Evidence map›Paper›PMID 18535616›Full record

ArticleCancer gene therapy2008

Phase I trial of DNA-hsp65 immunotherapy for advanced squamous cell carcinoma of the head and neck.

P Michaluart, K A Abdallah, F D Lima, R Smith, R A Moysés, V Coelho, G D Victora, A Socorro-Silva, E C Volsi, C R Zárate-Bladés and 11 more

Abstract readClinical Trial, Phase I
PubMed Publisher
In one paragraph

Article in Cancer gene therapy, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–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.

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

18 citing papers in PubMed.

  1. Ultrasound-guided intra-tumoral administration of directly-injected therapies: a review of the technical and logistical considerations.Cancer imaging : the official publication of the International Cancer Imaging Society · 2024
    Review
  2. Review
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. A snapshot of gene therapy in Latin America.Genetics and molecular biology · 2014
    Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Review
  16. Strategies for cancer vaccine development.Journal of biomedicine & biotechnology · 2010
    Review
  17. Review
  18. Article
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

21 authors.

P MichaluartHSP65 Clinical Trial Group, University of São Paulo, São Paulo, Brazil.
K A Abdallah
F D Lima
R Smith
R A Moysés
V Coelho
G D Victora
A Socorro-Silva
E C Volsi
C R Zárate-Bladés
A R Ferraz
A K Barreto
M C Chammas
R Gomes
E Gebrim
L Arakawa-Sugueno
K P Fernandes
P A Lotufo
M R Cardoso
J Kalil
C L Silva

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Considering that mycobacterial heat-shock protein 65 (hsp65) gene transfer can elicit a profound antitumoral effect, this study aimed to establish the safety, maximum-tolerated dose (MTD) and preliminary efficacy of DNA-hsp65 immunotherapy in patients with advanced head and neck squamous cell carcinoma (HNSCC). For this purpose, 21 patients with unresectable and recurrent HNSCC were studied. Each patient received three ultrasound-guided injections at 21-day intervals of: 150, 600 or 400 microg of DNA-hsp65. Toxicity was graded according to CTCAE directions. Tumor volume was measured before and after treatment using computed tomography scan. The evaluation included tumor mass variation, delayed-type hypersensitivity response and spontaneous peripheral blood mononuclear cell proliferation before and after treatment. The MTD was 400 microg per dose. DNA-hsp65 immunotherapy was well tolerated with moderate pain, edema and infections as the most frequent adverse effects. None of the patients showed clinical or laboratory alterations compatible with autoimmune reactions. Partial response was observed in 4 out of 14 patients who completed treatment, 2 of which are still alive more than 3 years after the completion of the trial. Therefore, DNA-hsp65 immunotherapy is a feasible and safe approach at the dose of 400 microg per injection in patients with HNSCC refractory to standard treatment. Further studies in a larger number of patients are needed to confirm the efficacy of this novel strategy.

Indexed as

AdultAgedBacterial ProteinsCarcinoma, Squamous CellChaperonin 60ChaperoninsFeasibility StudiesFemaleHead and Neck NeoplasmsHumansImmunotherapyMaleMiddle AgedVaccines, DNABacterial ProteinsChaperonin 60Chaperoninsheat-shock protein 65, MycobacteriumVaccines, DNA

Identifiers

PMID18535616

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.