Evidence map›Paper›PMID 10435085›Full record

Trial reportGene therapy1999

Adenovector-mediated gene delivery of interleukin-2 in metastatic breast cancer and melanoma: results of a phase 1 clinical trial.

A K Stewart, N J Lassam, I C Quirt, D J Bailey, L E Rotstein, M Krajden, S Dessureault, S Gallinger, D Cappe, Y Wan and 4 more

Abstract readClinical TrialClinical Trial, Phase I
PubMed Publisher
In one paragraph

Trial report in Gene therapy, 1999. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 1 pooled it
7.9field-weighted citation impact, top 2% 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.

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

36 citing papers in PubMed, 1 synthesis or guideline pooled it, 130 citations in OpenAlex.

  1. Efficacy of skin-directed therapy for cutaneous metastases from advanced cancer: a meta-analysis.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2014
    Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Molecular evolution of human species D adenoviruses.Infection, genetics and evolution : journal of molecular epidemiology and evolutionary genetics in infectious diseases · 2011
    Article
  12. In vivo cell death mediated by synthetic ion channels.Chemical communications (Cambridge, England) · 2011
    Article
  13. Immune therapy for breast cancer in 2010-hype or hope?Current oncology (Toronto, Ont.) · 2011
    Article
  14. DNA as therapeutics; an update.Indian journal of pharmaceutical sciences · 2009
    Article
  15. Article
  16. Article
  17. Immunoprevention and immunotherapy of cancer in ageing.Cancer immunology, immunotherapy : CII · 2005
    Review
  18. Article
  19. Article
  20. Gene therapeutic approaches for medullary thyroid carcinoma treatment.Journal of molecular medicine (Berlin, Germany) · 2003
    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

14 authors at 7 institutions in 3 countries.

A K StewartToronto Hospital, Ontario, Canada.
N J Lassam
I C Quirt
D J Bailey
L E Rotstein
M Krajden
S Dessureault
S Gallinger
D Cappe
Y Wan
C L Addison
R C Moen
J Gauldie
F L Graham
Princess Margaret Cancer Centre · CAMcMaster University · CABaxter (United States) · USMount Sinai Hospital · CAPrincess Margaret Hospital · NZRegional Cancer Center · USUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We conducted a phase 1 trial of direct injection of an E1, E3-deleted adenovirus encoding interleukin-2 (AdCAIL-2) into subcutaneous deposits of melanoma or breast cancer. Twenty-three patients were injected at seven dose levels (10(7)-10(10) p.f.u). Local inflammation was observed at the site of injection in 60% of patients, but side-effects were otherwise minor. Incomplete local tumor regression occurred at the site of injection in 24% of patients, but no conventional clinical responses were seen. Circulating CD4 and CD8 counts fell significantly 24 h after injection. Post-injection biopsies demonstrated tumor necrosis and lymphocytic infiltration with the predominant tumor-infiltrating cells both CD3- and CD8-positive. Vector-derived sequences were detected in 14 of 18 biopsies examined 7 days after injection and vector-derived hIL-2 mRNA was detected in 80% of 7-day biopsies processed after injection of 10(8) p.f.u. of AdCAIL-2 or higher. While IL-2 was detectable by ELISA in tumor biopsies at 48 h, no protein was detectable in injected tumors after 7 days and no circulating IL-2 was detectable at any time-point. No Ad5E1 sequences were detected either before or after injection indicating absence of replication-competent virus or endogenous E1-like sequence; furthermore, only rare vector shedding was detected. Anti-adenovirus and neutralizing antibody titers were elevated 1 month after injection in all patients. This trial therefore confirms the safety of use of adenoviral vectors for gene delivery in humans and demonstrates successful transgene expression even in the face of pre-existing immunity to adenovirus.

Indexed as

AdenoviridaeAntibodies, ViralBreast NeoplasmsCD3 ComplexCD4-Positive T-LymphocytesCD8 AntigensCD8-Positive T-LymphocytesDose-Response Relationship, ImmunologicFemaleGene ExpressionGenetic TherapyGenetic VectorsHumansImmunohistochemistryInjections, IntralesionalInterleukin-2Antibodies, ViralCD3 ComplexCD8 AntigensInterleukin-2

Identifiers

PMID10435085
OpenAlexW2333334969

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.