Angiopoietin-2 inhibition in combination with immune checkpoint inhibition warrants further exploration. TRIAL REGISTRATION NUMBER: NCT02141542.

Indexed as

Angiopoietin-2CTLA-4 AntigenFemaleHumansMaleMelanomaMiddle AgedAngiopoietin-2CTLA-4 AntigencombinationCTLA-4 antigendrug therapymelanomaT-lymphocytes

Identifiers

PMID34772758
PMCPMC8593712
OpenAlexW3214179736

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.