Evidence map›Paper›PMID 41894563›Full record

Trial reportClinical cancer research : an official journal of the American Association for Cancer Research2026

CSF1R Inhibition with Chemotherapy Relieves Systemic Immune Suppression in Patients with Metastatic Triple-Negative Breast Cancer and Boosts Anti-PD-1 Efficacy in Transgenic Mammary Tumors.

Amanda Poissonnier, Hope S Rugo, Wesley Horton, Tina Kim, Amy DeLuca, Eivind Valen Egeland, Tiziana Cotechini, Shamilene Sivagnanam, Motomi Mori, Yun Yu and 9 more

Registry-linked trialAbstract readClinical Trial, Phase IClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Clinical cancer research : an official journal of the American Association for Cancer Research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01596751 (Enhancing Efficacy of Chemotherapy in Triple Negative/Basal-Like Breast Cancer by Targeting Macrophages), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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.

NCT01596751 phase1 / phase2completednot on this map

Enhancing Efficacy of Chemotherapy in Triple Negative/Basal-Like Breast Cancer by Targeting Macrophages: A Multicenter Phase Ib/II Study of PLX 3397 and Eribulin in Patients With Metastatic Breast Cancer

TypeinterventionalSponsorHope Rugo, MDRan2012 to 2019Enrolled67ConditionsMetastatic Breast CancerArmsPLX3397, Eribulin
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Review
  3. 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

19 authors.

Amanda PoissonnierDepartment of Cell, Developmental and Cancer Biology, Oregon Health & Science University, Portland, Oregon.ORCID 0000-0002-9027-1159
Hope S RugoUniversity of California San Francisco Comprehensive Cancer Center, San Francisco, California.ORCID 0000-0001-6710-4814
Wesley HortonDepartment of Cell, Developmental and Cancer Biology, Oregon Health & Science University, Portland, Oregon.ORCID 0009-0003-3746-0430
Tina KimUniversity of California San Francisco Comprehensive Cancer Center, San Francisco, California.ORCID 0009-0003-6162-2700
Amy DeLucaUniversity of California San Francisco Comprehensive Cancer Center, San Francisco, California.ORCID 0000-0003-2507-6047
Eivind Valen EgelandDepartment of Cell, Developmental and Cancer Biology, Oregon Health & Science University, Portland, Oregon.ORCID 0000-0002-7273-7277
Tiziana CotechiniDepartment of Cell, Developmental and Cancer Biology, Oregon Health & Science University, Portland, Oregon.ORCID 0000-0001-6762-3649
Shamilene SivagnanamDepartment of Cell, Developmental and Cancer Biology, Oregon Health & Science University, Portland, Oregon.ORCID 0000-0001-5966-1522
Motomi MoriKnight Cancer Institute, Oregon Health & Science University, Portland, Oregon.ORCID 0000-0003-1390-4917
Yun YuKnight Cancer Institute, Oregon Health & Science University, Portland, Oregon.ORCID 0000-0003-1058-4006
Byung ParkKnight Cancer Institute, Oregon Health & Science University, Portland, Oregon.ORCID 0000-0003-3516-7516
Nicky BeelenDepartment of Cell, Developmental and Cancer Biology, Oregon Health & Science University, Portland, Oregon.ORCID 0000-0001-7055-5069
Dhaarini MuruganDepartment of Cell, Developmental and Cancer Biology, Oregon Health & Science University, Portland, Oregon.ORCID 0000-0001-8505-5868
Nell KirchbergerDepartment of Cell, Developmental and Cancer Biology, Oregon Health & Science University, Portland, Oregon.ORCID 0009-0003-7024-705X
Shivaani KummarKnight Cancer Institute, Oregon Health & Science University, Portland, Oregon.ORCID 0000-0001-6906-1627
Ingrid A MayerVanderbilt University, Nashville, Tennessee.ORCID 0000-0001-8147-335X
Kimberly BlackwellDepartment of Medicine, Duke University Medical Center, Durham, North Carolina.ORCID 0009-0009-3644-861X
E Shelley HwangDepartment of Surgery, Duke University Medical Center, Durham, North Carolina.ORCID 0000-0002-8571-1148
Lisa M CoussensDepartment of Cell, Developmental and Cancer Biology, Oregon Health & Science University, Portland, Oregon.ORCID 0000-0003-2389-1865

