Evidence map›Paper›PMID 39103508›Full record

ArticleNPJ precision oncology2024

Detecting HLA loss of heterozygosity within a standard diagnostic sequencing workflow for prognostic and therapeutic opportunities.

Ariane Lozac'hmeur, Tyler Danek, Qidi Yang, Mario G Rosasco, John S Welch, William Y Go, Eric W Ng, Armen Mardiros, David G Maloney, Edward B Garon and 6 more

Registry-linked trialAbstract read
In one paragraph

Article in NPJ precision oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04981119 (An Observational Study Obtaining Solid Tumor Tissue From Participants and Apheresis for CAR T-Cell Therapy Manufacturing), which is not on this map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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.

NCT04981119 recruitingnot on this map

An Observational Study Obtaining Solid Tumor Tissue From Participants and Apheresis for CAR T-Cell Therapy Manufacturing

TypeobservationalSponsorA2 Biotherapeutics Inc.Ran2021 to 2029Enrolled200ConditionsSolid Tumor, Adult, Colorectal Cancer, Non Small Cell Lung Cancer, Pancreatic CancerArmsApheresis, Next Generation Sequencing (NGS), Long Range NGS HLA typing
3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

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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

16 authors.

Ariane Lozac'hmeurTempus AI Inc., Chicago, IL, USA.
Tyler DanekTempus AI Inc., Chicago, IL, USA.
Qidi YangTempus AI Inc., Chicago, IL, USA.ORCID http://orcid.org/0009-0007-9491-3909
Mario G RosascoTempus AI Inc., Chicago, IL, USA.
John S WelchA2 Biotherapeutics, Agoura Hills, CA, USA.
William Y GoA2 Biotherapeutics, Agoura Hills, CA, USA.
Eric W NgA2 Biotherapeutics, Agoura Hills, CA, USA.
Armen MardirosA2 Biotherapeutics, Agoura Hills, CA, USA.
David G MaloneyFred Hutchinson Cancer Research Center, Seattle, WA, USA.
Edward B GaronDavid Geffen School of Medicine, University of California, Los Angeles, CA, USA.
Kedar KirtaneMoffitt Cancer Center, Tampa, FL, USA.
Diane M SimeoneMoores Cancer Center, UC San Diego Health, San Diego, CA, USA.
Julian R MolinaMayo Clinic, Rochester, MN, USA.
Ameen A SalahudeenUniversity of Illinois at Chicago College of Medicine, Departments of Medicine, Biochemistry & Molecular Genetics, Chicago, IL, USA.ORCID http://orcid.org/0000-0001-9037-3481
Michelle M SteinTempus AI Inc., Chicago, IL, USA. publications@tempus.com.ORCID http://orcid.org/0000-0002-7680-9012
J Randolph HechtDavid Geffen School of Medicine, University of California, Los Angeles, CA, USA.

Funding

Women's CancersP30CA016042 · NCI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Samuel Wheeler French · 1985 to 2026
$134.5M
NCI NIH HHS P30 CA016042
6 · The paper itself

Abstract

To enable interrogation of tumor HLA LOH as a clinical diagnostic for precision oncology, we developed and validated an assay that detects HLA LOH within the context of an FDA-approved clinical diagnostic test, Tempus xT CDx. Validation was conducted via: (1) analytical evaluation of 17 archival patient samples and 42 cell line admixtures and (2) independent clinical evaluation of LOH prevalence in the HLA-A gene (HLA-A LOH) across 10,982 patients. To evaluate the prognostic relevance of HLA-A LOH we assessed 256 immunotherapy-treated non-small cell lung cancer (NSCLC) patients. To determine the feasibility of prospectively identifying and enrolling HLA-A LOH patients into a clinical trial, we established BASECAMP-1 (NCT04981119). We observed a positive predictive agreement of 97% and a negative predictive agreement of 100% in samples with ≥ 40% tumor purity. We observed HLA-A LOH in 16.1% of patients (1771/10,982), comparable to previous reports. HLA-A LOH was associated with longer survival among NSCLC adenocarcinoma patients (HR = 0.60, 95% CI [0.37, 0.96], p = 0.032) with a trend towards shorter survival among squamous cell patients (HR = 1.64, 95% CI [0.80, 3.41], p = 0.183). In 20 months, we prospectively screened 1720 subjects using the Tempus AWARE program, identifying 26 HLA-A*02 LOH patients at 8 sites, with 14 (54%) enrolled into BASECAMP-1. In conclusion, we developed and validated an investigational assay that detects tumor HLA LOH within an FDA-approved clinical diagnostic test, enabling HLA LOH utilization in diagnostic, prognostic, and therapeutic applications.

Identifiers

PMID39103508
PMCPMC11300791

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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.