Evidence map›Paper›PMID 36513065›Full record

ArticleMed (New York, N.Y.)2023

Clinically oriented prediction of patient response to targeted and immunotherapies from the tumor transcriptome.

Gal Dinstag, Eldad D Shulman, Efrat Elis, Doreen S Ben-Zvi, Omer Tirosh, Eden Maimon, Isaac Meilijson, Emmanuel Elalouf, Boris Temkin, Philipp Vitkovsky and 21 more

Abstract read
In one paragraph

Article in Med (New York, N.Y.), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
–field-weighted citation impact
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

35 citing papers in PubMed.

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  8. CGPA: A Multicontext Cancer Gene Prognosis Atlas.Molecular cancer research : MCR · 2026
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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

31 authors.

Gal DinstagPangea Biomed Ltd., Tel Aviv, Israel. Electronic address: gal@pangeabiomed.com.
Eldad D ShulmanPangea Biomed Ltd., Tel Aviv, Israel.
Efrat ElisPangea Biomed Ltd., Tel Aviv, Israel.
Doreen S Ben-ZviPangea Biomed Ltd., Tel Aviv, Israel.
Omer TiroshPangea Biomed Ltd., Tel Aviv, Israel.
Eden MaimonPangea Biomed Ltd., Tel Aviv, Israel.
Isaac MeilijsonPangea Biomed Ltd., Tel Aviv, Israel; Tel Aviv University, Tel Aviv, Israel.
Emmanuel ElaloufPangea Biomed Ltd., Tel Aviv, Israel.
Boris TemkinPangea Biomed Ltd., Tel Aviv, Israel.
Philipp VitkovskyPangea Biomed Ltd., Tel Aviv, Israel.
Eyal SchiffPangea Biomed Ltd., Tel Aviv, Israel.
Danh-Tai HoangBiological Data Science Institute, College of Science, The Australian National University, Canberra, ACT, Australia.
Sanju SinhaCancer Data Science Laboratory (CDSL), National Cancer Institute, National Institutes of Health, Bethesda, MD, USA.
Nishanth Ulhas NairCancer Data Science Laboratory (CDSL), National Cancer Institute, National Institutes of Health, Bethesda, MD, USA.
Joo Sang LeeDepartment of Precision Medicine, School of Medicine & Department of Artificial Intelligence, Sungkyunkwan University, Suwon, Republic of Korea.
Alejandro A SchäfferCancer Data Science Laboratory (CDSL), National Cancer Institute, National Institutes of Health, Bethesda, MD, USA.
Ze'ev RonaiCancer Center, Sanford Burnham Prebys Medical Discovery Institute, La Jolla, CA, USA.
Dejan JuricDepartment of Medicine, Massachusetts General Hospital Cancer Center, Boston, MA, USA; Department of Medicine, Harvard Medical School, Boston, MA, USA.
Andrea B ApoloGenitourinary Malignancies Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD, USA.
William L DahutGenitourinary Malignancies Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD, USA.
Stanley LipkowitzWomen's Malignancies Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD, USA.
Raanan BergerCancer Center, Chaim Sheba Medical Center, Tel Hashomer, Israel.
Razelle KurzrockWorldwide Innovative Network (WIN) for Personalized Cancer Therapy, Chevilly-Larue, France.
Antonios Papanicolau-SengosLaboratory of Pathology, National Cancer Institute, National Institutes of Health, Bethesda, MD, USA.
Fatima KarzaiGenitourinary Malignancies Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD, USA.
Mark R GilbertNeuro-Oncology Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD, USA.
Kenneth AldapeLaboratory of Pathology, National Cancer Institute, National Institutes of Health, Bethesda, MD, USA.
Padma S RajagopalCancer Data Science Laboratory (CDSL), National Cancer Institute, National Institutes of Health, Bethesda, MD, USA; Women's Malignancies Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD, USA.
Tuvik BekerPangea Biomed Ltd., Tel Aviv, Israel. Electronic address: tuvik@pangeabiomed.com.
Eytan RuppinCancer Data Science Laboratory (CDSL), National Cancer Institute, National Institutes of Health, Bethesda, MD, USA. Electronic address: eytan.ruppin@nih.gov.
Ranit AharonovPangea Biomed Ltd., Tel Aviv, Israel. Electronic address: ranit@pangeabiomed.com.

Funding

Discovery of genetic interactions in cancerZIABC011802 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI RUPPIN, EYTAN · 2018 to 2025
$19.6M
Genomic Biomarkers of CancerZIABC011850 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI ALDAPE, KENNETH · 2019 to 2025
$5.1M
Bioinformatics: Characterizing Brain Tumor DateZIABC011784 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI GILBERT, MARK · 2017 to 2024
$4.9M
Identifying Treatment Options using RNA-Based Synthetic Lethality and RescueZIABC012058 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI RAJAGOPAL, PADMA · 2021 to 2025
$653k
Intramural NIH HHS ZIA BC011784Intramural NIH HHS ZIA BC011802Intramural NIH HHS ZIA BC011850Intramural NIH HHS ZIA BC012058
6 · The paper itself

Abstract

backgroundPrecision oncology is gradually advancing into mainstream clinical practice, demonstrating significant survival benefits. However, eligibility and response rates remain limited in many cases, calling for better predictive biomarkers.

methodsWe present ENLIGHT, a transcriptomics-based computational approach that identifies clinically relevant genetic interactions and uses them to predict a patient's response to a variety of therapies in multiple cancer types without training on previous treatment response data. We study ENLIGHT in two translationally oriented scenarios: personalized oncology (PO), aimed at prioritizing treatments for a single patient, and clinical trial design (CTD), selecting the most likely responders in a patient cohort.

findingsEvaluating ENLIGHT's performance on 21 blinded clinical trial datasets in the PO setting, we show that it can effectively predict a patient's treatment response across multiple therapies and cancer types. Its prediction accuracy is better than previously published transcriptomics-based signatures and is comparable with that of supervised predictors developed for specific indications and drugs. In combination with the interferon-γ signature, ENLIGHT achieves an odds ratio larger than 4 in predicting response to immune checkpoint therapy. In the CTD scenario, ENLIGHT can potentially enhance clinical trial success for immunotherapies and other monoclonal antibodies by excluding non-responders while overall achieving more than 90% of the response rate attainable under an optimal exclusion strategy.

conclusionsENLIGHT demonstrably enhances the ability to predict therapeutic response across multiple cancer types from the bulk tumor transcriptome.

fundingThis research was supported in part by the Intramural Research Program, NIH and by the Israeli Innovation Authority.

Indexed as

NeoplasmsHumansImmunotherapyInterferon-gammaPrecision MedicineTranscriptomeInterferon-gammaclinical trial designFoundational researchimmunotherapypatient stratificationpersonalized medicineprecision oncologysynthetic lethalitytargeted therapytranscriptomicstranslational medicinetreatment matching

Identifiers

PMID36513065
PMCPMC10029756

What OpenQuestion holds

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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.