Evidence map›Paper›PMID 38990554›Full record

ArticleCancer immunology research2024

Blockade of IL1β and PD1 with Combination Chemotherapy Reduces Systemic Myeloid Suppression in Metastatic Pancreatic Cancer with Heterogeneous Effects in the Tumor.

Paul E Oberstein, Andressa Dias Costa, Emily A Kawaler, Victoire Cardot-Ruffino, Osama E Rahma, Nina Beri, Harshabad Singh, Thomas A Abrams, Leah H Biller, James M Cleary and 31 more

Abstract readClinical Trial, Phase I
In one paragraph

Article in Cancer immunology research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
–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.

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

21 citing papers in PubMed.

  1. Trial
  2. Interleukin-1α (IL-1α) in pancreatic ductal adenocarcinoma: implications for immunotherapy and molecular biomarkers.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Review
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  4. Article
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  6. Article
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  8. Article
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  14. Article
  15. Article
  16. Article
  17. Article
  18. Cytokines in cancer.Cancer cell · 2025
    Review
  19. Review
  20. Article
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

41 authors.

Paul E ObersteinDepartment of Medicine, NYU Langone Health, New York, New York.ORCID 0000-0001-5918-6004
Andressa Dias Costa *Department of Medical Oncology, Dana-Farber Cancer Institute and Harvard Medical School, Boston, Massachusetts.ORCID 0000-0003-1046-4899
Emily A Kawaler *Perlmutter Cancer Center, NYU Langone Health, New York, New York.ORCID 0000-0002-7438-7282
Victoire Cardot-Ruffino *Department of Cancer Immunology and Virology, Dana-Farber Cancer Institute, Boston, Massachusetts.ORCID 0000-0002-5595-187X
Osama E RahmaDepartment of Medical Oncology, Dana-Farber Cancer Institute and Harvard Medical School, Boston, Massachusetts.ORCID 0000-0001-7302-5805
Nina BeriDepartment of Medicine, NYU Langone Health, New York, New York.ORCID 0009-0007-8835-7117
Harshabad SinghDepartment of Medical Oncology, Dana-Farber Cancer Institute and Harvard Medical School, Boston, Massachusetts.ORCID 0000-0001-6295-2013
Thomas A AbramsDepartment of Medical Oncology, Dana-Farber Cancer Institute and Harvard Medical School, Boston, Massachusetts.ORCID 0000-0003-3101-1573
Leah H BillerDepartment of Medical Oncology, Dana-Farber Cancer Institute and Harvard Medical School, Boston, Massachusetts.ORCID 0000-0001-7386-7121
James M ClearyDepartment of Medical Oncology, Dana-Farber Cancer Institute and Harvard Medical School, Boston, Massachusetts.ORCID 0000-0001-7213-3951
Peter EnzingerDepartment of Medical Oncology, Dana-Farber Cancer Institute and Harvard Medical School, Boston, Massachusetts.ORCID 0009-0009-9831-1248
Brandon M HuffmanDepartment of Medical Oncology, Dana-Farber Cancer Institute and Harvard Medical School, Boston, Massachusetts.ORCID 0000-0002-0768-3145
Nadine J McClearyDepartment of Medical Oncology, Dana-Farber Cancer Institute and Harvard Medical School, Boston, Massachusetts.ORCID 0000-0003-2377-8301
Kimberly J PerezDepartment of Medical Oncology, Dana-Farber Cancer Institute and Harvard Medical School, Boston, Massachusetts.ORCID 0000-0002-5745-2994
