Evidence map›Paper›PMID 34965944›Full record

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

Intralesional SD-101 in Combination with Pembrolizumab in Anti-PD-1 Treatment-Naïve Head and Neck Squamous Cell Carcinoma: Results from a Multicenter, Phase II Trial.

Ezra E W Cohen, Lisle Nabell, Deborah J Wong, Terry Day, Gregory A Daniels, Mohammed Milhem, Sanjeev Deva, Michael Jameson, Orlando Guntinas-Lichius, Mohammed Almubarak and 10 more

Open access · hybridAbstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report 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 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 9% 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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 47 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Advances in antisense oligonucleotide treatment for cancer.Japanese journal of clinical oncology · 2026
    Review
  4. Review
  5. Review
  6. Clinical applications of oligonucleotides for cancer therapy.Molecular therapy : the journal of the American Society of Gene Therapy · 2025
    Review
  7. Review
  8. Review
  9. Article
  10. Review
  11. Review
  12. Review
  13. Article
  14. Review
  15. Harnessing innate immune pathways for therapeutic advancement in cancer.Signal transduction and targeted therapy · 2024
    Review
  16. DNA sensing of dendritic cells in cancer immunotherapy.Frontiers in molecular biosciences · 2024
    Review
  17. Article
  18. Review
  19. Review
  20. 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

20 authors at 14 institutions in 4 countries.

Ezra E W CohenMoores Cancer Center, University of California San Diego, La Jolla, California.
Lisle NabellUniversity of Alabama at Birmingham, Birmingham, Alabama.
Deborah J WongUCLA Jonsson Comprehensive Cancer Center, Los Angeles, California.ORCID 0000-0002-7811-7247
Terry DayMedical University of South Carolina, Charleston, South Carolina.ORCID 0000-0003-1431-4214
Gregory A DanielsMoores Cancer Center, University of California San Diego, La Jolla, California.
Mohammed MilhemUniversity of Iowa Heath Care, Iowa City, Iowa.
Sanjeev DevaAuckland City Hospital, Auckland, New Zealand.
Michael JamesonWaikato Hospital and Waikato Clinical Campus, University of Auckland, Hamilton, New Zealand.ORCID 0000-0001-7068-4311
Orlando Guntinas-LichiusJena University Hospital, Jena, Germany.ORCID 0000-0001-9671-0784
Mohammed AlmubarakWest Virginia University-Mary Babb Randolph Cancer Center, Morgantown, West Virginia.
Matthew StrotherChristchurch Hospital, Christchurch, New Zealand.
Eric WhitmanAtlantic Health, Morristown, New Jersey.ORCID 0000-0001-7529-067X
Michael ChisamoreMerck & Co., Inc., Kenilworth, New Jersey.
Cynthia ObiozorDynavax, Berkeley, California.
Teresa BagulhoDynavax, Berkeley, California.
Jose Gomez-RomoDynavax, Berkeley, California.
Cristiana GuiducciDynavax, Berkeley, California.
Robert JanssenDynavax, Berkeley, California.ORCID 0000-0002-4904-6013
Erick GamelinDynavax, Berkeley, California.
Alain P AlgaziUniversity of California, San Francisco, California.ORCID 0000-0001-6576-4659
Dynavax Technologies (United States) · USUniversity of California San Diego · USAtlantic Health System · USAuckland City Hospital · NZChristchurch Hospital · NZComprehensive Blood & Cancer Center · USJena University Hospital · DEMedical University of South Carolina · USRare Breeds Survival Trust · GBUniversity of Alabama at Birmingham · USUniversity of California, San Francisco · USUniversity of Iowa Health Care · USWaikato Hospital · NZWest Virginia University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo determine whether SD-101, a Toll-like receptor 9 agonist, potentiates the antitumor activity of anti-PD-1 antibodies in patients with anti-PD-1/PD-L1 naïve, recurrent/metastatic head and neck squamous cell carcinoma (HNSCC). PATIENTS AND

methodsPatients with PD-1 Ab-naïve HNSCC received either 2 mg SD-101 injected in one to four lesions or 8 mg SD-101 injected into a single lesion weekly × 4 doses then every 3 weeks × 7 doses. Pembrolizumab was administered at 200 mg every 3 weeks.

resultsA total of 28 patients received 2 mg and 23 received 8 mg per injection, respectively. A total of 76% of patients had received prior systemic therapy. Combined positive score was ≥1 to < 20 in 35 patients (70%) and ≥ 20 in 15 patients (30%) of 50 patients with available data. There were 12 patients with grade ≥3 treatment-related adverse events (24%), and no treatment-related deaths. The objective response rate was 24% including 2 complete and 10 partial responses. The median duration of response was 7.0 [95% confidence interval (CI): 2.1-11.1] months. The response rate was higher in human papillomavirus-positive (HPV+) patients (44%, N = 16). Responses were not associated with PD-L1 expression levels or IFNγ-related gene expression at baseline. Responses were observed both in injected (32%) and in noninjected lesions (29%). Progression-free and overall survival at 9 months were 19.0% (95% CI: 9.1-31.7) and 64.7% (95% CI: 45.3-78.7), respectively.

conclusionsSD-101 combined with pembrolizumab induced objective responses, especially in HPV+ tumors, which were frequently associated with increased intratumoral inflammation and effector immune cell activity.

Indexed as

Head and Neck NeoplasmsPapillomavirus InfectionsAntibodies, Monoclonal, HumanizedB7-H1 AntigenHumansSquamous Cell Carcinoma of Head and NeckAntibodies, Monoclonal, HumanizedB7-H1 Antigenpembrolizumab

Identifiers

PMID34965944
PMCPMC9365346
OpenAlexW4200027034

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.