Evidence map›Paper›PMID 36252995›Full record

ArticleJournal for immunotherapy of cancer2022

Tumor microenvironment shows an immunological abscopal effect in patients with NSCLC treated with pembrolizumab-radiotherapy combination.

Lieke L van der Woude, Mark A J Gorris, Inge M N Wortel, Jeroen H A Creemers, Kiek Verrijp, Kim Monkhorst, Katrien Grünberg, Michel M van den Heuvel, Johannes Textor, Carl G Figdor and 3 more

Open access · goldAbstract read
In one paragraph

Article in Journal for immunotherapy of cancer, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
3.7field-weighted citation impact, top 5% 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

33 citing papers in PubMed, 38 citations in OpenAlex.

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  2. Cemiplimab in Locally Advanced or Metastatic Secondary Angiosarcomas (CEMangio): A Phase II Clinical Trial and Biomarker Analyses.Clinical cancer research : an official journal of the American Association for Cancer Research · 2025
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  3. Prognostic value of metabolic tumor volume on [Cancer imaging : the official publication of the International Cancer Imaging Society · 2024
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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

13 authors at 2 institutions in 1 country.

Lieke L van der WoudeDepartment of Tumour Immunology, Radboudumc, Nijmegen, The Netherlands.ORCID 0000-0002-4761-0768
Mark A J GorrisDepartment of Tumour Immunology, Radboudumc, Nijmegen, The Netherlands.ORCID 0000-0003-3621-226X
Inge M N WortelData Science, Institute for Computing and Information Sciences, Radboud University, Nijmegen, the Netherlands.
Jeroen H A CreemersDepartment of Tumour Immunology, Radboudumc, Nijmegen, The Netherlands.ORCID 0000-0003-0371-8416
Kiek VerrijpDepartment of Tumour Immunology, Radboudumc, Nijmegen, The Netherlands.ORCID 0000-0001-5223-8406
Kim MonkhorstDepartment of Pathology, Netherlands Cancer Institute, Amsterdam, The Netherlands.
Katrien GrünbergDepartment of Pathology, Radboudumc, Nijmegen, The Netherlands.
Michel M van den HeuvelDepartment of Pulmonary Diseases, Radboudumc, Nijmegen, The Netherlands.
Johannes TextorDepartment of Tumour Immunology, Radboudumc, Nijmegen, The Netherlands.ORCID 0000-0002-0459-9458
Carl G FigdorDepartment of Tumour Immunology, Radboudumc, Nijmegen, The Netherlands.ORCID 0000-0002-2366-9212
Berber PietDepartment of Pulmonary Diseases, Radboudumc, Nijmegen, The Netherlands.
Willemijn S M E TheelenDepartment of Pulmonology, Netherlands Cancer Institute, Amsterdam, The Netherlands.
I Jolanda M de VriesDepartment of Tumour Immunology, Radboudumc, Nijmegen, The Netherlands jolanda.devries@radboudumc.nl.ORCID 0000-0002-8653-4040
Radboud University Nijmegen · NLThe Netherlands Cancer Institute · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImmunotherapy is currently part of the standard of care for patients with advanced-stage non-small cell lung cancer (NSCLC). However, many patients do not respond to this treatment, therefore combination strategies are being explored to increase clinical benefit. The PEMBRO-RT trial combined the therapeutic programmed cell death 1 (PD-1) antibody pembrolizumab with stereotactic body radiation therapy (SBRT) to increase the overall response rate and study the effects on the tumor microenvironment (TME).

methodsHere, immune infiltrates in the TME of patients included in the PEMBRO-RT trial were investigated. Tumor biopsies of patients treated with pembrolizumab alone or combined with SBRT (a biopsy of the non-irradiated site) at baseline and during treatment were stained with multiplex immunofluorescence for CD3, CD8, CD20, CD103 and FoxP3 for lymphocytes, pan-cytokeratin for tumors, and HLA-ABC expression was determined.

resultsThe total number of lymphocytes increased significantly after 6 weeks of treatment in the anti-PD-1 group (fold change: 1.87, 95% CI: 1.06 to 3.29) and the anti-PD-1+SBRT group (fold change: 2.29, 95% CI: 1.46 to 3.60). The combination of SBRT and anti-PD-1 induced a 4.87-fold increase (95% CI: 2.45 to 9.68) in CD103

conclusionThis explorative study shows that that lymphocyte infiltration in general, instead of the infiltration of a specific lymphocyte subset, is associated with response to therapy in patients with NSCLC.Furthermore, anti-PD-1+SBRT combination therapy induces an immunological abscopal effect in the TME represented by a superior infiltration of cytotoxic T cells as compared with anti-PD-1 monotherapy.

Indexed as

Carcinoma, Non-Small-Cell LungLung NeoplasmsAntibodies, Monoclonal, HumanizedForkhead Transcription FactorsHumansKeratinsTumor MicroenvironmentAntibodies, Monoclonal, HumanizedForkhead Transcription FactorsKeratinspembrolizumabimmunotherapyprogrammed cell death 1 receptorradiotherapytumor microenvironment

Identifiers

PMID36252995
PMCPMC9577911
OpenAlexW4306411164

What OpenQuestion holds

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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.