Evidence map›Paper›PMID 35289329›Full record

Trial reportNature communications2022

Phase 2 study of pembrolizumab in patients with recurrent and residual high-grade meningiomas.

Priscilla K Brastianos, Albert E Kim, Anita Giobbie-Hurder, Eudocia Quant Lee, Nancy Wang, April F Eichler, Ugonma Chukwueke, Deborah A Forst, Isabel C Arrillaga-Romany, Jorg Dietrich and 18 more

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

Trial report in Nature communications, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03279692 (Phase II Trial of Pembrolizumab in Recurrent or Residual High Grade Meningioma), which is not on this map. Cited by 69 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
69citing papers in PubMed, 3 pooled it
16.5field-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.

NCT03279692 phase2active not recruitingnot on this map

Phase II Trial of Pembrolizumab in Recurrent or Residual High Grade Meningioma

TypeinterventionalSponsorMassachusetts General HospitalRan2017 to 2026Enrolled26ConditionsHigh Grade MeningiomaArmsPembrolizumab
3 · Its place in the literature

Who cites it

69 citing papers in PubMed, 3 syntheses or guidelines pooled it, 108 citations in OpenAlex.

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

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

28 authors at 4 institutions in 1 country.

Priscilla K Brastianos *Massachusetts General Hospital Cancer Center, Harvard Medical School, Boston, MA, USA. pbrastianos@mgh.harvard.edu.ORCID http://orcid.org/0000-0003-4470-8425
Albert E Kim *Massachusetts General Hospital Cancer Center, Harvard Medical School, Boston, MA, USA.
Anita Giobbie-HurderDana-Farber Cancer Institute, Harvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0000-0003-2496-7737
Eudocia Quant LeeDana-Farber Cancer Institute, Harvard Medical School, Boston, MA, USA.
Nancy WangMassachusetts General Hospital Cancer Center, Harvard Medical School, Boston, MA, USA.
April F EichlerMassachusetts General Hospital Cancer Center, Harvard Medical School, Boston, MA, USA.
Ugonma ChukwuekeDana-Farber Cancer Institute, Harvard Medical School, Boston, MA, USA.
Deborah A ForstMassachusetts General Hospital Cancer Center, Harvard Medical School, Boston, MA, USA.
Isabel C Arrillaga-RomanyMassachusetts General Hospital Cancer Center, Harvard Medical School, Boston, MA, USA.
Jorg DietrichMassachusetts General Hospital Cancer Center, Harvard Medical School, Boston, MA, USA.
Zachary CorbinThe Chenevert Family Brain Tumor Center, Smilow Cancer Hospital and Yale Cancer Center, Yale School of Medicine, New Haven, CT, USA.ORCID http://orcid.org/0000-0002-9831-8847
Jennifer MoliternoThe Chenevert Family Brain Tumor Center, Smilow Cancer Hospital and Yale Cancer Center, Yale School of Medicine, New Haven, CT, USA.
Joachim BaehringThe Chenevert Family Brain Tumor Center, Smilow Cancer Hospital and Yale Cancer Center, Yale School of Medicine, New Haven, CT, USA.
Michael WhiteWilmot Cancer Center, University of Rochester, Division of Neuro-Oncology, Rochester, NY, USA.
Kevin W LouMassachusetts General Hospital Cancer Center, Harvard Medical School, Boston, MA, USA.
Juliana LarsonMassachusetts General Hospital Cancer Center, Harvard Medical School, Boston, MA, USA.
Magali A de SauvageMassachusetts General Hospital Cancer Center, Harvard Medical School, Boston, MA, USA.
Kathryn EvancicMassachusetts General Hospital Cancer Center, Harvard Medical School, Boston, MA, USA.
Joana MoraMassachusetts General Hospital Cancer Center, Harvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0000-0002-5913-1107
Naema NayyarMassachusetts General Hospital Cancer Center, Harvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0000-0003-3436-8404
Jay LoefflerMassachusetts General Hospital Cancer Center, Harvard Medical School, Boston, MA, USA.
Kevin OhMassachusetts General Hospital Cancer Center, Harvard Medical School, Boston, MA, USA.
Helen A ShihMassachusetts General Hospital Cancer Center, Harvard Medical School, Boston, MA, USA.
William T CurryMassachusetts General Hospital Cancer Center, Harvard Medical School, Boston, MA, USA.
Daniel P CahillMassachusetts General Hospital Cancer Center, Harvard Medical School, Boston, MA, USA.
Fred G BarkerMassachusetts General Hospital Cancer Center, Harvard Medical School, Boston, MA, USA.
Elizabeth R GerstnerMassachusetts General Hospital Cancer Center, Harvard Medical School, Boston, MA, USA.
Sandro SantagataDana-Farber Cancer Institute, Harvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0000-0002-7528-9668
Harvard University · USYale Cancer Center · USBrigham and Women's Hospital · USUniversity of Rochester · US

Funding

Systems Pharmacology of Therapeutic and Adverse Responses to ImmuneCheckpoint and Small Molecule DrugsU54CA225088 · NCI · HARVARD MEDICAL SCHOOL · PI SHARPE, ARLENE H. · 2018 to 2022
$10.8M
Identification of genomic drivers of brain metastases in lung adenocarcinomaR01CA227156 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI BRASTIANOS, PRISCILLA KALIOPI, CARTER, SCOTT · 2018 to 2022
$3.5M
Using MRI and circulating tumor DNA to improve the interpretation of response to immunotherapy and targeted therapy in CNS metastasesR01CA244975 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI BRASTIANOS, PRISCILLA KALIOPI, GERSTNER, ELIZABETH · 2020 to 2024
$3.4M
Identification of genomic drivers of brain metastases in renal cell carcinomaR21CA220253 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI BRASTIANOS, PRISCILLA KALIOPI, CARTER, SCOTT · 2018 to 2019
$421k
NCI NIH HHS R01 CA227156NCI NIH HHS R01 CA244975NCI NIH HHS R21 CA220253NCI NIH HHS U54 CA225088
6 · The paper itself

Abstract

High-grade meningiomas are associated with neuro-cognitive morbidity and have limited treatments. High-grade meningiomas harbor an immunosuppressive tumor microenvironment (TME) and programmed death-ligand 1 (PD-L1) expression may contribute to their aggressive phenotype. Here, we present the results of a single-arm, open-label phase 2 trial (NCT03279692) evaluating the efficacy of pembrolizumab, a PD-1 inhibitor, in a cohort of 25 evaluable patients with recurrent and progressive grade 2 and 3 meningiomas. The primary endpoint is the proportion of patients alive and progression-free at 6 months (PFS-6). Secondary endpoints include progression-free and overall survival, best intracranial response, and toxicity. Our study has met its primary endpoint and achieved a PFS-6 rate of 0.48 (90% exact CI: 0.31-0.66) and a median PFS of 7.6 months (90% CI: 3.4-12.9 months). Twenty percent of patients have experienced one (or more) grade-3 or higher treatment-related adverse events. These results suggest that pembrolizumab exerts promising efficacy on a subset of these tumors. Further studies are needed to identify the biological facets within the meningioma TME that may drive response to immune-based therapies.

Indexed as

Meningeal NeoplasmsMeningiomaAntibodies, Monoclonal, HumanizedDisease ProgressionHumansTumor MicroenvironmentAntibodies, Monoclonal, Humanizedpembrolizumab

Identifiers

PMID35289329
PMCPMC8921328
OpenAlexW4220829523

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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.