Evidence map›Paper›PMID 40289138›Full record

Trial reportNature communications2025

Improved overall survival in an anti-PD-L1 treated cohort of newly diagnosed glioblastoma patients is associated with distinct immune, mutation, and gut microbiome features: a single arm prospective phase I/II trial.

Shiao-Pei Weathers, Xiqi Li, Haifeng Zhu, Ashish V Damania, Mark Knafl, Brian McKinley, Heather Lin, Rebecca A Harrison, Nazanin K Majd, Barbara J O'Brien and 16 more

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

Trial report in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03174197 (Phase I/II Study to Evaluate the Safety and Clinical Efficacy of Atezolizumab), which is not on this map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing 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.

NCT03174197 phase1 / phase2completednot on this map

Phase I/II Study to Evaluate the Safety and Clinical Efficacy of Atezolizumab (aPDL1) in Combination With Temozolomide and Radiation in Patients With Newly Diagnosed Glioblastoma (GBM)

TypeinterventionalSponsorM.D. Anderson Cancer CenterRan2017 to 2025Enrolled60ConditionsGlioblastoma, GliosarcomaArmsAtezolizumab, Radiation Therapy, Temozolomide
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Trial
  3. Review
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  8. Phase I Evaluation of Patients with Newly Diagnosed Glioblastoma Treated with Radiation, Nivolumab, and IDO1 Enzyme Inhibitor BMS-986205.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
    Article
  9. Article
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  11. Inflammasomes in glioblastoma.Journal of neuroinflammation · 2026
    Review
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  20. Current Status and Evolution of Immunotherapy in Glioma Management.International journal of medical sciences · 2026
    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

26 authors.