Douglas A RubinsonDepartment of Medical Oncology, Dana-Farber Cancer Institute and Harvard Medical School, Boston, Massachusetts.ORCID 0000-0002-5337-5231
Benjamin L SchlechterDepartment of Medical Oncology, Dana-Farber Cancer Institute and Harvard Medical School, Boston, Massachusetts.ORCID 0000-0002-1529-3278
Rishi SuranaDepartment of Medical Oncology, Dana-Farber Cancer Institute and Harvard Medical School, Boston, Massachusetts.ORCID 0000-0002-8471-9236
Matthew B YurgelunDepartment of Medical Oncology, Dana-Farber Cancer Institute and Harvard Medical School, Boston, Massachusetts.ORCID 0000-0002-6184-9273
S Jennifer WangDepartment of Cancer Immunology and Virology, Dana-Farber Cancer Institute, Boston, Massachusetts.ORCID 0000-0001-5719-1037
Joshua RemlandDepartment of Medical Oncology, Dana-Farber Cancer Institute and Harvard Medical School, Boston, Massachusetts.ORCID 0009-0004-5655-0762
Lauren K BraisDepartment of Medical Oncology, Dana-Farber Cancer Institute and Harvard Medical School, Boston, Massachusetts.ORCID 0000-0003-1069-0407
Naima BollenrucherDepartment of Cancer Immunology and Virology, Dana-Farber Cancer Institute, Boston, Massachusetts.ORCID 0000-0001-8863-1840
Eugena ChangDepartment of Cancer Immunology and Virology, Dana-Farber Cancer Institute, Boston, Massachusetts.ORCID 0009-0009-2220-5932
Lestat R AliDepartment of Cancer Immunology and Virology, Dana-Farber Cancer Institute, Boston, Massachusetts.ORCID 0000-0003-2673-1592
Patrick J LenehanDepartment of Cancer Immunology and Virology, Dana-Farber Cancer Institute, Boston, Massachusetts.ORCID 0000-0002-1950-9179
Igor DolgalevDepartment of Medicine, NYU Langone Health, New York, New York.ORCID 0000-0003-4451-126X
Gregor WerbaPerlmutter Cancer Center, NYU Langone Health, New York, New York.ORCID 0000-0003-1464-9065
Cibelle LimaDepartment of Medical Oncology, Dana-Farber Cancer Institute and Harvard Medical School, Boston, Massachusetts.ORCID 0009-0008-7725-3504
C Elizabeth KehelerDepartment of Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts.ORCID 0009-0009-4324-9707
Keri M SullivanDepartment of Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts.ORCID 0000-0003-1316-0196
Michael DouganDepartment of Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts.ORCID 0000-0001-9266-2009
Cristina HajduPerlmutter Cancer Center, NYU Langone Health, New York, New York.ORCID 0000-0002-2856-9966
Maya DajeeNovartis Institute for Biomedical Research, Cambridge, Massachusetts.ORCID 0009-0006-3105-9699
Marc R PelletierNovartis Institute for Biomedical Research, Cambridge, Massachusetts.ORCID 0000-0003-2860-591X
Saloney NazeerNovartis Pharmaceuticals, Cambridge, Massachusetts.ORCID 0009-0006-3192-9236
Matthew SquiresNovartis Pharmaceuticals, Cambridge, Massachusetts.ORCID 0009-0006-2611-7735
Dafna Bar-SagiDepartment of Medicine, NYU Langone Health, New York, New York.ORCID 0000-0003-2597-8948
Brian M WolpinDepartment of Medical Oncology, Dana-Farber Cancer Institute and Harvard Medical School, Boston, Massachusetts.ORCID 0000-0002-0455-1032
Jonathan A NowakDepartment of Medical Oncology, Dana-Farber Cancer Institute and Harvard Medical School, Boston, Massachusetts.ORCID 0000-0002-0943-7407
Diane M SimeonePerlmutter Cancer Center, NYU Langone Health, New York, New York.ORCID 0000-0001-5142-3087
Stephanie K DouganDepartment of Cancer Immunology and Virology, Dana-Farber Cancer Institute, Boston, Massachusetts.ORCID 0000-0002-2263-363X

