Evidence map›Paper›PMID 36455409›Full record

ReviewEBioMedicine2022

The difficulty in translating the preclinical success of combined TGFβ and immune checkpoint inhibition to clinical trial.

Anastasia E Metropulos, Hidayatullah G Munshi, Daniel R Principe

Open access · goldAbstract readReview
In one paragraph

Review in EBioMedicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 1 pooled it
7.4field-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

51 citing papers in PubMed, 1 synthesis or guideline pooled it, 74 citations in OpenAlex.

  1. Pooled it
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  18. Spatio-Temporal Dynamics of MBulletin of mathematical biology · 2025
    Article
  19. Mitochondrial CaCell reports · 2025
    Article
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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

3 authors at 2 institutions in 1 country.

Anastasia E MetropulosFeinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Hidayatullah G MunshiFeinberg School of Medicine, Northwestern University, Chicago, IL, USA; Jesse Brown VA Medical Center, Chicago, IL, USA. Electronic address: h-munshi@northwestern.edu.
Daniel R PrincipeUniversity of Illinois College of Medicine, Chicago, IL, USA. Electronic address: principe@uic.edu.
Northwestern University · USIllinois College · US

Funding

Co-targeting BET Bromodomain Proteins and MNK Kinases in Pancreatic CancerR01CA265997 · NCI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI Hidayatullah G. Munshi · 2022 to 2026
$2.4M
Rapid evaluation of immunotherapy regimens in ex vivo human pancreatic tumor slice cultures.R21CA255291 · NCI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI MUNSHI, HIDAYATULLAH G. · 2021 to 2022
$406k
Augmenting Pancreatic Cancer Immunotherapy via TGFβ Pathway InhibitionF30CA236031 · NCI · UNIVERSITY OF ILLINOIS AT CHICAGO · PI PRINCIPE, DANIEL R · 2019 to 2023
$256k
BLRD VA I01 BX005595NCI NIH HHS F30 CA236031NCI NIH HHS R01 CA265997NCI NIH HHS R21 CA255291
6 · The paper itself

Abstract

Immune checkpoint inhibitors (ICIs) have transformed the treatment paradigm for solid tumors. However, even in cancers generally considered ICI-sensitive, responses can vary significantly. Thus, there is an ever-increasing interest in identifying novel means of improving therapeutic responses, both for cancers in which ICIs are indicated and those for which they have yet to show significant anti-tumor activity. To this end, Transforming Growth Factor β (TGFβ) signaling is emerging as an important barrier to the efficacy of ICIs. Accordingly, several preclinical studies now support the use of combined TGFβ and immune checkpoint blockade, with near-uniform positive results across a wide range of tumor types. However, as these approaches have started to emerge in clinical trials, the addition of TGFβ inhibitors has often failed to show a meaningful benefit beyond the current generation of ICIs alone. Here, we summarize landmark clinical studies exploring combined TGFβ and immune checkpoint blockade. These studies not only reinforce the difficulty in translating results from rodents to clinical trials in immune-oncology but also underscore the need to re-evaluate the design of trials exploring this approach, incorporating both mechanism-driven combination strategies and novel, predictive biomarkers to identify the patients most likely to derive clinical benefit.

Indexed as

Immune Checkpoint InhibitorsNeoplasmsClinical Trials as TopicHumansImmunotherapyTransforming Growth Factor betaImmune Checkpoint InhibitorsTransforming Growth Factor betaDrug resistanceImmune checkpoint inhibitorsImmunotherapyTransforming growth factor βTumor immunology

Identifiers

PMID36455409
PMCPMC9706619
OpenAlexW4310211625

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.