Evidence map›Paper›PMID 39318388›Full record

ArticleJTO clinical and research reports2024

Immune Cell Dynamics in EGFR-Mutated NSCLC Treated With Afatinib and Pembrolizumab: Results From a Phase IB Study.

Jonathan W Riess, Matthew S Lara, Miguel Lopez de Rodas, Guillaume Luxardi, Samantha Herbert, Michiko Shimoda, Karen Kelly, Alexander Meerlev, Elizabeth Moore, Laurel Beckett and 4 more

Abstract read
In one paragraph

Article in JTO clinical and research reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing 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.

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

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

  1. Pooled it
  2. Review
  3. Article
  4. Review
  5. Review
  6. Article
  7. Review
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.

Jonathan W RiessUniversity of California Davis Comprehensive Cancer Center, Sacramento, California.
Matthew S LaraUniversity of California Davis Comprehensive Cancer Center, Sacramento, California.
Miguel Lopez de RodasYale School of Medicine and Yale Cancer Center, New Haven, Connecticut.
Guillaume LuxardiUniversity of California Davis Comprehensive Cancer Center, Sacramento, California.
Samantha HerbertUniversity of California Davis Comprehensive Cancer Center, Sacramento, California.
Michiko ShimodaUniversity of California Davis Comprehensive Cancer Center, Sacramento, California.
Karen KellyUniversity of California Davis Comprehensive Cancer Center, Sacramento, California.
Alexander MeerlevUniversity of California Davis Comprehensive Cancer Center, Sacramento, California.
Elizabeth MooreUniversity of California Davis Comprehensive Cancer Center, Sacramento, California.
Laurel BeckettUniversity of California Davis Comprehensive Cancer Center, Sacramento, California.
Arta MonjazebUniversity of California Davis Comprehensive Cancer Center, Sacramento, California.
Kurt SchalperYale School of Medicine and Yale Cancer Center, New Haven, Connecticut.
Emanual MaverakisUniversity of California Davis Comprehensive Cancer Center, Sacramento, California.
David R GandaraUniversity of California Davis Comprehensive Cancer Center, Sacramento, California.

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Staff InvestigatorsP30CA093373 · NCI · UNIVERSITY OF CALIFORNIA DAVIS · PI Gina M Dayton · 2002 to 2026
$84.9M
Mentoring Translational Scientists in Clinical Trial Immune MonitoringK24AR077313 · NIAMS · UNIVERSITY OF CALIFORNIA AT DAVIS · PI MAVERAKIS, EMANUAL M. · 2021 to 2025
$939k
Stratedigm S100EON high-parameter flow cytometer to support multi-institutional research programsS10OD032406 · OD · UNIVERSITY OF CALIFORNIA AT DAVIS · PI MAVERAKIS, EMANUAL M. · 2022 to 2022
$600k
NCATS NIH HHS UL1 TR001863NCI NIH HHS P30 CA093373NIAMS NIH HHS K24 AR077313NIH HHS S10 OD032406
6 · The paper itself

Abstract

Introduction: EGFR-mutated NSCLC is minimally responsive to programmed cell death protein 1 or programmed death-ligand 1 blockade. We evaluated the safety, tolerability, and immunomodulatory effects of the EGFR tyrosine kinase inhibitor (TKI) afatinib in combination with the programmed cell death protein 1 antibody pembrolizumab in patients with EGFR-mutant NSCLC. Methods: Patients with advanced EGFR-mutant NSCLC with progression (PD) on previous EGFR TKI(s), aged above or equal to 18 years, Eastern Cooperative Oncology Group performance status less than or equal to 1, acceptable organ function, no significant autoimmune disease, measurable disease, and controlled brain metastases were eligible. Primary end point was determination of the maximum tolerated dose and recommended phase 2 dose. Serial specimens were collected to assess for alterations in cytokines and immune cell subsets by quantitative immunofluorescence in tissue and Luminex and flow cytometry in the blood. Results: A total of 11 patients were enrolled, six in dose finding and five in dose expansion. No dose-limiting toxicities were observed. The maximum tolerated dose was determined to be afatinib 40 mg orally daily and pembrolizumab 200 mg intravenously every 21 days. Four (36%) patients had immune-related adverse events (irAEs). Ten patients were assessable for response: two partial response, seven stable disease, and one PD. Peripheral natural killer and natural killer T-cells ( Conclusions: Afatinib and pembrolizumab were found to have modest activity associated with irAEs after PD on previous EGFR TKI setting. Proinflammatory changes in immune cell subsets in tissue and blood were detected and associated with antitumor activity and irAEs.

Indexed as

Epidermal growth factorImmunotherapyLung cancerTargeted therapy

Identifiers

PMID39318388
PMCPMC11420451

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.