Evidence map›Paper›PMID 38900864›Full record

ArticleScience (New York, N.Y.)2024

JAK inhibition enhances checkpoint blockade immunotherapy in patients with Hodgkin lymphoma.

Jaroslav Zak, Isaraphorn Pratumchai, Brett S Marro, Kristi L Marquardt, Reza Beheshti Zavareh, Luke L Lairson, Michael B A Oldstone, Judith A Varner, Livia Hegerova, Qing Cao and 4 more

Registry-linked trialAbstract readClinical Trial, Phase I
In one paragraph

Article in Science (New York, N.Y.), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07157306 (Gecacitinib Combined With Donafenib and PD-1 Inhibitor as Second-Line Therapy for Unresectable Hepatocellular Carcinoma Failed in Immunotherapy, A Phase II Prospective Clinical Study), which is not on this map. Cited by 133 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
133citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT07157306 phase2not yet recruitingnot on this mapstarted 2025, after this paper: background citation

Gecacitinib Combined With Donafenib and PD-1 Inhibitor as Second-Line Therapy for Unresectable Hepatocellular Carcinoma Failed in Immunotherapy, A Phase II Prospective Clinical Study

TypeinterventionalSponsorTianjin Medical University Cancer Institute and HospitalRan2025 to 2028Enrolled35ConditionsHepatocellular CarcinomaArmsGecacitinib Combined With Donafenib and PD-1 Inhibitor
3 · Its place in the literature

Who cites it

133 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  8. Thieno[3,2-International journal of molecular sciences · 2026
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73 more citing papers are in PubMed but not listed here.

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

14 authors.

Jaroslav ZakDepartment of Immunology and Microbiology, The Scripps Research Institute, La Jolla, CA, USA.ORCID 0000-0002-8135-856X
Isaraphorn PratumchaiDepartment of Immunology and Microbiology, The Scripps Research Institute, La Jolla, CA, USA.ORCID 0000-0002-3781-242X
Brett S MarroDepartment of Immunology and Microbiology, The Scripps Research Institute, La Jolla, CA, USA.
Kristi L MarquardtDepartment of Immunology and Microbiology, The Scripps Research Institute, La Jolla, CA, USA.
Reza Beheshti ZavarehDepartment of Chemistry, The Scripps Research Institute, La Jolla, CA, USA.ORCID 0000-0002-3345-408X
Luke L LairsonDepartment of Chemistry, The Scripps Research Institute, La Jolla, CA, USA.ORCID 0000-0001-6701-996X
Michael B A OldstoneDepartment of Immunology and Microbiology, The Scripps Research Institute, La Jolla, CA, USA.ORCID 0000-0003-0804-0501
Judith A VarnerMoores Cancer Center, University of California, San Diego, La Jolla, CA, USA.ORCID 0000-0002-9251-0600
Livia HegerovaDivision of Hematology, University of Washington School of Medicine, Seattle, WA, USA.
Qing CaoBiostatistics Core, Masonic Cancer Center, University of Minnesota, Minneapolis, MN, USA.ORCID 0000-0002-1523-8797
Umar FarooqDivision of Hematology and Oncology and Bone Marrow Transplantation, University of Iowa, Iowa City, IA, USA.ORCID 0000-0001-7891-9891
Vaishalee P KenkreDivision of Hematology/Oncology, University of Wisconsin, Madison, WI, USA.ORCID 0009-0000-4539-9332
Veronika Bachanova *Division of Hematology, Oncology and Transplantation, University of Minnesota, Minneapolis, MN, USA.ORCID 0000-0002-9325-432X
John R Teijaro *Department of Immunology and Microbiology, The Scripps Research Institute, La Jolla, CA, USA.ORCID 0000-0001-8280-8887

Funding

Viral VectorP30CA086862 · NCI · UNIVERSITY OF IOWA · PI Jon C.D. Houtman · 2000 to 2026
$70.0M
Scripps Translational Science InstituteUL1TR002550 · NCATS · SCRIPPS RESEARCH INSTITUTE, THE · PI TOPOL, ERIC JEFFREY · 2018 to 2022
$28.9M
Scripps Clinical and Translational Science HubUM1TR004407 · NCATS · SCRIPPS RESEARCH INSTITUTE, THE · PI Eric Jeffrey Topol · 2023 to 2026
$24.2M
Role of PI3Kinase in Tumor Progression and MetastasisR01CA167426 · NCI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Judith A VARNER · 2012 to 2026
$5.8M
Targeting the innate immune response in HNSCCR01DE027325 · NIDCR · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Judith A VARNER · 2017 to 2026
$4.8M
Therapeutic Targeting of Macrophage PI3Kgamma in HNSCCR01CA226909 · NCI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Kathryn Ann Gold, Judith A VARNER · 2018 to 2026
$3.9M
The role of IL-27 in sustaining the exhausted CD8 T cell response to persistent infection and cancer.R01AI164744 · NIAID · SCRIPPS RESEARCH INSTITUTE, THE · PI TEIJARO, JOHN ROSS · 2021 to 2025
$2.7M
Novel Strategies for Controlling Persistent Viral InfectionR01AI123210 · NIAID · SCRIPPS RESEARCH INSTITUTE, THE · PI TEIJARO, JOHN ROSS · 2016 to 2019
$1.9M
Pathogenesis and Novel Therapeutics to Reverse T Cell Exhaustion in Persistent Viral InfectionsR21AI141842 · NIAID · SCRIPPS RESEARCH INSTITUTE, THE · PI LAIRSON, LUKE LEE · 2019 to 2020
$532k
NCATS NIH HHS UL1 TR002550NCATS NIH HHS UM1 TR004407NCI NIH HHS P30 CA086862NCI NIH HHS R01 CA167426NCI NIH HHS R01 CA226909NIAID NIH HHS R01 AI123210NIAID NIH HHS R01 AI164744NIAID NIH HHS R21 AI141842
6 · The paper itself

Abstract

Unleashing antitumor T cell activity by checkpoint inhibitor immunotherapy is effective in cancer patients, but clinical responses are limited. Cytokine signaling through the Janus kinase (JAK)-signal transducer and activator of transcription (STAT) pathway correlates with checkpoint immunotherapy resistance. We report a phase I clinical trial of the JAK inhibitor ruxolitinib with anti-PD-1 antibody nivolumab in Hodgkin lymphoma patients relapsed or refractory following checkpoint inhibitor immunotherapy. The combination yielded a best overall response rate of 53% (10/19). Ruxolitinib significantly reduced neutrophil-to-lymphocyte ratios and percentages of myeloid suppressor cells but increased numbers of cytokine-producing T cells. Ruxolitinib rescued the function of exhausted T cells and enhanced the efficacy of immune checkpoint blockade in preclinical solid tumor and lymphoma models. This synergy was characterized by a switch from suppressive to immunostimulatory myeloid cells, which enhanced T cell division.

Indexed as

Hodgkin DiseaseImmune Checkpoint InhibitorsJanus Kinase InhibitorsNitrilesNivolumabPyrazolesPyrimidinesT-LymphocytesAdultAgedAnimalsAntineoplastic Combined Chemotherapy ProtocolsDrug SynergismFemaleHumansImmunotherapyImmune Checkpoint InhibitorsJanus Kinase InhibitorsJanus KinasesNitrilesNivolumabProgrammed Cell Death 1 ReceptorPyrazolesPyrimidinesruxolitinib

Identifiers

PMID38900864
PMCPMC11283877

What OpenQuestion holds

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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.