Evidence map›Paper›PMID 35442713›Full record

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

Phase II Study of Nivolumab and Salvage Nivolumab/Ipilimumab in Treatment-Naive Patients With Advanced Clear Cell Renal Cell Carcinoma (HCRN GU16-260-Cohort A).

Michael B Atkins, Opeyemi A Jegede, Naomi B Haas, David F McDermott, Mehmet A Bilen, Mark Stein, Jeffrey A Sosman, Robert Alter, Elizabeth R Plimack, Moshe Ornstein and 10 more

Open access · hybridAbstract 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. Cited by 65 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
65citing papers in PubMed, 5 pooled it
11.4field-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.

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

65 citing papers in PubMed, 5 syntheses or guidelines pooled it, 83 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Trial
  7. Trial
  8. Trial
  9. Trial
  10. Trial
  11. Trial
  12. Triplet Strategies in Metastatic Clear Cell Renal Cell Carcinoma: A Worthy Option in the First-Line Setting?American Society of Clinical Oncology educational book. American Society of Clinical Oncology. Annual Meeting · 2023
    Trial
  13. Trial
  14. Trial
  15. Trial
  16. Phase II Trial of Cabozantinib Plus Nivolumab in Patients With Non-Clear-Cell Renal Cell Carcinoma and Genomic Correlates.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2022
    Trial
  17. Trial
  18. Optimized Management of Nivolumab and Ipilimumab in Advanced Renal Cell Carcinoma: A Response-Based Phase II Study (OMNIVORE).Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2020
    Trial
  19. Article
  20. Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors at 14 institutions in 1 country.

Michael B AtkinsGeorgetown Lombardi Comprehensive Cancer Center, Washington, DC.ORCID 0000-0003-3901-9924
Opeyemi A JegedeDana Farber Cancer Institute, Boston. MA.ORCID 0000-0003-1763-8214
Naomi B HaasAbramson Cancer Center, University of Pennsylvania, Philadelphia, PA.ORCID 0000-0001-8907-7968
David F McDermottBeth Israel Deaconess Medical Center, Boston, MA.ORCID 0000-0002-2675-5095
Mehmet A BilenWinship Cancer Institute of Emory University, Atlanta, GA.
Mark SteinColumbia University Weinberg Cancer Center, New York, NY.ORCID 0000-0002-0853-3640
Jeffrey A SosmanNorthwestern University, Chicago, IL.
Robert AlterHackensack University Medical Center, Hackensack, NJ.
Elizabeth R PlimackFox Chase Cancer Center, Philadelphia, PA.ORCID 0000-0002-7618-0744
Moshe OrnsteinCleveland Clinic, Cleveland, OH.ORCID 0000-0003-0184-3467
Michael HurwitzYale University Cancer Center, New Haven, CT.ORCID 0000-0002-1326-7308
David J PeaceUniversity of Illinois Chicago, Chicago, IL.ORCID 0000-0002-9403-760X
Sabina SignorettiBrigham and Women's Hospital, Boston, MA.ORCID 0000-0002-5000-9105
Thomas DenizeBrigham and Women's Hospital, Boston, MA.ORCID 0000-0002-8618-7691
Alessia CimadamoreBrigham and Women's Hospital, Boston, MA.ORCID 0000-0001-5981-3514
Catherine J WuDana Farber Cancer Institute, Boston. MA.
David BraunYale University Cancer Center, New Haven, CT.ORCID 0000-0003-4543-5553
David EinsteinBeth Israel Deaconess Medical Center, Boston, MA.ORCID 0000-0001-9163-3281
Paul J CatalanoDana Farber Cancer Institute, Boston. MA.ORCID 0000-0002-1105-8852
Hans HammersUniversity of Texas Southwestern Sammons Cancer Center, Dallas, TX.
Brigham and Women's Hospital · USDana-Farber Cancer Institute · USBeth Israel Deaconess Medical Center · USYale Cancer Center · USCleveland Clinic · USColumbia University · USEmory University · USFox Chase Cancer Center · USGeorgetown Lombardi Comprehensive Cancer CenterHackensack University Medical Center · USNorthwestern University · USThe University of Texas Southwestern Medical Center · USUniversity of Illinois Chicago · USUniversity of Pennsylvania · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Tissue Culture Shared ResourceP30CA051008 · NCI · GEORGETOWN UNIVERSITY · PI Louis M Weiner · 1990 to 2026
$71.5M
Treating the P13-Kinase/AKTP50CA101942 · NCI · BETH ISRAEL DEACONESS MEDICAL CENTER · PI David McDermott · 2003 to 2026
$53.4M
NCATS NIH HHS UL1 TR001863NCI NIH HHS P30 CA051008NCI NIH HHS P50 CA101942
6 · The paper itself

Abstract

purposeTo determine the value of tumor cell programmed death-ligand 1 (PD-L1) expression as a predictive biomarker of nivolumab monotherapy efficacy in treatment-naive patients with clear cell renal cell carcinoma (ccRCC) and the efficacy of salvage nivolumab/ipilimumab in patients with tumors unresponsive to nivolumab monotherapy.

methodsEligible patients with treatment-naive ccRCC received nivolumab until progressive disease (PD), toxicity, or completing 96 treatment weeks (part A). Patients with PD before or stable disease at 48 weeks could receive salvage nivolumab/ipilimumab (part B). The primary end point was improvement in 1-year progression-free survival in patients with tumor PD-L1 expression > 20% versus 0%.

resultsOne hundred twenty-three patients were enrolled. The objective response rate (ORR) was 34.1% (95% CI, 25.8 to 43.2). ORR by International Metastatic RCC Database Consortium category was favorable-risk 57.1%, intermediate-risk/poor-risk 25.0%, and by sarcomatoid features 36.4%. The ORR was 26.9%, 50.0%, and 75.0% for patients with the tumor PD-L1 expression of 0, 1-20, or > 20%, respectively (trend test

conclusionNivolumab monotherapy is active in treatment-naive ccRCC. Although efficacy appears to be less than that of nivolumab/ipilimumab in patients with intermediate-risk/poor-risk disease, favorable-risk patients had notable benefit. Efficacy correlated with tumor PD-L1 status. Salvage nivolumab/ipilimumab was frequently not feasible and of limited benefit.

Indexed as

Carcinoma, Renal CellNivolumabAntineoplastic Combined Chemotherapy ProtocolsB7-H1 AntigenHumansIpilimumabB7-H1 AntigenIpilimumabNivolumab

Identifiers

PMID35442713
PMCPMC9426835
OpenAlexW4224238954

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.