Evidence map›Paper›PMID 35297215›Full record

ArticleCancer medicine2022

Evaluation of autoantibodies as predictors of treatment response and immune-related adverse events during the treatment with immune checkpoint inhibitors: A prospective longitudinal pan-cancer study.

Dominik A Barth, Stefanie Stanzer, Jasmin Spiegelberg, Thomas Bauernhofer, Gudrun Absenger, Florian Posch, Rainer Lipp, Michael Halm, Joanna Szkandera, Marija Balic and 8 more

Open access · goldAbstract read
In one paragraph

Article in Cancer medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
2.5field-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

21 citing papers in PubMed, 24 citations in OpenAlex.

  1. Trial
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  7. Immune Checkpoint Therapy-Induced Lupus Nephritis.Kidney international reports · 2024
    Article
  8. The Current and Future of Biomarkers of Immune Related Adverse Events.Rheumatic diseases clinics of North America · 2024
    Review
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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

18 authors at 2 institutions in 2 countries.

Dominik A BarthDivision of Oncology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.ORCID 0000-0003-0812-3024
Stefanie StanzerDivision of Oncology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
Jasmin SpiegelbergDivision of Oncology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
Thomas BauernhoferDivision of Oncology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
Gudrun AbsengerDivision of Oncology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
Florian PoschDivision of Oncology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
Rainer LippDivision of Oncology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
Michael HalmDivision of Oncology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
Joanna SzkanderaDivision of Oncology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
Marija BalicDivision of Oncology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
Armin GergerDivision of Oncology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.ORCID 0000-0002-3888-5401
Maria A SmolleDepartment of Orthopaedics and Trauma, Medical University of Graz, Graz, Austria.
Georg C HuttererDepartment of Urology, Medical University of Graz, Graz, Austria.
Christiane KlecDivision of Oncology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
Philipp J JostDivision of Oncology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
Julia KarglOtto Loewi Research Center, Division of Pharmacology, Medical University of Graz, Graz, Austria.
Martin StradnerDivision of Rheumatology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.
Martin PichlerDivision of Oncology, Department of Internal Medicine, Medical University of Graz, Graz, Austria.ORCID 0000-0002-8701-9462
Medical University of Graz · ATThe University of Texas MD Anderson Cancer Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe presence of autoantibodies in the serum of cancer patients has been associated with immune-checkpoint inhibitor (ICI) therapy response and immune-related adverse events (irAEs). A prospective evaluation of different autoantibodies in different cancer entities is missing. MATERIALS AND

methodsIn this prospective cohort study, we included a pan-cancer cohort of patients undergoing ICI treatment and measured a comprehensive panel of autoantibodies at treatment start and at the time point of first response evaluation. The presence and induction of autoantibodies (ANA, ENA, myositis, hepatopathy, rheumatoid arthritis) in different cancer entities were assessed and the association between autoantibodies and disease control rate (DCR), objective response rate (ORR), and progression-free survival (PFS), as well as the development of grade 3 or higher irAEs were evaluated by logistic regression models, cox proportional hazard models, and Kaplan-Meier estimators.

resultsOf 44 patients with various cancer entities, neither the presence of any positive autoantibody measurement nor the presence of positive antinuclear antibodies (ANA) [≥1:80] at baseline was associated with the examined clinical endpoints (DCR, ORR, PFS) in univariable and multivariable analyses. After 8-12 weeks of ICI treatment, DCR, ORR, and PFS did not significantly differ between patients with and without any positive autoantibody measurement or positive ANA titers. The frequency of irAEs did not differ depending on autoantibody status of the patients.

conclusionAutoantibodies at treatment initiation or induction after 8-12 weeks of ICI treatment are not associated with treatment efficacy as indicated by DCR, ORR, and PFS or higher grade irAEs.

Indexed as

Drug-Related Side Effects and Adverse ReactionsNeoplasmsAutoantibodiesHumansImmune Checkpoint InhibitorsProspective StudiesAutoantibodiesImmune Checkpoint Inhibitorsautoimmunitycancerimmune checkpoint inhibitor therapyimmune-related adverse eventsmonoclonal antibodies

Identifiers

PMID35297215
PMCPMC9385593
OpenAlexW4221120543

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Registered trials

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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.