Evidence map›Paper›PMID 36719749›Full record

ArticleThe Journal of clinical investigation2023

Single-cell characterization of anti-LAG-3 and anti-PD-1 combination treatment in patients with melanoma.

Jani Huuhtanen, Henna Kasanen, Katriina Peltola, Tapio Lönnberg, Virpi Glumoff, Oscar Brück, Olli Dufva, Karita Peltonen, Johanna Vikkula, Emmi Jokinen and 10 more

Registry-linked trialOpen access · goldFull text read
In one paragraph

Article in The Journal of clinical investigation, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01968109 (A Phase I/2a Dose Escalation and Cohort Expansion Study of the Safety, Tolerability, and Efficacy of Anti-LAG-3 Monoclonal Antibody), which is not on this map. Cited by 67 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
67citing papers in PubMed, 1 pooled it
20.9field-weighted citation impact, top 1% of its field
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.

NCT01968109 phase1 / phase2completednot on this map

A Phase I/2a Dose Escalation and Cohort Expansion Study of the Safety, Tolerability, and Efficacy of Anti-LAG-3 Monoclonal Antibody (BMS-986016) Administered Alone and in Combination With Anti-PD-1 Monoclonal Antibody (Nivolumab, BMS-936558) in Advanced Solid Tumors

TypeinterventionalSponsorBristol-Myers SquibbRan2013 to 2025Enrolled1,482ConditionsNeoplasms by SiteArmsRelatlimab, Nivolumab, BMS-986213
3 · Its place in the literature

Who cites it

67 citing papers in PubMed, 1 synthesis or guideline pooled it, 91 citations in OpenAlex.

  1. Pooled it
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  3. Trial
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  5. Article
  6. Article
  7. Regulatory T cells in cancer and inflammation.Signal transduction and targeted therapy · 2026
    Review
  8. Molecular origin, discovery, validation and application of neoantigens.Asian journal of pharmaceutical sciences · 2026
    Review
  9. Article
  10. Cancer viroimmunotherapy platforms based on varicella-zoster virus and cytomegalovirus.Molecular therapy : the journal of the American Society of Gene Therapy · 2026
    Review
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Review
  17. The immunomodulatory role of human cytomegalovirus in cancer in the era of checkpoint immunotherapy.Philosophical transactions of the Royal Society of London. Series B, Biological sciences · 2025
    Review
  18. Article
  19. Article
  20. Unraveling Relatlimab-Specific Biology Using Biomarker Analyses in Patients with Advanced Melanoma in RELATIVITY-047.Clinical cancer research : an official journal of the American Association for Cancer Research · 2025
    Article

7 more citing papers are in PubMed but not listed here.

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

20 authors at 6 institutions in 4 countries.