Funding

Understanding the origins of rapid recurrence of pancreatic cancer after resectionP30CA069533 · NCI · OREGON HEALTH & SCIENCE UNIVERSITY · PI Luiz Eduardo Bertassoni · 1997 to 2026
$60.5M
Molecular, Cellular and Tissue Characterization UnitU2CCA233254 · NCI · DUKE UNIVERSITY · PI HWANG, E.SHELLEY · 2018 to 2023
$11.4M
Leukocyte Biomarkers for Predicting Human Breast Cancer OutcomesU54CA163123 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI COUSSENS, LISA M., KRUMMEL, MATTHEW F · 2011 to 2015
$2.0M
Regulation of Inflammation-Associated Epithelial Cancer DevelopmentR01CA130980 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI COUSSENS, LISA M. · 2008 to 2012
$1.6M
Regulating the Immune Microenvironment in Breast CancerR01CA155331 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI COUSSENS, LISA M. · 2011 to 2015
$1.6M
Improved Drug Delivery to Tumors Using Novel Tissue Perfusion ApproachesR01CA140943 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI BOUDREAU, NANCY JOAN, COUSSENS, LISA M. · 2009 to 2012
$1.0M
Carol M. Baldwin Breast Cancer Research Fund (Carol M. Baldwin)Center for Cancer Research (CCR) R01CA130980Center for Cancer Research (CCR) R01CA140943Center for Cancer Research (CCR) R01CA15531Center for Cancer Research (CCR) U2CCA233254-01Center for Cancer Research (CCR) U54CA163123Congressionally Directed Medical Research Programs (CDMRP) BC190819Congressionally Directed Medical Research Programs (CDMRP) HT9425-23-1-1031Congressionally Directed Medical Research Programs (CDMRP) W81XWH-11-1-0702Congressionally Directed Medical Research Programs (CDMRP) W81XWH-20-1-0007Knight Cancer Institute, Oregon Health and Science University (KCI)National Foundation for Cancer Research (NFCR)NCI NIH HHS P30 CA069533NCI NIH HHS R01 CA130980NCI NIH HHS R01 CA140943NCI NIH HHS R01 CA155331NCI NIH HHS U2C CA233254NCI NIH HHS U54 CA163123Susan G. Komen (SGK) KG111084Susan G. Komen (SGK) SAC200100Susan G. Komen (SGK) SAC240100
6 · The paper itself

Abstract

purposeSignificant correlations exist between the presence of intratumoral macrophages, tumor progression, and poor outcomes in triple-negative breast cancer (TNBC) with limited therapeutic options available for advanced-stage disease. Preclinical studies revealed that inhibition of myelomonocytic colony-stimulating factor 1 (CSF1) or its receptor (CSF1R) plus cytotoxic chemotherapy decreased primary tumor growth kinetics and pulmonary metastases by CD8+ T cell-dependent mechanisms. This translational study evaluated CSF1R inhibition combined with eribulin in metastatic TNBC and explored rational preclinical combination strategies with PD-1/PD-L1 blockade based on clinical immune correlate analyses. PATIENTS AND

methodsA nonrandomized, open-label phase Ib/2 trial (NCT01596751) evaluated pexidartinib (PLX3397), a CSF1R inhibitor (CSF1Ri), plus eribulin mesylate in heavily pretreated individuals with metastatic TNBC. Clinical efficacy was assessed alongside peripheral blood correlates. Preclinical studies in transgenic mammary adenocarcinoma models examined biomarker-driven therapy combinations.

resultsThe 12-week progression-free survival rate was 36% (95% confidence interval, 22.2%-58.4%), with 44.8% of patients achieving clinical benefit; a subset experienced disease control beyond 6 months. Patients with partial response or stable disease demonstrated increased baseline leukocyte activation, including enrichment of CD8+ and CD4+ memory T cells and increased PD-1 expression on CD4+ T cells. In preclinical studies, CSF1Ri expanded the therapeutic index of PD-1 blockade, yielding transient tumor regression in ∼60% of mice and a transient expansion of effector and resident memory T cells.

conclusionsThese clinical and preclinical findings provide rationale for therapies to increase the therapeutic index of αPD-1 therapy by diminishing the presence of T cell-suppressive myelomonocytic cells to improve outcomes for patients with refractory disease.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsImmune Checkpoint InhibitorsReceptors, Granulocyte-Macrophage Colony-Stimulating FactorTriple Negative Breast NeoplasmsAminopyridinesAnimalsCD8-Positive T-LymphocytesFemaleFuransHumansKetonesMiceMice, TransgenicMiddle AgedPolyether PolyketidesProgrammed Cell Death 1 ReceptorAminopyridineseribulinFuransImmune Checkpoint InhibitorsKetonesPDCD1 protein, humanpexidartinibPolyether PolyketidesProgrammed Cell Death 1 ReceptorPyrrolesReceptor, Macrophage Colony-Stimulating FactorReceptors, Granulocyte-Macrophage Colony-Stimulating Factor

Identifiers

PMID41894563
PMCPMC13376889

What Socratic holds

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LicenceCC BY-NC-ND
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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 Socratic graph.