Evidence map›Paper›PMID 35101943›Full record

ArticleJournal for immunotherapy of cancer2022

Circulating tumor DNA (ctDNA) serial analysis during progression on PD-1 blockade and later CTLA-4 rescue in patients with mismatch repair deficient metastatic colorectal cancer.

Pashtoon Murtaza Kasi, Griffin Budde, Michael Krainock, Vasily N Aushev, Allyson Koyen Malashevich, Meenakshi Malhotra, Perry Olshan, Paul R Billings, Alexey Aleshin

Registry-linked trialOpen access · goldAbstract readCase Reports
In one paragraph

Article in Journal for immunotherapy of cancer, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06004713 (Multi-center, Non-interventional, Prospective Registry Study on the Treatment of Solid Tumors With Mismatch Repair Deficiency or Microsatellite Instability), which is not on this map. Cited by 36 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 2 pooled it
4.2field-weighted citation impact, top 4% 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.

NCT06004713 unknown statusnot on this mapstarted 2023, after this paper: background citation

Multi-center, Non-interventional, Prospective Registry Study on the Treatment of Solid Tumors With Mismatch Repair Deficiency or Microsatellite Instability

TypeobservationalSponsorPeking University Cancer Hospital & InstituteRan2023 to 2026Enrolled190ConditionsDMMR Cancer, MSI-H, Solid Tumor
3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 2 syntheses or guidelines pooled it, 43 citations in OpenAlex.

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  18. NCI workshop on ctDNA in cancer treatment and clinical care.Journal of the National Cancer Institute · 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

9 authors at 2 institutions in 1 country.

Pashtoon Murtaza KasiDepartment of Oncology/Hematology, Division of Internal Medicine, Weill Cornell Medicine/New York Presbyterian Hospital, New York, New York, USA pashtoon-kasi@uiowa.edu.ORCID 0000-0002-5169-7085
Griffin BuddeNatera Inc, San Carlos, California, USA.
Michael KrainockNatera Inc, San Carlos, California, USA.
Vasily N AushevNatera Inc, San Carlos, California, USA.
Allyson Koyen MalashevichNatera Inc, San Carlos, California, USA.
Meenakshi MalhotraScientific Affairs, Natera Inc, San Carlos, California, USA.
Perry OlshanNatera Inc, San Carlos, California, USA.
Paul R BillingsNatera Inc, San Carlos, California, USA.
Alexey AleshinNatera Inc, San Carlos, California, USA.
Natera (United States) · USNewYork–Presbyterian Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Immune checkpoint inhibitors have shown great promise in treating patients with mismatch repair deficient/microsatellite instability high (dMMR/MSI-H) colorectal cancer (CRC). Although single-agent pembrolizumab has been approved for first-line treatment of dMMR/MSI-H metastatic CRC, combination therapy with cytotoxic T-lymphocyte-associated protein-4 (CTLA-4) inhibition (ipilimumab/nivolumab) has reported higher response rates. It is unclear whether patients who progress on PD-1 inhibition will respond to CTLA-4 blockade. Here, we report a case series of three patients with dMMR/MSI-H mCRC, where a durable and ongoing response to nivolumab with ipilimumab was achieved after initial progression with pembrolizumab monotherapy. Blood-based biomarkers such as carcinoembryonic antigen and CA 19-9 were employed to assess treatment response and monitor disease progression along with circulating tumor DNA (ctDNA). Our findings indicate ctDNA's potential to accurately monitor response to therapy and detect disease progression, as validated by standard imaging. This case series demonstrates that CTLA-4 rescue is worthy of additional investigation as a treatment strategy after progression on PD-1 blockade in patients with dMMR/MSI-high mCRC. Our data support the utilization and expansion of clinical studies with combination therapies and using ctDNA kinetics as early dynamic marker for therapy response assessment.

Indexed as

Circulating Tumor DNAColorectal NeoplasmsAgedAntibodies, Monoclonal, HumanizedAntigens, Tumor-Associated, CarbohydrateAntineoplastic Agents, ImmunologicalAntineoplastic Combined Chemotherapy ProtocolsCarcinoembryonic AntigenCTLA-4 AntigenDisease ProgressionDNA Mismatch RepairDrug Resistance, NeoplasmFemaleHumansIpilimumabMaleAntibodies, Monoclonal, HumanizedAntigens, Tumor-Associated, CarbohydrateAntineoplastic Agents, Immunologicalcarbohydrate antigen 199, humanCarcinoembryonic AntigenCirculating Tumor DNACTLA-4 AntigenCTLA4 protein, humanIpilimumabNivolumabPDCD1 protein, humanpembrolizumabProgrammed Cell Death 1 Receptorbiomarkerscombined modality therapyimmunotherapytumortumor biomarkers

Identifiers

PMID35101943
PMCPMC8804692
OpenAlexW4210496014

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.