Evidence map›Paper›PMID 38400933›Full record

ArticleCancer immunology, immunotherapy : CII2024

Toripalimab, a therapeutic monoclonal anti-PD-1 antibody with high binding affinity to PD-1 and enhanced potency to activate human T cells.

Narendiran Rajasekaran, Xiaoguang Wang, Sruthi Ravindranathan, Daniel J Chin, Su-Yi Tseng, Scott L Klakamp, Kate Widmann, Varun N Kapoor, Vladimir Vexler, Patricia Keegan and 3 more

Open access · goldAbstract read
In one paragraph

Article in Cancer immunology, immunotherapy : CII, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
7.3field-weighted citation impact, top 2% 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

22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 26 citations in OpenAlex.

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  4. Understanding the Therapeutic Potential of PD-1 Agonism in Inflammatory and Autoimmune Disorders.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 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

13 authors at 2 institutions in 1 country.

Narendiran Rajasekaran *Coherus Biosciences, 333 Twin Dolphin Drive, Suite 600, Redwood City, CA, 94065, USA. nrajasekaran@coherus.com.
Xiaoguang Wang *Coherus Biosciences, 333 Twin Dolphin Drive, Suite 600, Redwood City, CA, 94065, USA.
Sruthi Ravindranathan *Coherus Biosciences, 333 Twin Dolphin Drive, Suite 600, Redwood City, CA, 94065, USA.
Daniel J ChinCoherus Biosciences, 333 Twin Dolphin Drive, Suite 600, Redwood City, CA, 94065, USA.
Su-Yi TsengCoherus Biosciences, 333 Twin Dolphin Drive, Suite 600, Redwood City, CA, 94065, USA.
Scott L KlakampCoherus Biosciences, 333 Twin Dolphin Drive, Suite 600, Redwood City, CA, 94065, USA.
Kate WidmannCoherus Biosciences, 333 Twin Dolphin Drive, Suite 600, Redwood City, CA, 94065, USA.
Varun N KapoorCoherus Biosciences, 333 Twin Dolphin Drive, Suite 600, Redwood City, CA, 94065, USA.
Vladimir VexlerCoherus Biosciences, 333 Twin Dolphin Drive, Suite 600, Redwood City, CA, 94065, USA.
Patricia KeeganTopAlliance Biosciences, 9430 Key West Ave, Suite 125, Rockville, MD, 20850, USA.
Sheng YaoTopAlliance Biosciences, 9430 Key West Ave, Suite 125, Rockville, MD, 20850, USA.
Theresa LaValleeCoherus Biosciences, 333 Twin Dolphin Drive, Suite 600, Redwood City, CA, 94065, USA.
Sanjay D KhareCoherus Biosciences, 333 Twin Dolphin Drive, Suite 600, Redwood City, CA, 94065, USA.
Coherus BioSciences (United States) · USBioReliance (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Over the past decade, US Food and Drug Administration (FDA)-approved immune checkpoint inhibitors that target programmed death-1 (PD-1) have demonstrated significant clinical benefit particularly in patients with PD-L1 expressing tumors. Toripalimab is a humanized anti-PD-1 antibody, approved by FDA for first-line treatment of nasopharyngeal carcinoma in combination with chemotherapy. In a post hoc analysis of phase 3 studies, toripalimab in combination with chemotherapy improved overall survival irrespective of PD-L1 status in nasopharyngeal carcinoma (JUPITER-02), advanced non-small cell lung cancer (CHOICE-01) and advanced esophageal squamous cell carcinoma (JUPITER-06). On further characterization, we determined that toripalimab is molecularly and functionally differentiated from pembrolizumab, an anti-PD-1 mAb approved previously for treating a wide spectrum of tumors. Toripalimab, which binds the FG loop of PD-1, has 12-fold higher binding affinity to PD-1 than pembrolizumab and promotes significantly more Th1- and myeloid-derived inflammatory cytokine responses in healthy human PBMCs in vitro. In an ex vivo system employing dissociated tumor cells from treatment naïve non-small cell lung cancer patients, toripalimab induced several unique genes in IFN-γ and immune cell pathways, showed different kinetics of activation and significantly enhanced IFN-γ signature. Additionally, binding of toripalimab to PD-1 induced lower levels of SHP1 and SHP2 recruitment, the negative regulators of T cell activation, in Jurkat T cells ectopically expressing PD-1. Taken together, these data demonstrate that toripalimab is a potent anti-PD-1 antibody with high affinity PD-1 binding, strong functional attributes and demonstrated clinical activity that encourage its continued clinical investigation in several types of cancer.

Indexed as

Antibodies, Monoclonal, HumanizedCarcinoma, Non-Small-Cell LungEsophageal NeoplasmsEsophageal Squamous Cell CarcinomaLung NeoplasmsNasopharyngeal NeoplasmsAntibodies, MonoclonalB7-H1 AntigenHumansNasopharyngeal CarcinomaProgrammed Cell Death 1 ReceptorT-LymphocytesAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedB7-H1 AntigenProgrammed Cell Death 1 ReceptortoripalimabFG loopImmune checkpoint inhibitorPD-1 signalingPD-L1 status irrespectiveToripalimab

Identifiers

PMID38400933
PMCPMC10894093
OpenAlexW4392138004

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.