Evidence map›Paper›PMID 18566444›Full record

Trial reportJournal of immunology (Baltimore, Md. : 1950)2008

Immunization of malignant melanoma patients with full-length NY-ESO-1 protein using TLR7 agonist imiquimod as vaccine adjuvant.

Sylvia Adams, David W O'Neill, Daisuke Nonaka, Elizabeth Hardin, Luis Chiriboga, Kimberly Siu, Crystal M Cruz, Angelica Angiulli, Francesca Angiulli, Erika Ritter and 14 more

Registry-linked trialOpen access · bronzeAbstract readClinical Trial
In one paragraph

Trial report in Journal of immunology (Baltimore, Md. : 1950), 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00142454 (NY-ESO-1 Protein Vaccination in Malignant Melanoma Administered With Imiquimod as Adjuvant), which is not on this map. Cited by 118 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
118citing papers in PubMed, 1 pooled it
8.7field-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.

NCT00142454 phase1completednot on this map

NY-ESO-1 Protein Vaccination in Malignant Melanoma Administered With Imiquimod as Adjuvant

TypeinterventionalSponsorLudwig Institute for Cancer ResearchRan2005 to 2006Enrolled9ConditionsMalignant MelanomaArmsImiquimod, NY-ESO-1 protein
3 · Its place in the literature

Who cites it

118 citing papers in PubMed, 1 synthesis or guideline pooled it, 244 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Topical TLR7 agonist imiquimod can induce immune-mediated rejection of skin metastases in patients with breast cancer.Clinical cancer research : an official journal of the American Association for Cancer Research · 2012
    Trial
  6. Trial
  7. Trial
  8. Trial
  9. 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
    Trial
  10. CTLA-4 blockade enhances polyfunctional NY-ESO-1 specific T cell responses in metastatic melanoma patients with clinical benefit.Proceedings of the National Academy of Sciences of the United States of America · 2008
    Trial
  11. Article
  12. Toll-like receptor agonists as cancer vaccine adjuvants.Human vaccines & immunotherapeutics · 2024
    Review
  13. Review
  14. Adjuvant effect of dendritic cells activator Imiquimod in genetic immunization with HIV-1 p55 Gag.Journal of immunological techniques in infectious diseases · 2023
    Article
  15. Review
  16. Article
  17. Review
  18. Article
  19. Review
  20. Article

58 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

24 authors at 3 institutions in 2 countries.

Sylvia AdamsDepartment of Medicine, Division of Medical Oncology, New York University Cancer Institute, School of Medicine, New York, NY 10016, USA.
David W O'Neill
Daisuke Nonaka
Elizabeth Hardin
Luis Chiriboga
Kimberly Siu
Crystal M Cruz
Angelica Angiulli
Francesca Angiulli
Erika Ritter
Rose Marie Holman
Richard L Shapiro
Russell S Berman
Natalie Berner
Yongzhao Shao
Olivier Manches
Linda Pan
Ralph R Venhaus
Eric W Hoffman
Achim Jungbluth
Sacha Gnjatic
Lloyd Old
Anna C Pavlick
Nina Bhardwaj
Ludwig Cancer Research · USNational Institute of Pathology · INNew York University · US

Funding

Vaccine FacilityP30CA016087 · NCI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI ADRIANA HEGUY · 1985 to 2026
$83.1M
Dendritic Cell mediated induction of Anti-HCV immunityR01AI061684 · NIAID · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI BHARDWAJ, NINA · 2004 to 2008
$2.9M
Augmenting Cancer Vaccine Therapy with TLR9 agonistsK23CA125205 · NCI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI ADAMS, SYLVIA · 2007 to 2011
$691k
NCI NIH HHS 5P30CA016087NCI NIH HHS K23 CA125205NCI NIH HHS P30 CA016087NIAID NIH HHS 5R01AI061684NIAID NIH HHS R01 AI061684
6 · The paper itself

Abstract

T cell-mediated immunity to microbes and to cancer can be enhanced by the activation of dendritic cells (DCs) via TLRs. In this study, we evaluated the safety and feasibility of topical imiquimod, a TLR7 agonist, in a series of vaccinations against the cancer/testis Ag NY-ESO-1 in patients with malignant melanoma. Recombinant, full-length NY-ESO-1 protein was administered intradermally into imiquimod preconditioned sites followed by additional topical applications of imiquimod. The regimen was very well tolerated with only mild and transient local reactions and constitutional symptoms. Secondarily, we examined the systemic immune response induced by the imiquimod/NY-ESO-1 combination, and show that it elicited both humoral and cellular responses in a significant fraction of patients. Skin biopsies were assessed for imiquimod's in situ immunomodulatory effects. Compared with untreated skin, topical imiquimod induced dermal mononuclear cell infiltrates in all patients composed primarily of T cells, monocytes, macrophages, myeloid DCs, NK cells, and, to a lesser extent, plasmacytoid DCs. DC activation was evident. This study demonstrates the feasibility and excellent safety profile of a topically applied TLR7 agonist used as a vaccine adjuvant in cancer patients. Imiquimod's adjuvant effects require further evaluation and likely need optimization of parameters such as formulation, dose, and timing relative to Ag exposure for maximal immunogenicity.

Indexed as

ImmunizationAdjuvants, ImmunologicAdultAgedAminoquinolinesAntibody FormationAntigens, NeoplasmBiopsyCancer VaccinesEpitope MappingErythemaFemaleHumansImiquimodMaleMelanomaAdjuvants, ImmunologicAminoquinolinesAntigens, NeoplasmCancer VaccinesCTAG1B protein, humanImiquimodMembrane ProteinsToll-Like Receptor 7

Identifiers

PMID18566444
PMCPMC2583094
OpenAlexW1944300754

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.