Evidence map›Paper›PMID 38355279›Full record

ArticleJournal for immunotherapy of cancer2024

Inflamed immune phenotype predicts favorable clinical outcomes of immune checkpoint inhibitor therapy across multiple cancer types.

Jeanne Shen, Yoon-La Choi, Taebum Lee, Hyojin Kim, Young Kwang Chae, Ben W Dulken, Stephanie Bogdan, Maggie Huang, George A Fisher, Sehhoon Park and 20 more

Open access · goldAbstract read
In one paragraph

Article in Journal for immunotherapy of cancer, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
12.1field-weighted citation impact, top 1% 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

38 citing papers in PubMed, 43 citations in OpenAlex.

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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

30 authors at 13 institutions in 3 countries.

Jeanne Shen *Department of Pathology, Stanford University School of Medicine, Stanford, California, USA jeannes@stanford.edu ock.chanyoung@lunit.io.ORCID 0000-0002-1519-0308
Yoon-La Choi *Department of Pathology and Translational Genomics, Sungkyunkwan University School of Medicine, Suwon, Korea (the Republic of).
Taebum Lee *Department of Pathology, Chonnam National University Medical School, Gwangju, Korea (the Republic of).
Hyojin Kim *Department of Pathology, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, Korea (the Republic of).
Young Kwang Chae *Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
Ben W DulkenDepartment of Pathology, Stanford University School of Medicine, Stanford, California, USA.
Stephanie BogdanCenter for Artificial Intelligence in Medicine & Imaging, Stanford University, Stanford, California, USA.
Maggie HuangUCLA Health, University of California, Los Angeles, Los Angeles, California, USA.
George A FisherDepartment of Medicine, Stanford University School of Medicine, Stanford, California, USA.
Sehhoon ParkDivision of Hematology-Oncology, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea (the Republic of).ORCID 0000-0001-9467-461X
Se-Hoon LeeDivision of Hematology-Oncology, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea (the Republic of).
Jun-Eul HwangDepartment of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea (the Republic of).
Jin-Haeng ChungDepartment of Pathology, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, Korea (the Republic of).
Leeseul KimAMITA Health Saint Francis Hospital Evanston, Evanston, Illinois, USA.
Heon SongLunit, Seoul, Korea (the Republic of).
Sergio PereiraLunit, Seoul, Korea (the Republic of).
Seunghwan ShinLunit, Seoul, Korea (the Republic of).
Yoojoo LimLunit, Seoul, Korea (the Republic of).
Chang Ho AhnLunit, Seoul, Korea (the Republic of).
Seulki KimLunit, Seoul, Korea (the Republic of).
Chiyoon OumLunit, Seoul, Korea (the Republic of).
Sukjun KimLunit, Seoul, Korea (the Republic of).
Gahee ParkLunit, Seoul, Korea (the Republic of).
Sanghoon SongLunit, Seoul, Korea (the Republic of).
Wonkyung JungLunit, Seoul, Korea (the Republic of).
Seokhwi KimDepartment of Pathology, Ajou University School of Medicine, Suwon, Korea (the Republic of).
Yung-Jue BangDepartment of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea (the Republic of).
Tony S K MokDepartment of Clinical Oncology, The Chinese University of Hong Kong, New Territories, Hong Kong.
Siraj M AliLunit, Seoul, Korea (the Republic of).
Chan-Young OckLunit, Seoul, Korea (the Republic of) jeannes@stanford.edu ock.chanyoung@lunit.io.
Ajou University · KRIntel (United States) · USSamsung Medical Center · KRSeoul National University Bundang Hospital · KRStanford University · USChinese University of Hong Kong · HKChonnam National University · KRChonnam National University Hospital · KRNorthwestern University · USSaint Francis Hospital · USSeoul National University · KRSungkyunkwan University · KRUniversity of California, Los Angeles · US

Funding

Multi-modal machine learning to guide adjuvant therapy in surgically resectable colorectal cancerR01CA270437 · NCI · STANFORD UNIVERSITY · PI Jeanne Shen · 2023 to 2026
$2.5M
NCI NIH HHS R01 CA270437
6 · The paper itself

Abstract

backgroundThe inflamed immune phenotype (IIP), defined by enrichment of tumor-infiltrating lymphocytes (TILs) within intratumoral areas, is a promising tumor-agnostic biomarker of response to immune checkpoint inhibitor (ICI) therapy. However, it is challenging to define the IIP in an objective and reproducible manner during manual histopathologic examination. Here, we investigate artificial intelligence (AI)-based immune phenotypes capable of predicting ICI clinical outcomes in multiple solid tumor types.

methodsLunit SCOPE IO is a deep learning model which determines the immune phenotype of the tumor microenvironment based on TIL analysis. We evaluated the correlation between the IIP and ICI treatment outcomes in terms of objective response rates (ORR), progression-free survival (PFS), and overall survival (OS) in a cohort of 1,806 ICI-treated patients representing over 27 solid tumor types retrospectively collected from multiple institutions.

resultsWe observed an overall IIP prevalence of 35.2% and significantly more favorable ORRs (26.3% vs 15.8%), PFS (median 5.3 vs 3.1 months, HR 0.68, 95% CI 0.61 to 0.76), and OS (median 25.3 vs 13.6 months, HR 0.66, 95% CI 0.57 to 0.75) after ICI therapy in IIP compared with non-IIP patients, respectively (p<0.001 for all comparisons). On subgroup analysis, the IIP was generally prognostic of favorable PFS across major patient subgroups, with the exception of the microsatellite unstable/mismatch repair deficient subgroup.

conclusionThe AI-based IIP may represent a practical, affordable, clinically actionable, and tumor-agnostic biomarker prognostic of ICI therapy response across diverse tumor types.

Indexed as

Artificial IntelligenceBrain NeoplasmsBiomarkers, TumorHumansImmune Checkpoint InhibitorsPhenotypeRetrospective StudiesTumor MicroenvironmentBiomarkers, TumorImmune Checkpoint InhibitorsImmune Checkpoint InhibitorsLymphocytes, Tumor-InfiltratingTumor Biomarkers

Identifiers

PMID38355279
PMCPMC10868175
OpenAlexW4391809015

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.