Evidence map›Paper›PMID 38518774›Full record

ArticleCancer cell2024

Clinical drug screening reveals clofazimine potentiates the efficacy while reducing the toxicity of anti-PD-1 and CTLA-4 immunotherapy.

Gang Xue, Xin Li, Muhammad Kalim, Jing Fang, Zhiwu Jiang, Ningbo Zheng, Ziyu Wang, Xiaoyin Li, Maen Abdelrahim, Zhiheng He and 3 more

Open access · greenAbstract read
In one paragraph

Article in Cancer cell, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
7.1field-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

16 citing papers in PubMed, 25 citations in OpenAlex.

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  14. Multimodal cell-cell communication driving CD8Frontiers in immunology · 2025
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 7 institutions in 1 country.

Gang XueComprehensive Cancer Center, Wake Forest Baptist Health, Winston-Salem, NC 27157, USA. Electronic address: xg@ism.pumc.edu.cn.
Xin LiHouston Methodist Cancer Center/Weill Cornell Medicine, Houston, TX 77030, USA.
Muhammad KalimHouston Methodist Cancer Center/Weill Cornell Medicine, Houston, TX 77030, USA.
Jing FangHouston Methodist Cancer Center/Weill Cornell Medicine, Houston, TX 77030, USA.
Zhiwu JiangHouston Methodist Cancer Center/Weill Cornell Medicine, Houston, TX 77030, USA.
Ningbo ZhengHouston Methodist Cancer Center/Weill Cornell Medicine, Houston, TX 77030, USA.
Ziyu WangHouston Methodist Cancer Center/Weill Cornell Medicine, Houston, TX 77030, USA.
Xiaoyin LiDepartment of Mathematics and Statistics, St. Cloud State University, St Cloud, MN 56301, USA.
Maen AbdelrahimHouston Methodist Cancer Center/Weill Cornell Medicine, Houston, TX 77030, USA.
Zhiheng HeDepartment of Molecular Microbiology and Immunology, University of Southern California, Los Angeles, CA 90033, USA. Electronic address: mikhail.nikiforov@duke.edu.
Mikhail NikiforovDepartment of Pathology, Duke University, Durham, NC 27708, USA. Electronic address: zhihengh@usc.edu.
Guangxu JinComprehensive Cancer Center, Wake Forest Baptist Health, Winston-Salem, NC 27157, USA. Electronic address: gjin@wakehealth.edu.
Yong LuHouston Methodist Cancer Center/Weill Cornell Medicine, Houston, TX 77030, USA. Electronic address: ylu2@houstonmethodist.org.
Cornell University · USMethodist Hospital · USAtrium Health Wake Forest Baptist · USDuke University · USHouston Methodist · USUniversity of Southern California · USWeill Cornell Medicine · US

Funding

Induction of autosis to overcome resistance in adoptive cell therapy for solid tumorsR01CA278911 · NCI · METHODIST HOSPITAL RESEARCH INSTITUTE · PI Yong Lu · 2023 to 2026
$2.3M
The Unique Roles of Tumor-Specific Th9 Cells for Solid Tumor EradicationR01CA258477 · NCI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI LU, YONG · 2021 to 2025
$1.9M
Eradication of Escaped Variant Tumor Cells for Cancer ImmunotherapyR01CA248111 · NCI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI LU, YONG · 2021 to 2025
$1.9M
P38 MAPK is a molecular switch that controls the acquired resistance in adoptive cell therapyR37CA251318 · NCI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI LU, YONG · 2020 to 2024
$1.8M
Dissecting functions of IL-23-dependent inflammatory Th17 cellsR01AI173277 · NIAID · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI Zhiheng He · 2023 to 2026
$1.8M
Decoupling acute toxicities and antitumor efficacy in adoptive cell therapyR01CA288403 · NCI · METHODIST HOSPITAL RESEARCH INSTITUTE · PI Yong Lu · 2024 to 2026
$1.8M
Distinguishing inflammatory Th17 subsets through using an autoimmune Th17-selective inhibitorR21AI166159 · NIAID · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI HE, ZHIHENG · 2022 to 2023
$439k
NCI NIH HHS R01 CA248111NCI NIH HHS R01 CA258477NCI NIH HHS R01 CA278911NCI NIH HHS R01 CA288403NCI NIH HHS R37 CA251318NIAID NIH HHS R01 AI173277NIAID NIH HHS R21 AI166159
6 · The paper itself

Abstract

Emerging as the most potent and durable combinational immunotherapy, dual anti-PD-1 and CTLA-4 immune checkpoint blockade (ICB) therapy notoriously increases grade 3-5 immune-related adverse events (irAEs) in patients. Accordingly, attempts to improve the antitumor potency of anti-PD-1+CTLA-4 ICB by including additional therapeutics have been largely discouraged due to concerns of further increasing fatal toxicity. Here, we screened ∼3,000 Food and Drug Administration (FDA)-approved drugs and identified clofazimine as a potential third agent to optimize anti-PD-1+CTLA-4 ICB. Remarkably, clofazimine outperforms ICB dose reduction or steroid treatment in reversing lethality of irAEs, but unlike the detrimental effect of steroids on antitumor efficacy, clofazimine potentiates curative responses in anti-PD-1+CTLA-4 ICB. Mechanistically, clofazimine promotes E2F1 activation in CD8

Indexed as

ClofazimineCTLA-4 AntigenImmune Checkpoint InhibitorsProgrammed Cell Death 1 ReceptorAnimalsCD8-Positive T-LymphocytesCell Line, TumorHumansImmunotherapyMiceMice, Inbred C57BLTh17 CellsClofazimineCTLA-4 AntigenImmune Checkpoint InhibitorsProgrammed Cell Death 1 Receptor

Identifiers

PMID38518774
PMCPMC11756590
OpenAlexW4393038167

What OpenQuestion holds

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LicenceTDM
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.