Funding

VIRAL MALIGNANCYP30CA023100 · NCI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI DIANE M SIMEONE · 1985 to 2026
$124.9M
Stromal modulation of pancreatic cancer malignant cell state and therapeutic sensitivityU01CA274276 · NCI · DANA-FARBER CANCER INST · PI Andrew James Aguirre, Stephanie Dougan · 2022 to 2026
$5.1M
POLQ Synthetic Lethality in HR-Deficient Pancreatic AdenocarcinomaR01CA245005 · NCI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI SFEIR, AGNEL, SIMEONE, DIANE M · 2020 to 2024
$3.2M
Systematic interrogation of the pancreatic cancer microenvironment in patient-derived specimensU01CA224146 · NCI · DANA-FARBER CANCER INST · PI HAHN, WILLIAM C. · 2017 to 2021
$3.0M
Molecular Pathways Regulating Tissue-resident Memory T cells in the GutR01AI169188 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI Michael Lawrence Dougan · 2022 to 2026
$3.0M
CDK4/6 inhibition during CD8 T cell priming potentiates memory formation in mice and humansR01AI158488 · NIAID · DANA-FARBER CANCER INST · PI DOUGAN, STEPHANIE · 2021 to 2025
$2.2M
Regulation of Pancreatic Oncogenesis by the Gut MicrobiomeR01CA206105 · NCI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI SAXENA, DEEPAK, SIMEONE, DIANE M · 2017 to 2021
$1.9M
National Cancer Institute (NCI) CA224146National Cancer Institute (NCI) R01CA206105-01A1National Cancer Institute (NCI) R01CA245005National Institute of Allergy and Infectious Diseases (NIAID) R01AI158488National Institute of Allergy and Infectious Diseases (NIAID) R01AI169188NCI NIH HHS P30 CA023100NCI NIH HHS R01 CA206105NCI NIH HHS R01 CA245005NCI NIH HHS U01 CA224146NCI NIH HHS U01 CA274276NIAID NIH HHS R01 AI158488NIAID NIH HHS R01 AI169188
6 · The paper itself

Abstract

Innate inflammation promotes tumor development, although the role of innate inflammatory cytokines in established human tumors is unclear. Herein, we report clinical and translational results from a phase Ib trial testing whether IL1β blockade in human pancreatic cancer would alleviate myeloid immunosuppression and reveal antitumor T-cell responses to PD1 blockade. Patients with treatment-naïve advanced pancreatic ductal adenocarcinoma (n = 10) were treated with canakinumab, a high-affinity monoclonal human antiinterleukin-1β (IL1β), the PD1 blocking antibody spartalizumab, and gemcitabine/n(ab)paclitaxel. Analysis of paired peripheral blood from patients in the trial versus patients receiving multiagent chemotherapy showed a modest increase in HLA-DR+CD38+ activated CD8+ T cells and a decrease in circulating monocytic myeloid-derived suppressor cells (MDSC) by flow cytometry for patients in the trial but not in controls. Similarly, we used patient serum to differentiate monocytic MDSCs in vitro and showed that functional inhibition of T-cell proliferation was reduced when using on-treatment serum samples from patients in the trial but not when using serum from patients treated with chemotherapy alone. Within the tumor, we observed few changes in suppressive myeloid-cell populations or activated T cells as assessed by single-cell transcriptional profiling or multiplex immunofluorescence, although increases in CD8+ T cells suggest that improvements in the tumor immune microenvironment might be revealed by a larger study. Overall, the data indicate that exposure to PD1 and IL1β blockade induced a modest reactivation of peripheral CD8+ T cells and decreased circulating monocytic MDSCs; however, these changes did not lead to similarly uniform alterations in the tumor microenvironment.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsInterleukin-1betaMyeloid-Derived Suppressor CellsPancreatic NeoplasmsProgrammed Cell Death 1 ReceptorAgedAntibodies, Monoclonal, HumanizedCarcinoma, Pancreatic DuctalCD8-Positive T-LymphocytesDeoxycytidineFemaleGemcitabineHumansMaleMiddle AgedNeoplasm MetastasisAntibodies, Monoclonal, HumanizedDeoxycytidineGemcitabineIL1B protein, humanInterleukin-1betaPaclitaxelPDCD1 protein, humanProgrammed Cell Death 1 Receptor

Identifiers

PMID38990554
PMCPMC11369625

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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.