Evidence map›Paper›PMID 34876409›Full record

Trial reportCancer discovery2022

Atezolizumab Treatment of Tumors with High Tumor Mutational Burden from MyPathway, a Multicenter, Open-Label, Phase IIa Multiple Basket Study.

Claire F Friedman, John D Hainsworth, Razelle Kurzrock, David R Spigel, Howard A Burris, Christopher J Sweeney, Funda Meric-Bernstam, Yong Wang, Jonathan Levy, Jessica Grindheim and 4 more

Registry-linked trialOpen access · greenAbstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Cancer discovery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02091141 (My Pathway), which is not on this map. Cited by 63 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
63citing papers in PubMed, 4 pooled it
6.5field-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.

NCT02091141 phase2completednot on this map

My Pathway: An Open-Label Phase IIa Study Evaluating Trastuzumab/Pertuzumab, Erlotinib, Vemurafenib/Cobimetinib, Vismodegib, Alectinib, and Atezolizumab in Patients Who Have Advanced Solid Tumors With Mutations or Gene Expression Abnormalities Predictive of Response to One of These Agents

TypeinterventionalSponsorGenentech, Inc.Ran2014 to 2023Enrolled673ConditionsNeoplasms, Solid Tumors, Biliary Cancer, Salivary CancerArmsTrastuzumab, Pertuzumab, Erlotinib, Vemurafenib, Cobimetinib
3 · Its place in the literature

Who cites it

63 citing papers in PubMed, 4 syntheses or guidelines pooled it, 96 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Guideline
  4. Pooled it
  5. Trial
  6. TAPISTRY: A Phase II Study of Atezolizumab in Patients with Tumor Mutational Burden-High Tumors.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
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  11. Article
  12. Review
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3 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 7 institutions in 2 countries.

Claire F FriedmanMemorial Sloan Kettering Cancer Center, New York, New York.ORCID 0000-0003-2621-8553
John D HainsworthSarah Cannon Research Institute, Nashville, Tennessee.
Razelle KurzrockMoores Cancer Center, UC San Diego, San Diego, California.ORCID 0000-0003-4110-1214
David R SpigelSarah Cannon Research Institute, Nashville, Tennessee.
Howard A BurrisSarah Cannon Research Institute, Nashville, Tennessee.
Christopher J SweeneyDana-Farber Cancer Institute, Harvard Medical School, Boston, Massachusetts.ORCID 0000-0002-0398-6018
Funda Meric-BernstamThe University of Texas MD Anderson Cancer Center, Houston, Texas.ORCID 0000-0001-6816-6072
Yong WangGenentech, Inc., South San Francisco, California.
Jonathan LevyGenentech, Inc., South San Francisco, California.ORCID 0000-0001-8055-8888
Jessica GrindheimGenentech, Inc., South San Francisco, California.
David S ShamesGenentech, Inc., South San Francisco, California.
Katja SchulzeGenentech, Inc., South San Francisco, California.
Arisha PatelGenentech, Inc., South San Francisco, California.ORCID 0000-0002-2396-5222
Charles SwantonFrancis Crick Institute, London, United Kingdom.ORCID 0000-0002-4299-3018
Amgen (United States) · USSarah Cannon · USHarvard University · USMemorial Sloan Kettering Cancer Center · USThe University of Texas MD Anderson Cancer Center · USUC San Diego Health System · USUniversity College London Hospitals NHS Foundation Trust · GB

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748NIH HHS P30 CA008748
6 · The paper itself

Abstract

High tumor mutational burden (TMB-H) correlates with improved immunotherapy response. We assessed atezolizumab 1,200 mg every 3 weeks for TMB-H tumors from MyPathway (NCT02091141), a phase IIa multibasket study. One hundred twenty-one patients had advanced solid tumors with TMB ≥10 mut/Mb by any Clinical Laboratory Improvement Amendments (CLIA)-certified assay. The preplanned primary endpoint was objective response rate (ORR) in patients with TMB ≥16 mut/Mb tumors by FoundationOne TMB testing [F1(CDx)]. Patients with F1(CDx) TMB ≥10 and <16 mut/Mb were also evaluated. Ninety patients with 19 tumor types and F1(CDx) TMB ≥10 mut/Mb were efficacy evaluable. In 42 patients with F1(CDx) TMB ≥16 mut/Mb, confirmed ORR was 38.1% [16/42; 95% confidence interval (CI), 23.6-54.4], and disease control rate was 61.9% (26/42; 95% CI, 45.6-76.4) versus 2.1% (1/48; 95% CI, 0.1-11.1) and 22.9% (11/48; 95% CI, 12.0-37.3) for 48 patients with TMB ≥10 and <16 mut/Mb. Responses were observed in nine different tumor types (47%; 9/19). SIGNIFICANCE: Atezolizumab monotherapy had promising, durable clinical activity across a variety of advanced solid tumor types in patients with TMB ≥16 mut/Mb tumors lacking other suitable treatment options and who were immunotherapy-naïve at enrollment, regardless of microsatellite instability status. Limited activity was observed in tumors with TMB ≥10 and <16 mut/Mb. See related commentary by Maron and Klempner, p. 602. This article is highlighted in the In This Issue feature, p. 587.

Indexed as

Antibodies, Monoclonal, HumanizedNeoplasmsBiomarkers, TumorHumansMicrosatellite InstabilityMutationAntibodies, Monoclonal, HumanizedatezolizumabBiomarkers, Tumor

Identifiers

PMID34876409
PMCPMC9394388
OpenAlexW4200388746

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.