Evidence map›Paper›PMID 16315030›Full record

Trial reportCancer immunology, immunotherapy : CII2006

Complete remission of liver metastasis of pancreatic cancer under vaccination with a HLA-A2 restricted peptide derived from the universal tumor antigen survivin.

Marion Wobser, Petra Keikavoussi, Volker Kunzmann, Markus Weininger, Mads H Andersen, Juergen C Becker

Open access · greenAbstract readCase ReportsClinical Trial
In one paragraph

Trial report in Cancer immunology, immunotherapy : CII, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 72 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
72citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 6% 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

72 citing papers in PubMed, 1 synthesis or guideline pooled it, 160 citations in OpenAlex.

  1. Pooled it
  2. Trial
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  6. Review
  7. Immunotherapy for pediatric low-grade gliomas.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2024
    Review
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  12. Article
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  17. Immunotherapy in pancreatic ductal adenocarcinoma: an emerging entity?Annals of oncology : official journal of the European Society for Medical Oncology · 2017
    Review
  18. Article
  19. Immunotherapy in pancreatic cancer treatment: a new frontier.Therapeutic advances in gastroenterology · 2017
    Review
  20. Article

12 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

6 authors at 2 institutions in 2 countries.

Marion WobserDepartment of Dermatology and Venerology, University of Wuerzburg, Josef-Schneider-Strasse 2, Building 13, 97080 Wuerzburg, Germany.
Petra Keikavoussi
Volker Kunzmann
Markus Weininger
Mads H Andersen
Juergen C Becker
University of Würzburg · DEDanish Cancer Society · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAs prognosis of advanced pancreatic cancer remains gloomy, novel therapeutic modalities have to be developed. Immunotherapy, which targets tumor-associated antigens of tumor cells or tumor stroma, is currently under investigation. As survivin is expressed by neoplastic and tumor endothelial cells, but rarely by normal cells, this antigen appears as an intriguing target molecule.

methodsA 72-year old patient, suffering from pancreatic cancer refractory to gemcitabine therapy, received the survivin-based peptide vaccinations consisting of 100 mug of a modified HLA-A2 restricted survivin(96-104) epitope in Montanide(R). Each visit the patient was assessed for adverse events, quality of life and immunological response. Immuno-monitoring was performed by IFN-gamma-ELISPOT analysis of peripheral blood lymphocytes. Clinical outcome was evaluated by repetitive computed tomography.

resultsUnder vaccination with survivin peptides the patient initially underwent partial remission of liver metastasis which proceeded after 6 months into a complete remission with a duration of 8 months. Immunological monitoring revealed strong vaccine-induced immune-reactivity against survivin. Unfortunately, after the patient was weaned from vaccination in state of no evidence of disease, he developed recurrent disease.

conclusionT-cell responses against survivin-expressing cells of the tumor itself and tumor endothelium should impact tumor growth and metastasis. The presented patient with pancreatic cancer is the first example of a successful application of a survivin-based vaccination in the clinical setting. An ongoing phase I/II trial with HLA-A1, -A2 and -B35 restricted survivin peptides for patients with advanced cancer will provide further information towards this notion.

Indexed as

AdenocarcinomaAgedCancer VaccinesEpitopes, T-LymphocyteHLA-A2 AntigenHumansImmunotherapyInhibitor of Apoptosis ProteinsInterferon-gammaLiver NeoplasmsMaleMicrotubule-Associated ProteinsNeoplasm ProteinsPancreatic NeoplasmsPeptide FragmentsSurvivinBIRC5 protein, humanCancer VaccinesEpitopes, T-LymphocyteHLA-A2 AntigenInhibitor of Apoptosis ProteinsInterferon-gammaMicrotubule-Associated ProteinsNeoplasm ProteinsPeptide FragmentsSurvivin

Identifiers

PMID16315030
PMCPMC11031112
OpenAlexW2081027784

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.