Evidence map›Paper›PMID 37137552›Full record

ArticleJournal for immunotherapy of cancer2023

Addressing resistance to PD-1/PD-(L)1 pathway inhibition: considerations for combinatorial clinical trial designs.

Tian Zhang, Patrick M Forde, Ryan J Sullivan, Elad Sharon, Elizabeth Barksdale, Wendy Selig, Scot Ebbinghaus, Gina Fusaro, Damla Gunenc, Dena Battle and 4 more

Open access · goldAbstract read
In one paragraph

Article in Journal for immunotherapy of cancer, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
3.9field-weighted citation impact, top 6% 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

15 citing papers in PubMed, 17 citations in OpenAlex.

  1. Trial
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  5. Review
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  8. Review
  9. bioRxiv : the preprint server for biology · 2025
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Overcoming Resistance Mechanisms to Melanoma Immunotherapy.American journal of clinical dermatology · 2025
    Review
  15. 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

14 authors at 11 institutions in 1 country.

Tian ZhangDepartment of Internal Medicine, Division of Hematology and Oncology, UT Southwestern, Dallas, Texas, USA tian.zhang@utsouthwestern.edu.ORCID 0000-0001-8914-3531
Patrick M FordeJohns Hopkins Kimmel Cancer Center, Baltimore, Maryland, USA.
Ryan J SullivanDepartment of Medicine, Massachusetts General Hospital Cancer Center, Boston, Massachusetts, USA.ORCID 0000-0001-5344-6645
Elad SharonCancer Therapy Evaluation Program, National Cancer Institute, Bethesda, Maryland, USA.ORCID 0000-0002-0044-9719
Elizabeth BarksdaleLUNGevity Foundation, Chicago, Illinois, USA.
Wendy SeligWSCollaborative, McLean, Virginia, USA.
Scot EbbinghausMerck & Co Inc, Kenilworth, New Jersey, USA.
Gina FusaroBristol-Myers Squibb Co Summit, Summit, New Jersey, USA.
Damla GunencDepartment of Internal Medicine, Division of Hematology and Oncology, UT Southwestern, Dallas, Texas, USA.
Dena BattleKidney Cancer Research Alliance, Alexandria, Virginia, USA.
Robyn BurnsMelanoma Research Foundation, Washington, District of Columbia, USA.
Marc S HurlbertMelanoma Research Alliance, Washington, District of Columbia, USA.
Mark StewartFriends of Cancer Research, Washington, District of Columbia, USA.
Michael B AtkinsGeorgetown Lombardi Comprehensive Cancer Center, Washington, District of Columbia, USA.ORCID 0000-0003-3901-9924
Southwestern Medical Center · USBristol-Myers Squibb (United States) · USFriends of Cancer Research · USGeorgetown University · USLUNGevity Foundation · USMassachusetts General Hospital · USMelanoma Research Alliance · USMelanoma Research Foundation · USMerck & Co., Inc., Rahway, NJ, USA (United States) · USNational Cancer Institute · USSidney Kimmel Cancer Center · US

Funding

Tissue Culture Shared ResourceP30CA051008 · NCI · GEORGETOWN UNIVERSITY · PI STEPHEN W BYERS · 1990 to 2026
$71.5M
Treating the P13-Kinase/AKTP50CA101942 · NCI · BETH ISRAEL DEACONESS MEDICAL CENTER · PI Wanling Xie · 2003 to 2026
$53.4M
(PQ #8) Biomarkers of efficacy and adverse events due to treatment with immune checkpoint inhibitorsR01CA231291 · NCI · GEORGETOWN UNIVERSITY · PI ATKINS, MICHAEL BENJAMIN, WELLSTEIN, ANTON · 2018 to 2022
$2.6M
Robust Causal Comparisons of Nonrandomized Oncology StudiesR21CA270585 · NCI · GEORGETOWN UNIVERSITY · PI TAN, MING TONY · 2022 to 2023
$392k
NCI NIH HHS P30 CA051008NCI NIH HHS P50 CA101942NCI NIH HHS R01 CA231291NCI NIH HHS R21 CA270585
6 · The paper itself

Abstract

With multiple PD-(L)1 inhibitors approved across dozens of indications by the US Food and Drug Administration, the number of patients exposed to these agents in adjuvant, first-line metastatic, second-line metastatic, and refractory treatment settings is increasing rapidly. Although some patients will experience durable benefit, many have either no clinical response or see their disease progress following an initial response to therapy. There is a significant need to identify therapeutic approaches to overcome resistance and confer clinical benefits for these patients. PD-1 pathway blockade has the longest history of use in melanoma, non-small cell lung cancer (NSCLC), and renal cell carcinoma (RCC). Therefore, these settings also have the most extensive clinical experience with resistance. In 2021, six non-profit organizations representing patients with these diseases undertook a year-long effort, culminating in a 2-day workshop (including academic, industry, and regulatory participants) to understand the challenges associated with developing effective therapies for patients previously exposed to anti-PD-(L)1 agents and outline recommendations for designing clinical trials in this setting. This manuscript presents key discussion themes and positions reached through this effort, with a specific focus on the topics of eligibility criteria, comparators, and endpoints, as well as tumor-specific trial design options for combination therapies designed to treat patients with melanoma, NSCLC, or RCC after prior PD-(L)1 pathway blockade.

Indexed as

Carcinoma, Non-Small-Cell LungCarcinoma, Renal CellKidney NeoplasmsLung NeoplasmsMelanomaClinical Trials as TopicHumansProgrammed Cell Death 1 ReceptorProgrammed Cell Death 1 Receptorimmunotherapykidney neoplasmslung neoplasmsmelanomatumor escape

Identifiers

PMID37137552
PMCPMC10163527
OpenAlexW4368357454

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.