Evidence map›Paper›PMID 37507543›Full record

Trial reportBritish journal of cancer2023

Alterations in immune cell phenotype and cytotoxic capacity in HER2+ breast cancer patients receiving HER2-targeted neo-adjuvant therapy.

Nicola Gaynor, Alfonso Blanco, Stephen F Madden, Barry Moran, Jean M Fletcher, Damien Kaukonen, Javier Sánchez Ramírez, Alex J Eustace, Martina S J McDermott, Alexandra Canonici and 6 more

Registry-linked trialOpen access · hybridAbstract readClinical Trial, Phase IIRandomized Controlled Trial
In one paragraph

Trial report in British journal of cancer, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01485926 (A Phase II Neo-adjuvant Study Assessing TCH), which is not on this map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.8field-weighted citation impact, top 9% 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.

NCT01485926 phase2completednot on this map

A Phase II Neo-adjuvant Study Assessing TCH (Docetaxel, Carboplatin and Trastuzumab) and TCHL (Docetaxel, Carboplatin, Trastuzumab and Lapatinib) in HER-2 Positive Breast Cancer Patients.

TypeinterventionalSponsorCancer Trials IrelandRan2010 to 2018Enrolled120ConditionsBreast CancerArmsDocetaxel, Carboplatin and Trastuzumab, Docetaxel, Carboplatin, Trastuzumab and Lapatinib
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 12 citations in OpenAlex.

  1. Computationally Derived Spatial Immune Signature Identifies Trastuzumab Responders in HER2+ Breast Cancer: NSABP B-41 Clinical Trial Validation.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
    Trial
  2. Trial
  3. Trial
  4. Review
  5. Article
  6. Review
  7. Article
  8. Review
  9. Article
  10. Review
  11. Article
  12. Article
  13. 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

16 authors at 6 institutions in 1 country.

Nicola GaynorCancer Biotherapeutics Research Group, National Institute for Cellular Biotechnology, Dublin City University, Dublin, Ireland.
Alfonso BlancoFlow Cytometry Core Technology, UCD Conway Institute, University College Dublin, Dublin, Ireland.
Stephen F MaddenData Science Centre, School of Population Heath Sciences, RCSI University of Medicine and Health Sciences, Dublin, Ireland.
Barry MoranSchool of Biochemistry and Immunology, Trinity Biomedical Sciences Institute, Trinity College Dublin, Dublin, Ireland.
Jean M FletcherSchool of Biochemistry and Immunology, Trinity Biomedical Sciences Institute, Trinity College Dublin, Dublin, Ireland.
Damien KaukonenData Science Centre, School of Population Heath Sciences, RCSI University of Medicine and Health Sciences, Dublin, Ireland.
Javier Sánchez RamírezCancer Biotherapeutics Research Group, National Institute for Cellular Biotechnology, Dublin City University, Dublin, Ireland.ORCID http://orcid.org/0000-0003-3263-5062
Alex J EustaceSchool of Biotechnology, Dublin City University, Dublin, Ireland.
Martina S J McDermottNational Institute for Cellular Biotechnology, Dublin City University, Dublin, Ireland.
Alexandra CanoniciNational Institute for Cellular Biotechnology, Dublin City University, Dublin, Ireland.
Sinead ToomeyMedical Oncology Group, Department of Molecular Medicine, Royal College of Surgeons in Ireland, Dublin, Ireland.
Ausra TeiserskieneCancer Trials Ireland, RCSI House, 121 St. Stephen's Green, Dublin, Ireland.
Bryan T HennessyMedical Oncology Group, Department of Molecular Medicine, Royal College of Surgeons in Ireland, Dublin, Ireland.ORCID http://orcid.org/0000-0002-7871-6477
Norma O'DonovanNational Institute for Cellular Biotechnology, Dublin City University, Dublin, Ireland.
John CrownCancer Biotherapeutics Research Group, National Institute for Cellular Biotechnology, Dublin City University, Dublin, Ireland.ORCID http://orcid.org/0000-0002-3125-7613
Denis M CollinsCancer Biotherapeutics Research Group, National Institute for Cellular Biotechnology, Dublin City University, Dublin, Ireland. denis.collins@dcu.ie.ORCID http://orcid.org/0000-0003-1043-6169
Dublin City University · IERoyal College of Surgeons in Ireland · IETrinity College Dublin · IECancer Trials Ireland · IESt. Vincent's University Hospital · IEUniversity College Dublin · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe phase II neo-adjuvant clinical trial ICORG10-05 (NCT01485926) compared chemotherapy in combination with trastuzumab, lapatinib or both in patients with HER2+ breast cancer. We studied circulating immune cells looking for alterations in phenotype, genotype and cytotoxic capacity (direct and antibody-dependent cell-mediated cytotoxicity (ADCC)) in the context of treatment response.

methodsPeripheral blood mononuclear cells (PBMCs) were isolated from pre- (n = 41) and post- (n = 25) neo-adjuvant treatment blood samples. Direct/trastuzumab-ADCC cytotoxicity of patient-derived PBMCs against K562/SKBR3 cell lines was determined ex vivo. Pembrolizumab was interrogated in 21 pre-treatment PBMC ADCC assays. Thirty-nine pre-treatment and 21 post-treatment PBMC samples were immunophenotyped. Fc receptor genotype, tumour infiltrating lymphocyte (TIL) levels and oestrogen receptor (ER) status were quantified.

resultsTreatment attenuated the cytotoxicity/ADCC of PBMCs. CD3+/CD4+/CD8+ T cells increased following therapy, while CD56+ NK cells/CD14+ monocytes/CD19+ B cells decreased with significant post-treatment immune cell changes confined to patients with residual disease. Pembrolizumab-augmented ex vivo PBMC ADCC activity was associated with residual disease, but not pathological complete response. Pembrolizumab-responsive PBMCs were associated with lower baseline TIL levels and ER+ tumours.

conclusionsPBMCs display altered phenotype and function following completion of neo-adjuvant treatment. Anti-PD-1-responsive PBMCs in ex vivo ADCC assays may be a biomarker of treatment response.

Indexed as

Antineoplastic AgentsNeoplasmsAntibody-Dependent Cell CytotoxicityCell Line, TumorErb-b2 Receptor Tyrosine KinasesHumansLeukocytes, MononuclearNeoadjuvant TherapyPhenotypeTrastuzumabAntineoplastic AgentsErb-b2 Receptor Tyrosine KinasesTrastuzumab

Identifiers

PMID37507543
PMCPMC10491671
OpenAlexW4385350281

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.