Evidence map›Paper›PMID 40544188›Full record

ArticleNPJ breast cancer2025

A phase Ib/II trial of atezolizumab with cobimetinib or idasanutlin in metastatic estrogen receptor positive breast cancer.

Jessica Mezzanotte-Sharpe, Brandie C Taylor, Paula I Gonzalez-Ericsson, Violeta Sanchez, Andres A Ocampo, Jacey L Marshall, Julia A Steele, Melinda E Sanders, Ingrid A Mayer, Justin M Balko and 1 more

Abstract read
In one paragraph

Article in NPJ breast cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

11 authors.

Jessica Mezzanotte-SharpeDepartments of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.
Brandie C TaylorDepartments of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.
Paula I Gonzalez-EricssonDepartments of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.
Violeta SanchezDepartments of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.
Andres A OcampoCancer Biology Program, Vanderbilt University, Nashville, TN, USA.
Jacey L MarshallCancer Biology Program, Vanderbilt University, Nashville, TN, USA.
Julia A SteeleCancer Biology Program, Vanderbilt University, Nashville, TN, USA.
Melinda E SandersPathology, Microbiology, & Immunology, Vanderbilt University Medical Center, Nashville, TN, USA.
Ingrid A MayerDepartments of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.
Justin M BalkoDepartments of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA. justin.balko@vumc.org.
Laura C KennedyDepartments of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA. laura.kennedy@vumc.org.

Funding

VOLT (Vanderbilt Oncology Training Program)T32CA217834 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Debra L. Friedman, Douglas B Johnson · 2018 to 2026
$2.7M
NCI NIH HHS T32 CA217834Stand Up to Cancer- Genentech Catalyst Research Grant SU2C-AACR-CT09-17Vanderbilt Oncology Training Program T32 2T32CA217834-07
6 · The paper itself

Abstract

Despite the availability of numerous treatment options for metastatic estrogen receptor positive breast cancer, additional strategies are needed, particularly when tumors become endocrine resistant. This phase Ib/II study examined the clinical activity and safety of the novel combination of atezolizumab with molecularly targeted therapy inhibiting 1) the Ras/Raf/MEK signaling pathway with cobimetinib in TP53-mutant tumors (arm COBI) or 2) the TP53 regulator MDM2 with idasanutlin in TP53-wild-type tumors (arm IDA). Twelve patients were enrolled before the study closed early due to slow accrual. 2/7 patients in arm IDA had durable responses to treatment. 1/5 patients in arm COBI had stable disease. Interestingly, conservation of tumor-specific HLA-ABC expression was observed in nearly all patients with clinical benefit. There were several grade 3-4 toxicities, particularly cytopenias in arm IDA. While this study was limited by small sample sizes, there were observations of clinical activity, including one exceptional responder, that warrant further investigation.

Identifiers

PMID40544188
PMCPMC12182567

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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.