Evidence map›Paper›PMID 18216244›Full record

Trial reportProceedings of the National Academy of Sciences of the United States of America2008

Booster vaccination of cancer patients with MAGE-A3 protein reveals long-term immunological memory or tolerance depending on priming.

Djordje Atanackovic, Nasser K Altorki, Yanran Cao, Erika Ritter, Cathy A Ferrara, Gerd Ritter, Eric W Hoffman, Carsten Bokemeyer, Lloyd J Old, Sacha Gnjatic

Abstract readClinical Trial, Phase II
In one paragraph

Trial report in Proceedings of the National Academy of Sciences of the United States of America, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 76 papers.

0numbers the graph read from it
0cells of the map it votes in
76citing papers in PubMed
6.9field-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

76 citing papers in PubMed, 155 citations in OpenAlex.

  1. Trial
  2. Cancer regression and neurological toxicity following anti-MAGE-A3 TCR gene therapy.Journal of immunotherapy (Hagerstown, Md. : 1997) · 2013
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  4. NY-ESO-1 DNA vaccine induces T-cell responses that are suppressed by regulatory T cells.Clinical cancer research : an official journal of the American Association for Cancer Research · 2009
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  19. AttenuatedCancer biology & medicine · 2019
    Article
  20. Article

16 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

10 authors at 6 institutions in 2 countries.

Djordje AtanackovicDepartment of Oncology/Hematology, University Medical Center Hamburg-Eppendorf, 20246 Hamburg, Germany.
Nasser K Altorki
Yanran Cao
Erika Ritter
Cathy A Ferrara
Gerd Ritter
Eric W Hoffman
Carsten Bokemeyer
Lloyd J Old
Sacha Gnjatic
Ludwig Cancer Research · USMemorial Sloan Kettering Cancer Center · USUniversität Hamburg · DECornell University · USPresbyterian Hospital · USUniversity Medical Center Hamburg-Eppendorf · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We previously reported results of a phase II trial in which recombinant MAGE-A3 protein was administered with or without adjuvant AS02B to 18 non-small-cell lung cancer (NSCLC) patients after tumor resection. We found that the presence of adjuvant was essential for the development of humoral and cellular responses against selected MAGE-A3 epitopes. In our current study, 14 patients that still had no evidence of disease up to 3 years after vaccination with MAGE-A3 protein with or without adjuvant received an additional four doses of MAGE-A3 protein with adjuvant AS02B. After just one boost injection, six of seven patients originally vaccinated with MAGE-A3 protein plus adjuvant reached again their peak antibody titers against MAGE-A3 attained during the first vaccination. All seven patients subsequently developed even stronger antibody responses. Furthermore, booster vaccination widened the spectrum of CD4(+) and CD8(+) T cells against various new and known MAGE-A3 epitopes. In contrast, only two of seven patients originally vaccinated with MAGE-A3 protein alone developed high-titer antibodies to MAGE-A3, and all these patients showed very limited CD4(+) and no CD8(+) T cell reactivity, despite now receiving antigen in the presence of adjuvant. Our results underscore the importance of appropriate antigen priming using an adjuvant for generating persistent B and T cell memory and allowing typical booster responses with reimmunization. In contrast, absence of adjuvant at priming compromises further immunization attempts. These data provide an immunological rationale for vaccine design in light of recently reported favorable clinical responses in NSCLC patients after vaccination with MAGE-A3 protein plus adjuvant AS02B.

Indexed as

Immunization, SecondaryVaccinationAntibodies, NeoplasmAntigens, NeoplasmCancer VaccinesCarcinoma, Non-Small-Cell LungCD4-Positive T-LymphocytesCD8-Positive T-LymphocytesEpitope MappingFemaleHumansImmune ToleranceLung NeoplasmsMaleNeoplasm ProteinsT-LymphocytesAntibodies, NeoplasmAntigens, NeoplasmCancer VaccinesMAGEA3 protein, humanNeoplasm Proteins

Identifiers

PMID18216244
PMCPMC2234199
OpenAlexW1966936031

What OpenQuestion holds

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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.