Evidence map›Paper›PMID 40410274›Full record

Trial reportBritish journal of cancer2025

Association of DNA damage response signals and oxidative stress status with nivolumab efficacy in patients with Head and Neck Squamous Cell Carcinoma.

Christina Papanikolaou, Panagiota Economopoulou, Aris Spathis, Ioannis Kotsantis, Niki Gavrielatou, Maria Anastasiou, Myrto Moutafi, Anastasios Kyriazoglou, George-Romanos P Foukas, Ioannis M Lelegiannis and 5 more

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

Trial report in British journal of cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03652142 (Predictive Biomarkers For Response To Nivolumab In Head and Neck Squamous Cell Carcinoma), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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.

NCT03652142 unknown statusnot on this map

Predictive Biomarkers For Response To Nivolumab In Head and Neck Squamous Cell Carcinoma

TypeobservationalSponsorAttikon HospitalRan2018 to 2020Enrolled50ConditionsHNSCC, DNA Damage, DNA Double Strand BreakArmsBiomarker Research, Nivolumab
3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Elucidating DNA Damage-Dependent Immune System Activation.International journal of molecular sciences · 2025
    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

15 authors.

Christina Papanikolaou *Institute of Chemical Biology, National Hellenic Research Foundation, Athens, Greece.
Panagiota Economopoulou *Oncology Unit, 2nd Department of Internal Medicine, Attikon University Hospital, Athens, Greece.
Aris SpathisSecond Department of Pathology, Attikon University Hospital, Athens, Greece.ORCID http://orcid.org/0000-0001-8867-3661
Ioannis KotsantisOncology Unit, 2nd Department of Internal Medicine, Attikon University Hospital, Athens, Greece.
Niki GavrielatouOncology Unit, 2nd Department of Internal Medicine, Attikon University Hospital, Athens, Greece.
Maria AnastasiouOncology Unit, 2nd Department of Internal Medicine, Attikon University Hospital, Athens, Greece.
Myrto MoutafiOncology Unit, 2nd Department of Internal Medicine, Attikon University Hospital, Athens, Greece.
Anastasios KyriazoglouOncology Unit, 2nd Department of Internal Medicine, Attikon University Hospital, Athens, Greece.
George-Romanos P FoukasOncology Unit, 2nd Department of Internal Medicine, Attikon University Hospital, Athens, Greece.
Ioannis M LelegiannisOncology Unit, 2nd Department of Internal Medicine, Attikon University Hospital, Athens, Greece.
David RimmDepartment of Pathology, Yale University School of Medicine, New Haven, CT, USA.ORCID http://orcid.org/0000-0001-5820-4397
Ioannis PanayiotidesSecond Department of Pathology, Attikon University Hospital, Athens, Greece.
Periklis FoukasSecond Department of Pathology, Attikon University Hospital, Athens, Greece.
Vassilis L SouliotisInstitute of Chemical Biology, National Hellenic Research Foundation, Athens, Greece.ORCID http://orcid.org/0000-0002-2945-1329
Amanda PsyrriOncology Unit, 2nd Department of Internal Medicine, Attikon University Hospital, Athens, Greece. psyrri237@yahoo.com.

Funding

Hellenic Society of Medical Oncology (HeSMO) N/A
6 · The paper itself

Abstract

backgroundAccumulating evidence suggests that deregulation of DNA damage response (DDR) network affects multiple aspects of the immune system. Herein, we tested the hypothesis that DDR-related signals, measured in peripheral blood mononuclear cells (PBMCs) from Head and Neck Squamous Cell Carcinoma (HNSCC) patients, correlate with the response to immune checkpoint inhibitors.

methodsOxidative stress and DDR-related signals were evaluated in PBMCs from 26 healthy controls and 50 recurrent/metastatic HNSCC patients at baseline, who participated in a phase II nivolumab trial (NCT03652142). Spatial transcriptomics in three molecularly defined tissue compartments (tumour, leucocyte, macrophage) from biopsies of overlapping cases were also investigated.

resultsPBMCs from responders to nivolumab therapy showed significantly lower oxidative stress, endogenous DNA damage, DNA repair capacities and apoptosis rates compared with non-responders (all P < 0.04). The analysis of tissue RNA in situ data illustrated that DNA repair pathways showed enrichment in the macrophage compartment of baseline tissue biopsies of responders compared with non-responders (P = 0.049).

conclusionsOur findings demonstrate that oxidative stress and deregulated DDR-related signals measured in PBMCs from HNSCC patients at baseline correlate with response to nivolumab and, if further validated, may be exploited as novel non-invasive biomarkers and the design of clinical trials.

Indexed as

DNA DamageHead and Neck NeoplasmsImmune Checkpoint InhibitorsNivolumabOxidative StressSquamous Cell Carcinoma of Head and NeckAdultAgedApoptosisDNA RepairFemaleHumansLeukocytes, MononuclearMaleMiddle AgedImmune Checkpoint InhibitorsNivolumab

Identifiers

PMID40410274
PMCPMC12322034

What OpenQuestion holds

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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.