Summary of Study ST002109

This data is available at the NIH Common Fund's National Metabolomics Data Repository (NMDR) website, the Metabolomics Workbench, https://www.metabolomicsworkbench.org, where it has been assigned Project ID PR001336. The data can be accessed directly via it's Project DOI: 10.21228/M81D70 This work is supported by NIH grant, U2C- DK119886.

See: https://www.metabolomicsworkbench.org/about/howtocite.php

This study contains a large results data set and is not available in the mwTab file. It is only available for download via FTP as data file(s) here.

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Study IDST002109
Study TitleTowards a mechanistic understanding of patient response to neoadjuvant SBRT with anti-PDL1 in human HPV-unrelated locally advanced HNSCC: Phase I/Ib trial results (Part 1)
Study SummaryFive-year survival for HPV-unrelated head and neck squamous cell carcinomas (HNSCC) remains below 50%. We assessed the safety of administering combination hypofractionated stereotactic body radiation therapy (SBRT) with anti-PDL-1 neoadjuvantly followed by adjuvant anti-PDL-1 with standard of care therapy (n=21). The primary endpoint of the study was safety, which was met. Secondary endpoints included radiographic, pathologic, and objective response, locoregional control (LRC), progression-free survival (PFS), and overall survival (OS). Among evaluable patients at early median follow-up of 16 months (448 days), OS was 83.3%, LRC and PFS were 83.3%, and major pathological response (MPR) or complete response (CR) was 75%. Circulating CD8/Treg ratio, CD4 effector memory T cells, and TCR repertoire emerged as biologic correlates of response to therapy. Using high-dimensional multi-omics and spatial data as well as biological correlatives pre- and post-treatment, three major changes were noted in responders within the tumor microenvironment (TME) (and within the blood) post-treatment: 1) an increase in effector T cells; 2) a decrease in immunosuppressive cells; and 3) an increase in antigen presentation. Non-responders appeared to fail due to a lack of one of these three identified steps needed for priming and maintaining activation of T cells. Multiple correlates for response, along with subsets of non-responders that may benefit from additional or alternative immunotherapies, were identified. This treatment is being tested in an ongoing phase II trial with a similar design, where we hope to confirm and expand on our understanding of the mechanisms underlying resistance to therapy.
Institute
University of Colorado Denver
Last NameCulp-Hill
First NameRachel
Address12801 E 17th Ave L18-9403D, Aurora, Colorado, 80045, USA
Emailrachel.hill@cuanschutz.edu
Phone303-724-5798
Submit Date2022-03-09
Raw Data AvailableYes
Raw Data File Type(s)mzXML
Analysis Type DetailLC-MS
Release Date2022-04-04
Release Version1
Rachel Culp-Hill Rachel Culp-Hill
https://dx.doi.org/10.21228/M81D70
ftp://www.metabolomicsworkbench.org/Studies/ application/zip

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Factors:

Subject type: Human; Subject species: Homo sapiens (Factor headings shown in green)

mb_sample_id local_sample_id Phenotype Treatment
SA202361BW45-39NA Post
SA202362BW45-40NA Post
SA202363BW45-38NA Post
SA202364BW45-41NA Pre
SA202365BW45-37NA Pre
SA202366BW45-36NA Pre
SA202393BW45-1non-responder Post
SA202394BW45-5non-responder Post
SA202395BW45-29non-responder Post
SA202396BW45-7non-responder Post
SA202397BW45-25non-responder Post
SA202398BW45-4non-responder Pre
SA202399BW45-6non-responder Pre
SA202400BW45-28non-responder Pre
SA202401BW45-24non-responder Pre
SA202367BW45-13Responder Post
SA202368BW45-15Responder Post
SA202369BW45-11Responder Post
SA202370BW45-17Responder Post
SA202371BW45-3Responder Post
SA202372BW45-9Responder Post
SA202373BW45-23Responder Post
SA202374BW45-33Responder Post
SA202375BW45-35Responder Post
SA202376BW45-19Responder Post
SA202377BW45-31Responder Post
SA202378BW45-27Responder Post
SA202379BW45-21Responder Post
SA202380BW45-30Responder Pre
SA202381BW45-32Responder Pre
SA202382BW45-34Responder Pre
SA202383BW45-26Responder Pre
SA202384BW45-16Responder Pre
SA202385BW45-8Responder Pre
SA202386BW45-2Responder Pre
SA202387BW45-22Responder Pre
SA202388BW45-10Responder Pre
SA202389BW45-12Responder Pre
SA202390BW45-20Responder Pre
SA202391BW45-18Responder Pre
SA202392BW45-14Responder Pre
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