Evidence map›Paper›PMID 18334033›Full record

Trial reportJournal of translational medicine2008

Transient T cell depletion causes regression of melanoma metastases.

Mary Ann Rasku, Amy L Clem, Sucheta Telang, Beverly Taft, Kelly Gettings, Hana Gragg, Daniel Cramer, Sheron C Lear, Kelly M McMasters, Donald M Miller and 1 more

Registry-linked trialOpen access · goldAbstract readClinical Trial, Phase II
In one paragraph

Trial report in Journal of translational medicine, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00299689 (Phase II Trial of ONTAK With Metastatic Melanoma), which is not on this map. Cited by 69 papers.

0numbers the graph read from it
0cells of the map it votes in
69citing papers in PubMed
8.6field-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.

NCT00299689 phase2completednot on this map

Phase II Trial of ONTAK With Metastatic Melanoma

TypeinterventionalSponsorJames Graham Brown Cancer CenterRan2006 to 2010Enrolled69ConditionsMalignant MelanomaArmsDenileukin diftitox
3 · Its place in the literature

Who cites it

69 citing papers in PubMed, 163 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Review
  5. Review
  6. Article
  7. Review
  8. Article
  9. Article
  10. Review
  11. Understanding and Targeting Human Cancer Regulatory T Cells to Improve Therapy.Advances in experimental medicine and biology · 2021
    Article
  12. Article
  13. Overcoming Immune Evasion in Melanoma.International journal of molecular sciences · 2020
    Review
  14. Review
  15. Review
  16. Article
  17. Review
  18. Microbiology spectrum · 2019
    Review
  19. Article
  20. Review

9 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

11 authors at 2 institutions in 1 country.

Mary Ann RaskuMolecular Targets Program, James Graham Brown Cancer Center, University of Louisville School of Medicine, Louisville, KY, USA. m0rask01@gwise.louisville.edu
Amy L Clem
Sucheta Telang
Beverly Taft
Kelly Gettings
Hana Gragg
Daniel Cramer
Sheron C Lear
Kelly M McMasters
Donald M Miller
Jason Chesney
University of Louisville · USJames Graham Brown Foundation · US

Funding

James Graham Brown P20 ApplicationP20CA097942 · NCI · UNIVERSITY OF LOUISVILLE · PI MILLER, DONALD M · 2002 to 2006
$1.2M
NCI NIH HHS 5P20CA097942-05NCI NIH HHS P20 CA097942
6 · The paper itself

Abstract

backgroundCognate immunity against neoplastic cells depends on a balance between effector T cells and regulatory T (Treg) cells. Treg cells prevent immune attack against normal and neoplastic cells by directly suppressing the activation of effector CD4+ and CD8+ T cells. We postulated that a recombinant interleukin 2/diphtheria toxin conjugate (DAB/IL2; Denileukin Diftitox; Ontak) may serve as a useful strategy to deplete Treg cells and break tolerance against neoplastic tumors in humans.

methodsWe administered DAB/IL2 (12 microg/kg; four daily doses; 21 day cycles) to 16 patients with metastatic melanoma and measured the effects on the peripheral blood concentration of several T cell subsets and on tumor burden.

resultsWe found that DAB/IL2 caused a transient depletion of Treg cells as well as total CD4+ and CD8+ T cells (< 21 days). T cell repopulation coincided with the de novo appearance of melanoma antigen-specific CD8+ T cells in several patients as determined by flow cytometry using tetrameric MART-1, tyrosinase and gp100 peptide/MHC conjugates. Sixteen patients received at least one cycle of DAB/IL2 and five of these patients experienced regressions of melanoma metastases as measured by CT and/or PET imaging. One patient experienced a near complete response with the regression of several hepatic and pulmonary metastases coupled to the de novo appearance of MART-1-specific CD8+ T cells. A single metastatic tumor remained in this patient and, after surgical resection, immunohistochemical analysis revealed MART1+ melanoma cells surrounded by CD8+ T cells.

conclusionTaken together, these data indicate that transient depletion of T cells in cancer patients may disrupt the homeostatic control of cognate immunity and allow for the expansion of effector T cells with specificity against neoplastic cells. Several T cell depleting agents are clinically available and this study provides strong rationale for an examination of their efficacy in cancer patients.

trial registrationNCT00299689 (ClinicalTrials.gov Identifier).

Indexed as

AdultAgedAntigens, NeoplasmAntineoplastic AgentsCell Line, TumorDiphtheria ToxinFemaleHumansImmunoglobulin GInterleukin-2Leukocyte CountMaleMelanomaMiddle AgedNeoplasm MetastasisRecombinant Fusion ProteinsAntigens, NeoplasmAntineoplastic Agentsdenileukin diftitoxDiphtheria ToxinImmunoglobulin GInterleukin-2Recombinant Fusion Proteins

Identifiers

PMID18334033
PMCPMC2330026
OpenAlexW2130087151

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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.