Jani HuuhtanenTranslational Immunology Research Program and Department of Clinical Chemistry and Hematology, University of Helsinki, Helsinki, Finland.
Henna KasanenTranslational Immunology Research Program and Department of Clinical Chemistry and Hematology, University of Helsinki, Helsinki, Finland.
Katriina PeltolaiCAN Digital Precision Cancer Medicine Flagship, Helsinki, Finland.
Tapio LönnbergTurku Bioscience Centre, University of Turku and Åbo Akademi University, Turku, Finland.
Virpi GlumoffResearch Unit of Biomedicine, Medical Microbiology and Immunology, University of Oulu, Oulu, Finland.
Oscar BrückTranslational Immunology Research Program and Department of Clinical Chemistry and Hematology, University of Helsinki, Helsinki, Finland.
Olli DufvaTranslational Immunology Research Program and Department of Clinical Chemistry and Hematology, University of Helsinki, Helsinki, Finland.
Karita PeltonenTranslational Immunology Research Program and Department of Clinical Chemistry and Hematology, University of Helsinki, Helsinki, Finland.
Johanna VikkulaDepartment of Computer Science, Aalto University, Espoo, Finland.
Emmi JokinenTranslational Immunology Research Program and Department of Clinical Chemistry and Hematology, University of Helsinki, Helsinki, Finland.
Mette IlanderTranslational Immunology Research Program and Department of Clinical Chemistry and Hematology, University of Helsinki, Helsinki, Finland.
Moon Hee LeeTranslational Immunology Research Program and Department of Clinical Chemistry and Hematology, University of Helsinki, Helsinki, Finland.
Siru MäkeläDepartment of Oncology, Helsinki University Hospital Comprehensive Cancer Center, Helsinki, Finland.
Marta NyakasOslo University Hospital-Radiumhospitalet, Oslo, Norway.
Bin LiBristol Myers Squibb (BMS) Research and Development, Princeton, New Jersey, USA.
Micaela HernbergDepartment of Oncology, Helsinki University Hospital Comprehensive Cancer Center, Helsinki, Finland.
Petri BonoDepartment of Oncology, Helsinki University Hospital Comprehensive Cancer Center, Helsinki, Finland.
Harri LähdesmäkiDepartment of Computer Science, Aalto University, Espoo, Finland.
Anna KreutzmanTranslational Immunology Research Program and Department of Clinical Chemistry and Hematology, University of Helsinki, Helsinki, Finland.
Satu MustjokiTranslational Immunology Research Program and Department of Clinical Chemistry and Hematology, University of Helsinki, Helsinki, Finland.
University of Helsinki · FIAalto University · FIÅbo Akademi University · FIBristol-Myers Squibb (Germany) · DEOslo University Hospital · NOUniversity of Oulu · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BackgroundRelatlimab plus nivolumab (anti-lymphocyte-activation gene 3 plus anti-programmed death 1 [anti-LAG-3+anti-PD-1]) has been approved by the FDA as a first-line therapy for stage III/IV melanoma, but its detailed effect on the immune system is unknown.MethodsWe evaluated blood samples from 40 immunotherapy-naive or prior immunotherapy-refractory patients with metastatic melanoma treated with anti-LAG-3+anti-PD-1 in a phase I trial using single-cell RNA and T cell receptor sequencing (scRNA+TCRαβ-Seq) combined with other multiomics profiling.ResultsThe highest LAG3 expression was noted in NK cells, Tregs, and CD8+ T cells, and these cell populations underwent the most significant changes during the treatment. Adaptive NK cells were enriched in responders and underwent profound transcriptomic changes during the therapy, resulting in an active phenotype. LAG3+ Tregs expanded, but based on the transcriptome profile, became metabolically silent during the treatment. Last, higher baseline TCR clonality was observed in responding patients, and their expanding CD8+ T cell clones gained a more cytotoxic and NK-like phenotype.ConclusionAnti-LAG-3+anti-PD-1 therapy has profound effects on NK cells and Tregs in addition to CD8+ T cells.Trial registrationClinicalTrials.gov (NCT01968109)FundingCancer Foundation Finland, Sigrid Juselius Foundation, Signe and Ane Gyllenberg Foundation, Relander Foundation, State funding for university-level health research in Finland, a Helsinki Institute of Life Sciences Fellow grant, Academy of Finland (grant numbers 314442, 311081, 335432, and 335436), and an investigator-initiated research grant from BMS.

Indexed as

Antineoplastic AgentsMelanomaCD8-Positive T-LymphocytesCutaneous Malignant MelanomaHumansNivolumabProgrammed Cell Death 1 ReceptorReceptors, Antigen, T-CellAntineoplastic AgentsNivolumabProgrammed Cell Death 1 ReceptorReceptors, Antigen, T-CellImmunologyNK cellsOncologySkin cancerT cells

Identifiers

PMID36719749
PMCPMC10014104
OpenAlexW4318669553

What Socratic holds

Textfull text, public
LicenceCC BY
measurements read60
identifiers read4
Read underepoch 390

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 Socratic graph.