Evidence map›Paper›PMID 19197326›Full record

ArticleCancer gene therapy2009

Immune response to vaccination with DNA-Hsp65 in a phase I clinical trial with head and neck cancer patients.

G D Victora, A Socorro-Silva, E C Volsi, K Abdallah, F D Lima, R B Smith, R A Moyses, C R Zárate-Bladés, P Michaluart, C L Silva and 2 more

Abstract readClinical Trial, Phase I
PubMed Publisher
In one paragraph

Article in Cancer gene therapy, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
3.4field-weighted citation impact, top 7% 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

20 citing papers in PubMed, 47 citations in OpenAlex.

  1. Chaperonin in health and disease.Molecular biomedicine · 2026
    Review
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  3. Article
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  7. Review
  8. Article
  9. A snapshot of gene therapy in Latin America.Genetics and molecular biology · 2014
    Review
  10. Review
  11. Article
  12. Article
  13. Systemic therapy strategies for head-neck carcinomas: Current status.GMS current topics in otorhinolaryngology, head and neck surgery · 2012
    Article
  14. Review
  15. Article
  16. Review
  17. Review
  18. Article
  19. Review
  20. 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

12 authors at 2 institutions in 1 country.

G D VictoraLaboratory of Immunology, Heart Institute (InCor), School of Medicine, University of Sao Paulo, Sao Paulo, Brazil.
A Socorro-Silva
E C Volsi
K Abdallah
F D Lima
R B Smith
R A Moyses
C R Zárate-Bladés
P Michaluart
C L Silva
J Kalil
V Coelho
Universidade de São Paulo · BRMillennium Institute · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

DNA-hsp65, a DNA vaccine encoding the 65-kDa heat-shock protein of Mycobacterium leprae (Hsp65) is capable of inducing the reduction of established tumors in mouse models. We conducted a phase I clinical trial of DNA-hsp65 in patients with advanced head and neck carcinoma. In this article, we report on the vaccine's potential to induce immune responses to Hsp65 and to its human homologue, Hsp60, in these patients. Twenty-one patients with unresectable squamous cell carcinoma of the head and neck received three doses of 150, 400 or 600 microg naked DNA-hsp65 plasmid by ultrasound-guided intratumoral injection. Vaccination did not increase levels of circulating anti-hsp65 IgG or IgM antibody, or lead to detectable Hsp65-specific cell proliferation or interferon-gamma (IFN-gamma) production by blood mononuclear cells. Frequency of antigen-induced IL-10-producing cells increased after vaccination in 4 of 13 patients analyzed. Five patients showed disease stability or regression following immunization; however, we were unable to detect significant differences between these patients and those with disease progression using these parameters. There was also no increase in antibody or IFN-gamma responses to human Hsp60 in these patients. Our results suggest that although DNA-hsp65 was able to induce some degree of immunostimulation with no evidence of pathological autoimmunity, we were unable to differentiate between patients with different clinical outcomes based on the parameters measured. Future studies should focus on characterizing more reliable correlations between immune response parameters and clinical outcome that may be used as predictors of vaccine success in immunosuppressed individuals.

Indexed as

AdultAgedAntibody FormationCancer VaccinesCarcinoma, Squamous CellDrug Administration ScheduleEnzyme-Linked Immunosorbent AssayFemaleHead and Neck NeoplasmsHeat-Shock ProteinsHumansImmunity, CellularImmunotherapyMaleMiddle AgedVaccines, DNACancer VaccinesHeat-Shock ProteinsVaccines, DNA

Identifiers

PMID19197326
OpenAlexW2002617552

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.