Evidence map›Paper›PMID 35429341›Full record

Trial reportInternational journal of cancer2022

Gut microbiota correlates with antitumor activity in patients with mCRC and NSCLC treated with cetuximab plus avelumab.

Giulia Martini, Davide Ciardiello, Marcello Dallio, Vincenzo Famiglietti, Lucia Esposito, Carminia Maria Della Corte, Stefania Napolitano, Morena Fasano, Antonietta Gerarda Gravina, Marco Romano and 9 more

Open access · hybridAbstract readClinical Trial
In one paragraph

Trial report in International journal of cancer, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed
6.4field-weighted citation impact, top 2% 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

47 citing papers in PubMed, 63 citations in OpenAlex.

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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

19 authors at 3 institutions in 1 country.

Giulia MartiniMedical Oncology, Università degli Studi della Campania "Luigi Vanvitelli", Naples, Italy.ORCID 0000-0003-4093-2681
Davide CiardielloMedical Oncology, Università degli Studi della Campania "Luigi Vanvitelli", Naples, Italy.
Marcello DallioGastroenterology, Department of Precision Medicine, Università degli Studi della Campania "Luigi Vanvitelli", Naples, Italy.
Vincenzo FamigliettiMedical Oncology, Università degli Studi della Campania "Luigi Vanvitelli", Naples, Italy.
Lucia EspositoMedical Oncology, Università degli Studi della Campania "Luigi Vanvitelli", Naples, Italy.
Carminia Maria Della CorteMedical Oncology, Università degli Studi della Campania "Luigi Vanvitelli", Naples, Italy.
Stefania NapolitanoMedical Oncology, Università degli Studi della Campania "Luigi Vanvitelli", Naples, Italy.
Morena FasanoMedical Oncology, Università degli Studi della Campania "Luigi Vanvitelli", Naples, Italy.
Antonietta Gerarda GravinaGastroenterology, Department of Precision Medicine, Università degli Studi della Campania "Luigi Vanvitelli", Naples, Italy.
Marco RomanoGastroenterology, Department of Precision Medicine, Università degli Studi della Campania "Luigi Vanvitelli", Naples, Italy.
Carmelina LoguercioGastroenterology, Department of Precision Medicine, Università degli Studi della Campania "Luigi Vanvitelli", Naples, Italy.
Alessandro FedericoGastroenterology, Department of Precision Medicine, Università degli Studi della Campania "Luigi Vanvitelli", Naples, Italy.
Evaristo MaielloMedical Oncology, Fondazione IRCCS Casa Sollievo della Sofferenza, San Giovanni Rotondo, Italy.
Concetta TuccilloMedical Oncology, Università degli Studi della Campania "Luigi Vanvitelli", Naples, Italy.
Floriana MorgilloMedical Oncology, Università degli Studi della Campania "Luigi Vanvitelli", Naples, Italy.ORCID 0000-0002-9167-323X
Teresa TroianiMedical Oncology, Università degli Studi della Campania "Luigi Vanvitelli", Naples, Italy.
Massimo Di MaioDepartment of Oncology, University of Turin, at Ordine Mauriziano Hospital, Turin, Italy.
Erika MartinelliMedical Oncology, Università degli Studi della Campania "Luigi Vanvitelli", Naples, Italy.
Fortunato CiardielloMedical Oncology, Università degli Studi della Campania "Luigi Vanvitelli", Naples, Italy.ORCID 0000-0002-3369-4841
University of Campania "Luigi Vanvitelli" · ITA. O. Ordine Mauriziano di Torino · ITCasa Sollievo della Sofferenza · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Gut microbiota is involved in immune modulation and immune checkpoint inhibitors (ICIs) efficacy. Single-arm phase II CAVE-mCRC and CAVE-LUNG clinical trials investigated cetuximab + avelumab combination in RAS wild-type (WT) metastatic colorectal cancer (mCRC) and chemo-refractory nonsmall cell lung cancer (NSCLC) patients, respectively. A comprehensive gut microbiota genetic analysis was done in basal fecal samples of 14 patients from CAVE-mCRC trial with circulating tumor DNA (ctDNA) RAS/BRAF WT and microsatellite stable (MSS) disease. Results were validated in a cohort of 10 patients from CAVE-Lung trial. 16S rRNA sequencing revealed 23 027 bacteria species in basal fecal samples of 14 patients from CAVE-mCRC trial. In five long-term responding patients (progression-free survival [PFS], 9-24 months) significant increases in two butyrate-producing bacteria, Agathobacter M104/1 (P = .018) and Blautia SR1/5 (P = .023) were found compared to nine patients with shorter PFS (2-6 months). A significantly better PFS was also observed according to the presence or absence of these species in basal fecal samples. For Agathobacter M104/1, median PFS (mPFS) was 13.5 months (95% confidence interval [CI], 6.5-20.5 months) vs 4.6 months (95% CI, 1.8-7.4 months); P = .006. For Blautia SR1/5, mPFS was 5.9 months (95% CI, 2.2-9.7 months) vs 3.6 months (95% CI, 3.3-4.0 months); P = .021. Similarly, in CAVE-Lung validation cohort, Agathobacter M104/1 and Blautia SR1/5 expression were associated with PFS according to their presence or absence in basal fecal samples. Agathobacter and Blautia species could be potential biomarkers of outcome in mCRC, and NSCLC patients treated with cetuximab + avelumab. These findings deserve further investigation.

Indexed as

Carcinoma, Non-Small-Cell LungCirculating Tumor DNAColonic NeoplasmsColorectal NeoplasmsGastrointestinal MicrobiomeLung NeoplasmsRectal NeoplasmsAntibodies, Monoclonal, HumanizedAntineoplastic Combined Chemotherapy ProtocolsCetuximabHumansProto-Oncogene Proteins p21(ras)RNA, Ribosomal, 16SAntibodies, Monoclonal, HumanizedavelumabCetuximabCirculating Tumor DNAProto-Oncogene Proteins p21(ras)RNA, Ribosomal, 16Savelumabcetuximabgut microbiotamCRCNSCLC

Identifiers

PMID35429341
PMCPMC9321613
OpenAlexW4223893606

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.