Evidence map›Paper›PMID 37095077›Full record

ArticleNature communications2023

In silico cancer immunotherapy trials uncover the consequences of therapy-specific response patterns for clinical trial design and outcome.

Jeroen H A Creemers, Ankur Ankan, Kit C B Roes, Gijs Schröder, Niven Mehra, Carl G Figdor, I Jolanda M de Vries, Johannes Textor

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
7.7field-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

22 citing papers in PubMed, 32 citations in OpenAlex.

  1. Article
  2. Overcoming tumour resistance in cancer immunotherapy through predictive and pharmacodynamic biomarkers.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
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  16. Virtual patient analysis identifies strategies to improve the performance of predictive biomarkers for PD-1 blockade.Proceedings of the National Academy of Sciences of the United States of America · 2024
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  19. Generating Counterfactual Patient Timelines from Real-World Data.AMIA ... Annual Symposium proceedings. AMIA Symposium · 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

8 authors at 1 institution in 1 country.

Jeroen H A CreemersMedical BioSciences, Radboud university medical center, Nijmegen, The Netherlands.ORCID 0000-0003-0371-8416
Ankur AnkanData Science group, Institute for Computing and Information Sciences, Radboud University, Nijmegen, The Netherlands.
Kit C B RoesDepartment of Health Evidence, Section Biostatistics, Radboud university medical center, Nijmegen, The Netherlands.
Gijs SchröderData Science group, Institute for Computing and Information Sciences, Radboud University, Nijmegen, The Netherlands.ORCID 0000-0001-6803-3237
Niven MehraDepartment of Medical Oncology, Radboud university medical center, Nijmegen, The Netherlands.ORCID 0000-0002-4794-1831
Carl G FigdorMedical BioSciences, Radboud university medical center, Nijmegen, The Netherlands.ORCID 0000-0002-2366-9212
I Jolanda M de VriesMedical BioSciences, Radboud university medical center, Nijmegen, The Netherlands.ORCID 0000-0002-8653-4040
Johannes TextorMedical BioSciences, Radboud university medical center, Nijmegen, The Netherlands. johannes.textor@ru.nl.ORCID 0000-0002-0459-9458
Radboud University Nijmegen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Late-stage cancer immunotherapy trials often lead to unusual survival curve shapes, like delayed curve separation or a plateauing curve in the treatment arm. It is critical for trial success to anticipate such effects in advance and adjust the design accordingly. Here, we use in silico cancer immunotherapy trials - simulated trials based on three different mathematical models - to assemble virtual patient cohorts undergoing late-stage immunotherapy, chemotherapy, or combination therapies. We find that all three simulation models predict the distinctive survival curve shapes commonly associated with immunotherapies. Considering four aspects of clinical trial design - sample size, endpoint, randomization rate, and interim analyses - we demonstrate how, by simulating various possible scenarios, the robustness of trial design choices can be scrutinized, and possible pitfalls can be identified in advance. We provide readily usable, web-based implementations of our three trial simulation models to facilitate their use by biomedical researchers, doctors, and trialists.

Indexed as

ImmunotherapyNeoplasmsClinical Trials as TopicComputer SimulationHumansSample Size

Identifiers

PMID37095077
PMCPMC10125995
OpenAlexW4366823282

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.