Evidence map›Paper›PMID 16087944›Full record

Trial reportJournal of clinical oncology : official journal of the American Society of Clinical Oncology2005

Autoimmunity correlates with tumor regression in patients with metastatic melanoma treated with anti-cytotoxic T-lymphocyte antigen-4.

Peter Attia, Giao Q Phan, Ajay V Maker, Michael R Robinson, Martha M Quezado, James C Yang, Richard M Sherry, Suzanne L Topalian, Udai S Kammula, Richard E Royal and 7 more

Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00032045 (An Open-label Study Of MDX-010 In Combination With gp100 Peptides Emulsified With Montanide ISA 51 In The Treatment Of Patients With Stage IV Melanoma), which is not on this map. Cited by 382 papers, 12 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
382citing papers in PubMed, 12 pooled it
–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.

NCT00032045 phase2completednot on this map

An Open-label Study Of MDX-010 In Combination With gp100 Peptides Emulsified With Montanide ISA 51 In The Treatment Of Patients With Stage IV Melanoma

TypeinterventionalSponsorNational Cancer Institute (NCI)Ran2002 to 2006ConditionsIntraocular Melanoma, Melanoma (Skin)Armsgp100 antigen, incomplete Freund's adjuvant, ipilimumab
3 · Its place in the literature

Who cites it

382 citing papers in PubMed, 12 syntheses or guidelines pooled it.

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  8. Guideline
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  13. The Role of Anti-PD-1/PD-L1 in the Treatment of Skin Cancer.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2020
    Trial
  14. Trial
  15. The role of interimEuropean journal of nuclear medicine and molecular imaging · 2018
    Trial
  16. Trial
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  19. Talimogene Laherparepvec in Combination With Ipilimumab in Previously Untreated, Unresectable Stage IIIB-IV Melanoma.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2016
    Trial
  20. Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors.

Peter AttiaSurgery Branch, National Cancer Institute, National Institutes of Health, CRC, Room 3W-3940, 10 Center Dr, Bethesda, MD 20892-1201, USA.
Giao Q Phan
Ajay V Maker
Michael R Robinson
Martha M Quezado
James C Yang
Richard M Sherry
Suzanne L Topalian
Udai S Kammula
Richard E Royal
Nicholas P Restifo
Leah R Haworth
Catherine Levy
Sharon A Mavroukakis
Geoff Nichol
Michael J Yellin
Steven A Rosenberg

Funding

SURGICAL CONSULTATIONS AND COLLABORATIVE RESEARCH IN SURGICAL SERVICES AT NIHZ01SC003800 · SC · DIVISION OF CLINICAL SCIENCES - NCI · PI ROSENBERG, STEVEN A · 1996 to 2008
$7.5M
Building on the success of the adoptive immunotherapy of cancerZ01BC010763 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI RESTIFO, NICHOLAS P · 2006 to 2008
$6.4M
THE IMMUNOTHERAPY OF ANIMAL AND HUMAN CANCERZ01SC003811 · SC · CLINICAL SCIENCES · PI ROSENBERG, STEVEN A · 1996 to 2007
$3.2M
Immunotherapy Strategies for Gastrointestinal and Hepatocellular CancerZ01BC010649 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI KAMMULA, UDAI S · 2005 to 2008
$1.1M
RECOMBINANT AND SYNTHETIC ANTI-CANCER VACCINESZ01SC006670 · SC · CLINICAL SCIENCES · PI RESTIFO, NICHOLAS P · 1996 to 2005
–
Intramural NIH HHS Z01 BC010763Intramural NIH HHS Z99 CA999999
6 · The paper itself

Abstract

purposePreviously, we reported our experience treating 14 patients with metastatic melanoma using a fully human antibody to cytotoxic T-lymphocyte antigen-4 (anti-CTLA-4) in conjunction with peptide vaccination. We have now treated 56 patients to evaluate two different dose schedules of anti-CTLA-4 and to explore the relationship between autoimmunity and tumor regression. PATIENTS AND

methodsA total of 56 patients with progressive stage IV melanoma were enrolled onto the study. All had Karnofsky performance status > or = 60% with no prior history of autoimmunity. Twenty-nine patients received 3 mg/kg anti-CTLA-4 every 3 weeks, whereas 27 received 3 mg/kg as their initial dose with subsequent doses reduced to 1 mg/kg every 3 weeks. In both cohorts patients received concomitant vaccination with two modified HLA-A*0201-restricted peptides from the gp100 melanoma-associated antigen, gp100:209-217(210M) and gp100:280-288(288V).

resultsTwo patients achieved a complete response (ongoing at 30 and 31 months, respectively) and five patients achieved a partial response (durations of 4, 6, 25+, 26+, and 34+ months, respectively), for an overall objective response rate of 13%. Tumor regression was seen in lung, liver, brain, lymph nodes, and subcutaneous sites. Of 14 patients with grade 3/4 autoimmune toxicity, five (36%) experienced a clinical response compared with only two responses in the 42 patients (5%) with no autoimmune toxicity (P = .008). There were no significant differences in response rate or toxicity between the two dose schedules.

conclusionAdministration of anti-CTLA-4 monoclonal antibody plus peptide vaccination can cause durable objective responses, which correlate with the induction of autoimmunity, in patients with metastatic melanoma.

Indexed as

AutoimmunityAdultAgedAntigens, CDAntigens, DifferentiationCancer VaccinesCTLA-4 AntigenDrug Administration ScheduleFemaleHumansImmunosuppressive AgentsInjections, IntravenousMaleMelanomaMiddle AgedPrognosisAntigens, CDAntigens, DifferentiationCancer VaccinesCTLA-4 AntigenCTLA4 protein, humanImmunosuppressive Agents

Identifiers

PMID16087944
PMCPMC1473965

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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 OpenQuestion graph.