Evidence map›Paper›PMID 35104158›Full record

Trial reportJournal of clinical oncology : official journal of the American Society of Clinical Oncology2022

Breast Cancers Are Immunogenic: Immunologic Analyses and a Phase II Pilot Clinical Trial Using Mutation-Reactive Autologous Lymphocytes.

Nikolaos Zacharakis, Lutfi M Huq, Samantha J Seitter, Sanghyun P Kim, Jared J Gartner, Sivasish Sindiri, Victoria K Hill, Yong F Li, Biman C Paria, Satyajit Ray and 16 more

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

Trial report in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01174121 (A Phase II Study Using Short-Term Cultured, Autologous Tumor-Infiltrating Lymphocytes Following a Lymphodepleting Regimen in Metastatic Cancers Plus the Administration of Pembrolizumab), which is not on this map. Cited by 127 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
127citing papers in PubMed, 1 pooled it
16.8field-weighted citation impact, top 1% 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.

NCT01174121 phase2recruitingnot on this map

A Phase II Study Using Short-Term Cultured, Autologous Tumor-Infiltrating Lymphocytes Following a Lymphodepleting Regimen in Metastatic Cancers Plus the Administration of Pembrolizumab

TypeinterventionalSponsorNational Cancer Institute (NCI)Ran2010 to 2029Enrolled332ConditionsMetastatic Colorectal Cancer, Metastatic Pancreatic Cancer, Metastatic Ovarian Cancer, Metastatic Breast CarcinomaArmsPembrolizumab (Keytruda), Fludarabine, Cyclophosphamide, Aldesleukin, Young TIL
3 · Its place in the literature

Who cites it

127 citing papers in PubMed, 1 synthesis or guideline pooled it, 167 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Article
  6. The immunology of human breast cancer.Nature reviews. Immunology · 2026
    Review
  7. Article
  8. Review
  9. Review
  10. Review
  11. Article
  12. Review
  13. Article
  14. Review
  15. Article
  16. Article
  17. Review
  18. Article
  19. Review
  20. Review

67 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

26 authors at 1 institution in 1 country.

Nikolaos ZacharakisSurgery Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD.ORCID 0000-0001-7103-5591
Lutfi M HuqSurgery Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD.ORCID 0000-0002-3437-003X
Samantha J SeitterSurgery Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD.ORCID 0000-0002-3193-8718
Sanghyun P KimSurgery Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD.ORCID 0000-0001-9519-1994
Jared J GartnerSurgery Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD.ORCID 0000-0003-2924-3519
Sivasish SindiriSurgery Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD.ORCID 0000-0003-2516-969X
Victoria K HillSurgery Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD.
Yong F LiSurgery Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD.
Biman C PariaSurgery Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD.
Satyajit RaySurgery Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD.
Billel GasmiLaboratory of Pathology, National Cancer Institute, National Institutes of Health, Bethesda, MD.
Chyi-Chia LeeLaboratory of Pathology, National Cancer Institute, National Institutes of Health, Bethesda, MD.
Todd D PrickettSurgery Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD.
Maria R ParkhurstSurgery Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD.
Paul F RobbinsSurgery Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD.ORCID 0000-0002-1260-8123
Michelle M LanghanSurgery Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD.
Thomas E SheltonSurgery Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD.
Anup Y ParikhSurgery Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD.ORCID 0000-0002-1169-4568
Shoshana T LeviSurgery Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD.
Jonathan M HernandezSurgical Oncology Program, National Cancer Institute, National Institutes of Health, Bethesda, MD.
Chuong D HoangThoracic Surgery Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD.ORCID 0000-0003-4016-1434
Richard M SherrySurgery Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD.
James C YangSurgery Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD.
Steven A FeldmanSurgery Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD.ORCID 0000-0003-2098-3860
Stephanie L GoffSurgery Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD.ORCID 0000-0003-3317-9804
Steven A RosenbergSurgery Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD.ORCID 0000-0002-8939-8910
National Institutes of Health · US

Funding

Adoptive Cell Transfer Immunotherapy of CancerZIABC010984 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI ROSENBERG, STEVEN · 2009 to 2025
$56.8M
DNA Sequencing and FACS Core FacilitiesZICBC010948 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI ROBBINS, PAUL · 2009 to 2025
$35.6M
microRNA regulatory networks in thoracic cancersZIABC011657 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI HOANG, CHUONG · 2015 to 2025
$18.1M
Generation of T-cell receptors recognizing antigens on non-melanoma tumorsZIABC011337 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI YANG, JAMES C · 2010 to 2025
$10.4M
The Antigen Targeting CoreZICBC011030 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI PARKHURST, MARIA · 2009 to 2025
$8.5M
6 · The paper itself

Abstract

purposeMetastatic breast cancer (mBrCa) is most often an incurable disease with only modest responses to available immunotherapies. This study investigates the immunogenicity of somatic mutations in breast cancer and explores the therapeutic efficacy in a pilot trial of mutation-reactive tumor-infiltrating lymphocytes (TILs) in patients with metastatic disease. PATIENTS AND

methodsForty-two patients with mBrCa refractory to previous lines of treatment underwent surgical resection of a metastatic lesion(s), isolation of TIL cultures, identification of exomic nonsynonymous tumor mutations, and immunologic screening for neoantigen reactivity. Clinically eligible patients with appropriate reactivity were enrolled into one cohort of an ongoing phase II pilot trial of adoptive cell transfer of selected neoantigen-reactive TIL, with a short course of pembrolizumab (ClinicalTrials.gov identifier: NCT01174121).

resultsTILs were isolated and grown in culture from the resected lesions of all 42 patients with mBrCa, and a median number of 112 (range: 6-563) nonsynonymous mutations per patient were identified. Twenty-eight of 42 (67%) patients contained TIL that recognized at least one immunogenic somatic mutation (median: 3 neoantigens per patient, range: 1-11), and 13 patients demonstrated robust reactivity appropriate for adoptive transfer. Eight patients remained clinically eligible for treatment, and six patients were enrolled on a protocol of adoptive cell transfer of enriched neoantigen-specific TIL, in combination with pembrolizumab (≤ 4 doses). Objective tumor regression was noted in three patients, including one complete response (now ongoing over 5.5 years) and two partial responses (6 and 10 months).

conclusionMost patients with breast cancer generated a natural immune response targeting the expressed products of their cancer mutations. Adoptive transfer of TIL is a highly personalized experimental option for patients with mBrCa shown to be capable of mediating objective responses in this pilot trial and deserves further study.

Indexed as

Breast NeoplasmsFemaleHumansImmunotherapy, AdoptiveLymphocytes, Tumor-InfiltratingMutationTransplantation, Autologous

Identifiers

PMID35104158
PMCPMC9148699
OpenAlexW4210343276

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.