Shiao-Pei WeathersDepartment of Neuro-Oncology, The University of Texas MD Anderson Cancer Center, Houston, 1515 Holcombe Blvd, Houston, TX, 77030, USA. sweathers@mdanderson.org.ORCID http://orcid.org/0000-0002-0405-102X
Xiqi Li *Genomic Medicine, The University of Texas MD Anderson Cancer Center, Houston, 1515 Holcombe Blvd, Houston, TX, 77030, USA.
Haifeng Zhu *Genomic Medicine, The University of Texas MD Anderson Cancer Center, Houston, 1515 Holcombe Blvd, Houston, TX, 77030, USA.
Ashish V DamaniaGenomic Medicine, The University of Texas MD Anderson Cancer Center, Houston, 1515 Holcombe Blvd, Houston, TX, 77030, USA.
Mark KnaflGenomic Medicine, The University of Texas MD Anderson Cancer Center, Houston, 1515 Holcombe Blvd, Houston, TX, 77030, USA.ORCID http://orcid.org/0000-0002-3953-2173
Brian McKinleyGenomic Medicine, The University of Texas MD Anderson Cancer Center, Houston, 1515 Holcombe Blvd, Houston, TX, 77030, USA.ORCID http://orcid.org/0000-0001-7105-9649
Heather LinBiostatistics, The University of Texas MD Anderson Cancer Center, Houston, 1515 Holcombe Blvd, Houston, TX, 77030, USA.
Rebecca A HarrisonDepartment of Neuro-Oncology, The University of Texas MD Anderson Cancer Center, Houston, 1515 Holcombe Blvd, Houston, TX, 77030, USA.
Nazanin K MajdDepartment of Neuro-Oncology, The University of Texas MD Anderson Cancer Center, Houston, 1515 Holcombe Blvd, Houston, TX, 77030, USA.
Barbara J O'BrienDepartment of Neuro-Oncology, The University of Texas MD Anderson Cancer Center, Houston, 1515 Holcombe Blvd, Houston, TX, 77030, USA.
Marta Penas-PradoDepartment of Neuro-Oncology, The University of Texas MD Anderson Cancer Center, Houston, 1515 Holcombe Blvd, Houston, TX, 77030, USA.
Monica LoghinDepartment of Neuro-Oncology, The University of Texas MD Anderson Cancer Center, Houston, 1515 Holcombe Blvd, Houston, TX, 77030, USA.
Carlos Kamiya-MatsuokaDepartment of Neuro-Oncology, The University of Texas MD Anderson Cancer Center, Houston, 1515 Holcombe Blvd, Houston, TX, 77030, USA.ORCID http://orcid.org/0000-0003-3216-2728
W K Alfred YungDepartment of Neuro-Oncology, The University of Texas MD Anderson Cancer Center, Houston, 1515 Holcombe Blvd, Houston, TX, 77030, USA.ORCID http://orcid.org/0000-0002-1669-0793
Luisa M Solis SotoTranslational Molecular Pathology, The University of Texas MD Anderson Cancer Center, Houston, 1515 Holcombe Blvd, Houston, TX, 77030, USA.ORCID http://orcid.org/0000-0002-1253-630X
Dipen M MaruTranslational Molecular Pathology, The University of Texas MD Anderson Cancer Center, Houston, 1515 Holcombe Blvd, Houston, TX, 77030, USA.ORCID http://orcid.org/0000-0002-9134-7709
Ignacio WistubaTranslational Molecular Pathology, The University of Texas MD Anderson Cancer Center, Houston, 1515 Holcombe Blvd, Houston, TX, 77030, USA.
Edwin R Parra CuentasTranslational Molecular Pathology, The University of Texas MD Anderson Cancer Center, Houston, 1515 Holcombe Blvd, Houston, TX, 77030, USA.
Sharia HernandezTranslational Molecular Pathology, The University of Texas MD Anderson Cancer Center, Houston, 1515 Holcombe Blvd, Houston, TX, 77030, USA.ORCID http://orcid.org/0000-0002-7746-0860
Andrew FutrealGenomic Medicine, The University of Texas MD Anderson Cancer Center, Houston, 1515 Holcombe Blvd, Houston, TX, 77030, USA.ORCID http://orcid.org/0000-0001-8663-2671
Jennifer A WargoSurgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, 1515 Holcombe Blvd, Houston, TX, 77030, USA.ORCID http://orcid.org/0000-0003-3438-7576
Katja SchulzeGenentech, Inc 1 DNA Way, San Francisco, CA, 94080, USA.
Walter C DarbonneGenentech, Inc 1 DNA Way, San Francisco, CA, 94080, USA.ORCID http://orcid.org/0000-0002-4386-1826
Nadim J AjamiGenomic Medicine, The University of Texas MD Anderson Cancer Center, Houston, 1515 Holcombe Blvd, Houston, TX, 77030, USA.ORCID http://orcid.org/0000-0002-3808-8576
Scott E WoodmanGenomic Medicine, The University of Texas MD Anderson Cancer Center, Houston, 1515 Holcombe Blvd, Houston, TX, 77030, USA.ORCID http://orcid.org/0000-0002-1157-6991
John F de GrootDepartment of Neuro-Oncology, The University of Texas MD Anderson Cancer Center, Houston, 1515 Holcombe Blvd, Houston, TX, 77030, USA. john.degroot@ucsf.edu.ORCID http://orcid.org/0000-0003-1454-6461

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This phase I/II trial aims to evaluate the efficacy of concurrent atezolizumab with radiation therapy and temozolomide (TMZ) followed by adjuvant atezolizumab and TMZ in newly diagnosed glioblastoma (GBM) patients and to identify pre-treatment correlates with outcome (N = 60). Trial number: NCT03174197. The primary outcome was overall survival (OS) whereas secondary outcomes were retrospective global-omics analyses to identify pre-treatment immune and genetic tumor features that correlated with survival. Concurrent use of atezolizumab with radiation and TMZ demonstrated OS in line with published trials for newly diagnosed GBM. Tumor genomic (WES and/or targeted NGS panel), transcriptomic (RNAseq) and tissue microenvironment imaging, as well as fecal metagenomic sequencing were conducted. Gene set enrichment analysis of tumors identified multiple immune-based transcriptomic programs to distinguish patients with longer versus shorter survival (p ≤ 0.01). GBM immune enrichment was highly associated with the pre-treatment tumor mesenchymal subtype and patient gastrointestinal bacterial taxa profile.

Indexed as

B7-H1 AntigenBrain NeoplasmsGastrointestinal MicrobiomeGlioblastomaImmune Checkpoint InhibitorsAdultAgedAntibodies, Monoclonal, HumanizedFemaleHumansMaleMiddle AgedMutationProspective StudiesTemozolomideTreatment OutcomeAntibodies, Monoclonal, HumanizedatezolizumabB7-H1 AntigenCD274 protein, humanImmune Checkpoint InhibitorsTemozolomide

Identifiers

PMID40289138
PMCPMC12034766

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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.