Evidence map›Paper›PMID 36252996›Full record

ArticleJournal for immunotherapy of cancer2022

Evaluation of tumor microenvironment and biomarkers of immune checkpoint inhibitor response in metastatic renal cell carcinoma.

Landon C Brown, Jason Zhu, Kunal Desai, Emily Kinsey, Chester Kao, Yong Hee Lee, Sarabjot Pabla, Matthew K Labriola, Jennifer Tran, Konstantin H Dragnev and 12 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 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.4field-weighted citation impact, top 17% 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

14 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
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  9. Review
  10. Article
  11. Review
  12. The Tumor Immune Microenvironment in Clear Cell Renal Cell Carcinoma.International journal of molecular sciences · 2023
    Review
  13. Article
  14. Article
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

22 authors at 8 institutions in 4 countries.

Landon C BrownLevine Cancer Institute, Charlotte, North Carolina, USA.ORCID 0000-0002-5231-4859
Jason ZhuLevine Cancer Institute, Charlotte, North Carolina, USA.
Kunal DesaiDepartment of Internal Medicine, Cleveland Clinic, Cleveland, Ohio, USA.
Emily KinseyDepartment of Medicine, Duke Cancer Institute, Durham, North Carolina, USA.
Chester KaoDepartment of Medicine, Duke Cancer Institute, Durham, North Carolina, USA.
Yong Hee LeeBioinformatics, OmniSeq, Buffalo, New York, USA.
Sarabjot PablaBioinformatics, OmniSeq, Buffalo, New York, USA.ORCID 0000-0002-7746-9144
Matthew K LabriolaDepartment of Medicine, Duke Cancer Institute, Durham, North Carolina, USA.ORCID 0000-0003-0919-9864
Jennifer TranDepartment of Hematology and Medical Oncology, Taussig Cancer Institute, Cleveland, Ohio, USA.
Konstantin H DragnevDepartment of Medicine, Dartmouth Cancer Center, Lebanon, Pennsylvania, USA.
Laura J TafeDepartment of Medicine, Dartmouth Cancer Center, Lebanon, Pennsylvania, USA.
Farshid DayyaniDepartment of Medicine, University of California-Irvine Health, Orange, California, USA.
Rajan T GuptaDepartment of Medicine, Duke Cancer Institute, Durham, North Carolina, USA.
Shannon McCallDepartment of Medicine, Duke Cancer Institute, Durham, North Carolina, USA.
Daniel J GeorgeDepartment of Medicine, Duke Cancer Institute, Durham, North Carolina, USA.ORCID 0000-0002-0836-8542
Sean T GlennCenter for Personalized Medicine, Roswell Park Cancer Institute, Buffalo, New York, USA.
Mary K NeslineOmniSeq, Inc, Buffalo, New York, USA.
Saby GeorgeDepartment of Medicine, Roswell Park Cancer Institute, Buffalo, New York, USA.
Matthew ZibelmanDepartment of Hematology/Oncology, Fox Chase Cancer Center, Philadelphia, Pennsylvania, USA.
Carl MorrisonBioinformatics, OmniSeq, Buffalo, New York, USA.
Moshe C OrnsteinDepartment of Hematology and Medical Oncology, Taussig Cancer Institute, Cleveland, Ohio, USA.ORCID 0000-0003-0184-3467
Tian ZhangDepartment of Medicine, Duke Cancer Institute, Durham, North Carolina, USA tian.zhang@utsouthwestern.edu.
Cancer Institute (WIA) · INInstitute of Bioinformatics · INDartmouth College · USRoswell Park Comprehensive Cancer Center · USCleveland Clinic · USFox Chase Cancer Center · USIQE (United Kingdom) · GBUniversity of California, Irvine · US

Funding

Women's Cancer Research ProgramP30CA014236 · NCI · DUKE UNIVERSITY · PI JOHN N. NORTON · 1985 to 2026
$174.8M
NCI NIH HHS P30 CA014236
6 · The paper itself

Abstract

backgroundImmunotherapy combinations including ipilimumab and nivolumab are now the standard of care for untreated metastatic renal cell carcinoma (mRCC). Biomarkers of response are lacking to predict patients who will have a favorable or unfavorable response to immunotherapy. This study aimed to use the OmniSeq transcriptome-based platform to develop biomarkers of response to immunotherapy.

methodsTwo cohorts of patients were retrospectively collected. These included an investigational cohort of patients with mRCC treated with immune checkpoint inhibitor therapy from five institutions, and a subsequent validation cohort of patients with mRCC treated with combination ipilimumab and nivolumab from two institutions (Duke Cancer Institute and Cleveland Clinic Taussig Cancer Center). Tissue-based RNA sequencing was performed using the OmniSeq Immune Report Card on banked specimens to identify gene signatures and immune checkpoints associated with differential clinical outcomes. A 5-gene expression panel was developed based on the investigational cohort and was subsequently evaluated in the validation cohort. Clinical outcomes including progression-free survival (PFS) and overall survival (OS) were extracted by retrospective chart review. Objective response rate (ORR) was assessed by Response Evaluation Criteria in Solid Tumors (RECIST) V.1.1.

resultsThe initial investigation cohort identified 86 patients with mRCC who received nivolumab (80%, 69/86), ipilimumab/nivolumab (14%, 12/86), or pembrolizumab (6%, 5/86). A gene expression score was created using the top five genes found in responders versus non-responders (FOXP3, CCR4, KLRK1, ITK, TIGIT). The ORR in patients with high gene expression (GE

conclusionA 5-gene panel that was associated with improved ORR in a predominantly nivolumab monotherapy population of patients with mRCC was not predictive for radiographic response, PFS, or OS among patients with mRCC treated with ipilimumab and nivolumab.

Indexed as

Carcinoma, Renal CellKidney NeoplasmsB7-H1 AntigenCTLA-4 AntigenForkhead Transcription FactorsHumansImmune Checkpoint InhibitorsIpilimumabNivolumabRetrospective StudiesTumor MicroenvironmentB7-H1 AntigenCTLA-4 AntigenForkhead Transcription FactorsImmune Checkpoint InhibitorsIpilimumabNivolumabGene Expression ProfilingImmunotherapyKidney NeoplasmsTumor Biomarkers

Identifiers

PMID36252996
PMCPMC9577926
OpenAlexW4306411150

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.