Evidence map›Paper›PMID 37658083›Full record

ArticleNature communications2023

Atezolizumab plus stereotactic ablative radiotherapy for medically inoperable patients with early-stage non-small cell lung cancer: a multi-institutional phase I trial.

Arta M Monjazeb, Megan E Daly, Guillaume Luxardi, Emanual Maverakis, Alexander A Merleev, Alina I Marusina, Alexander Borowsky, Amin Mirhadi, Stephen L Shiao, Laurel Beckett and 13 more

Registry-linked trialOpen access · goldAbstract readMulticenter StudyClinical Trial, Phase I
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. It is linked to trial NCT02599454 (A Phase I Trial of an Immune Checkpoint Inhibitor Plus Stereotactic Ablative Radiotherapy in Patients With Inoperable Stage I Non-Small Cell Lung Cancer), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
4.7field-weighted citation impact, top 5% 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.

NCT02599454 phase1completednot on this map

A Phase I Trial of an Immune Checkpoint Inhibitor Plus Stereotactic Ablative Radiotherapy in Patients With Inoperable Stage I Non-Small Cell Lung Cancer

TypeinterventionalSponsorMegan Daly, MDRan2018 to 2024Enrolled20ConditionsStage I Non-Small Cell Lung CancerArmsAtezolizumab, Stereotactic Body Radiation Therapy
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 18 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Review
  5. Review
  6. Review
  7. Dysfunction of CD8Cancer science · 2024
    Article
  8. Review
  9. Translational Frontiers and Clinical Opportunities of Immunologically Fitted Radiotherapy.Clinical cancer research : an official journal of the American Association for Cancer Research · 2024
    Review
  10. Review
  11. 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

23 authors at 6 institutions in 1 country.

Arta M Monjazeb *UC Davis Health, Sacramento, CA, 95817, USA.ORCID http://orcid.org/0000-0001-5175-8004
Megan E Daly *UC Davis Health, Sacramento, CA, 95817, USA. medaly@ucdavis.edu.ORCID http://orcid.org/0000-0001-7308-6149
Guillaume LuxardiUC Davis Health, Sacramento, CA, 95817, USA.ORCID http://orcid.org/0000-0003-3338-0583
Emanual MaverakisUC Davis Health, Sacramento, CA, 95817, USA.
Alexander A MerleevUC Davis Health, Sacramento, CA, 95817, USA.
Alina I MarusinaUC Davis Health, Sacramento, CA, 95817, USA.
Alexander BorowskyUC Davis Health, Sacramento, CA, 95817, USA.ORCID http://orcid.org/0000-0003-3117-9202
Amin MirhadiCedars-Sinai Medical Center, Los Angeles, CA, 90048, USA.
Stephen L ShiaoCedars-Sinai Medical Center, Los Angeles, CA, 90048, USA.
Laurel BeckettUC Davis Health, Sacramento, CA, 95817, USA.
Shuai ChenUC Davis Health, Sacramento, CA, 95817, USA.ORCID http://orcid.org/0000-0002-4016-8217
David EasthamDavid Grant USAF Medical Center, Travis AFB, Fairfield, CA, 93405, USA.
Tianhong LiUC Davis Health, Sacramento, CA, 95817, USA.ORCID http://orcid.org/0000-0001-7422-3520
Logan V VickUC Davis Health, Sacramento, CA, 95817, USA.
Heather M McGeeCity of Hope Cancer Center, Duarte, CA, 91010, USA.ORCID http://orcid.org/0000-0003-3761-5087
Frances LaraUC Davis Health, Sacramento, CA, 95817, USA.
Leslie GarciaUC Davis Health, Sacramento, CA, 95817, USA.
Leigh Anne MorrisUC Davis Health, Sacramento, CA, 95817, USA.
Robert J CanterUC Davis Health, Sacramento, CA, 95817, USA.ORCID http://orcid.org/0000-0002-3331-5418
Jonathan W RiessUC Davis Health, Sacramento, CA, 95817, USA.
Kurt A SchalperYale School of Medicine, New Haven, CT, 06519, USA.ORCID http://orcid.org/0000-0001-5692-4833
William J MurphyUC Davis Health, Sacramento, CA, 95817, USA.ORCID http://orcid.org/0000-0002-2793-401X
Karen KellyUC Davis Health, Sacramento, CA, 95817, USA.
UC Davis Health · USCedars-Sinai Medical Center · USCity of Hope · USDavid Grant USAF Medical Center · USInternational Association for the Study of Lung Cancer · USYale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Staff InvestigatorsP30CA093373 · NCI · UNIVERSITY OF CALIFORNIA DAVIS · PI Laura Marcu · 2002 to 2026
$84.9M
The Impact of Obesity on Radiotherapy Anti-Tumor EffectsR01CA240751 · NCI · UNIVERSITY OF CALIFORNIA AT DAVIS · PI Arta Monir Monjazeb · 2022 to 2026
$2.9M
Mentoring Translational Scientists in Clinical Trial Immune MonitoringK24AR077313 · NIAMS · UNIVERSITY OF CALIFORNIA AT DAVIS · PI MAVERAKIS, EMANUAL M. · 2021 to 2025
$939k
Investigating the Role of Radiation-induced Cell Death in Innate Lymphoid Cell Activation within Unique Tumor MicroenvironmentsR00CA256526 · NCI · BECKMAN RESEARCH INSTITUTE/CITY OF HOPE · PI MCGEE, HEATHER MICHELLE · 2022 to 2024
$747k
Stratedigm S100EON high-parameter flow cytometer to support multi-institutional research programsS10OD032406 · OD · UNIVERSITY OF CALIFORNIA AT DAVIS · PI MAVERAKIS, EMANUAL M. · 2022 to 2022
$600k
NCATS NIH HHS UL1 TR001863NCI NIH HHS P30 CA093373NCI NIH HHS R00 CA256526NCI NIH HHS R01 CA240751NIAMS NIH HHS K24 AR077313NIH HHS S10 OD032406
6 · The paper itself

Abstract

Stereotactic ablative radiotherapy (SABR) is a standard-of-care for medically-inoperable-early-stage non-small cell lung cancer (NSCLC). One third of patients progress and chemotherapy is rarely used in this population. We questioned if addition of the immune-checkpoint-inhibitor (ICI) atezolizumab to standard-of-care SABR can improve outcomes. We initiated a multi-institutional single-arm phase I study (NCT02599454) enrolling twenty patients with the primary endpoint of maximum tolerated dose (MTD); secondary endpoints of safety and efficacy; and exploratory mechanistic correlatives. Treatment is well tolerated and full dose atezolizumab (1200 mg) is the MTD. Efficacy signals include early responses (after 2 cycles of ICI, before initiation of SABR) in 17% of patients. Biomarkers of functional adaptive immunity, including T cell activation in the tumor and response to ex-vivo stimulation by circulating T cells, are highly predictive of benefit. These results require validation and are being tested in a phase III randomized trial.

Indexed as

Carcinoma, Non-Small-Cell LungLung NeoplasmsRadiosurgerySmall Cell Lung CarcinomaAntibodies, Monoclonal, HumanizedHumansAntibodies, Monoclonal, Humanizedatezolizumab

Identifiers

PMID37658083
PMCPMC10474145
OpenAlexW4386386685

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.