Evidence map›Paper›PMID 38030303›Full record

Trial reportJournal for immunotherapy of cancer2023

Phase I/Ib, open-label, multicenter, dose-escalation study of the anti-TGF-β monoclonal antibody, NIS793, in combination with spartalizumab in adult patients with advanced tumors.

Todd M Bauer, Armando Santoro, Chia-Chi Lin, Ignacio Garrido-Laguna, Markus Joerger, Richard Greil, Anna Spreafico, Thomas Yau, Maria-Elisabeth Goebeler, Marie Luise Hütter-Krönke and 9 more

Registry-linked trialOpen access · goldAbstract readClinical Trial, Phase IClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report 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. It is linked to trial NCT02947165 (A Phase I/Ib, Open-label, Multi-center Dose Escalation Study of NIS793 in Combination With PDR001 in Adult Patients With Advanced Malignancies), which is not on this map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
5.4field-weighted citation impact, top 4% 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.

NCT02947165 phase1completednot on this map

A Phase I/Ib, Open-label, Multi-center Dose Escalation Study of NIS793 in Combination With PDR001 in Adult Patients With Advanced Malignancies

TypeinterventionalSponsorNovartis PharmaceuticalsRan2017 to 2021Enrolled120ConditionsBreast Cancer, Lung Cancer, Hepatocellular Cancer, Colorectal CancerArmsNIS793, PDR001
3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 35 citations in OpenAlex.

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  9. Evaluation of targeted and immune combination therapies in a rat model of hormone receptor-positive breast cancer.Proceedings of the National Academy of Sciences of the United States of America · 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

19 authors at 13 institutions in 11 countries.

Todd M BauerSarah Cannon Research Institute, Nashville, Tennessee, USA.
Armando SantoroDepartment of Biomedical Sciences, Humanitas University, Pieve Emanuele, Italy.ORCID 0000-0003-1709-9492
Chia-Chi LinDepartment of Oncology, National Taiwan University Hospital, Taipei, Taiwan.ORCID 0000-0002-2573-5789
Ignacio Garrido-LagunaDivision of Oncology, Huntsman Cancer Institute, University of Utah Health, Salt Lake City, Utah, USA.
Markus JoergerDepartment of Oncology and Hematology, Kantonsspital St Gallen, St. Gallen, Switzerland.
Richard GreilDepartment of Internal Medicine III with Haematology, Medical Oncology, Haemostaseology, Infectiology and Rheumatology, Oncologic Center, Salzburg Cancer Research Institute - Laboratory for Immunological and Molecular Cancer Research (SCRI-LIMCR), Paracelsus Medical University Salzburg, Salzburg, Austria.
Anna SpreaficoDepartment of Medicine, Division of Medical Oncology and Hematology, Princess Margaret Hospital Cancer Centre, Toronto, Ontario, Canada.ORCID 0000-0002-3034-3042
Thomas YauDepartment of Medicine, Queen Mary Hospital, Hong Kong, Hong Kong.
Maria-Elisabeth GoebelerComprehensive Cancer Center Mainfranken, Early Clinical Trials Unit, University Hospital Wurzburg, Wurzburg, Bayern, Germany.
Marie Luise Hütter-KrönkeDepartment of Internal Medicine III, University of Ulm, Ulm, Baden-Württemberg, Germany.
Antonella PerottiDepartment of Medical Oncology, San Raffaele Hospital, Milano, Lombardia, Italy.
Pierre-Eric JuifNovartis Institutes for BioMedical Research Basel, Basel, Basel-Stadt, Switzerland.ORCID 0000-0002-4899-8768
Darlene LuNovartis Institutes for BioMedical Research Inc, Cambridge, Massachusetts, USA.
Louise BarysNovartis Institutes for BioMedical Research Basel, Basel, Basel-Stadt, Switzerland.
Viviana CremascoNovartis Institutes for BioMedical Research Inc, Cambridge, Massachusetts, USA.
Marc PelletierNovartis Institutes for BioMedical Research Inc, Cambridge, Massachusetts, USA.
Helen EvansNovartis Institutes for BioMedical Research Basel, Basel, Basel-Stadt, Switzerland.
Claire FabreNovartis Institutes for BioMedical Research Basel, Basel, Basel-Stadt, Switzerland.
Toshikiko DoiDepartment of Experimental Therapeutics, National Cancer Center-Hospital East, Kashiwa, Chiba, Japan tdoi@east.ncc.go.jp.
Novartis (Switzerland) · CHComprehensive Cancer Center Mainfranken · DEHumanitas University · ITKantonsspital St. Gallen · CHNational Cancer Center Hospital East · JPNational Taiwan University Hospital · TWParacelsus Medical University · ATPrincess Margaret Cancer Centre · CAQueen Mary Hospital · CNSarah Cannon Research Institute · GBUniversität Ulm · DEUniversity of Utah · USVita-Salute San Raffaele University · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNIS793 is a human IgG2 monoclonal antibody that binds to transforming growth factor beta (TGF-β). This first-in-human study investigated NIS793 plus spartalizumab treatment in patients with advanced solid tumors.

methodsPatients received NIS793 (0.3-1 mg/kg every 3 weeks (Q3W)) monotherapy; following evaluation of two dose levels, dose escalation continued with NIS793 plus spartalizumab (NIS793 0.3-30 mg/kg Q3W and spartalizumab 300 mg Q3W or NIS793 20-30 mg/kg every 2 weeks [Q2W] and spartalizumab 400 mg every 4 weeks (Q4W)). In dose expansion, patients with non-small cell lung cancer (NSCLC) resistant to prior anti-programmed death ligand 1 or patients with microsatellite stable colorectal cancer (MSS-CRC) were treated at the recommended dose for expansion (RDE).

resultsSixty patients were treated in dose escalation, 11 with NIS793 monotherapy and 49 with NIS793 plus spartalizumab, and 60 patients were treated in dose expansion (MSS-CRC: n=40; NSCLC: n=20). No dose-limiting toxicities were observed. The RDE was established as NIS793 30 mg/kg (2100 mg) and spartalizumab 300 mg Q3W. Overall 54 (49.5%) patients experienced ≥1 treatment-related adverse event, most commonly rash (n=16; 13.3%), pruritus (n=10; 8.3%), and fatigue (n=9; 7.5%). Three partial responses were reported: one in renal cell carcinoma (NIS793 30 mg/kg Q2W plus spartalizumab 400 mg Q4W), and two in the MSS-CRC expansion cohort. Biomarker data showed evidence of target engagement through increased TGF-β/NIS793 complexes and depleted active TGF-β in peripheral blood. Gene expression analyses in tumor biopsies demonstrated decreased TGF-β target genes and signatures and increased immune signatures.

conclusionsIn patients with advanced solid tumors, proof of mechanism of NIS793 is supported by evidence of target engagement and TGF-β pathway inhibition. TRIAL REGISTRATION NUMBER: NCT02947165.

Indexed as

Antineoplastic AgentsCarcinoma, Non-Small-Cell LungKidney NeoplasmsLung NeoplasmsAdultAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedHumansTransforming Growth Factor betaAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedAntineoplastic AgentsNIS-793spartalizumabTransforming Growth Factor betaDrug Therapy, CombinationImmunotherapyNon-Small Cell Lung CancerProgrammed Cell Death 1 ReceptorTherapies, Investigational

Identifiers

PMID38030303
PMCPMC10689375
OpenAlexW4389130660

What OpenQuestion holds

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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.