Evidence map›Paper›PMID 19556425›Full record

Trial reportBlood2009

Granulocyte-macrophage colony-stimulating factor (GM-CSF)-secreting cellular immunotherapy in combination with autologous stem cell transplantation (ASCT) as postremission therapy for acute myeloid leukemia (AML).

Ivan M Borrello, Hyam I Levitsky, Wendy Stock, Dorie Sher, Lu Qin, Daniel J DeAngelo, Edwin P Alyea, Richard M Stone, Lloyd E Damon, Charles A Linker and 2 more

Registry-linked trialAbstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Blood, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00116467 (Vaccination in the Peripheral Stem Cell Transplant Setting for Acute Myelogenous Leukemia), which is not on this map. Cited by 49 papers.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed
3.2field-weighted citation impact, top 8% 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.

NCT00116467 phase2completednot on this map

Vaccination in the Peripheral Stem Cell Transplant Setting for Acute Myelogenous Leukemia: The Use of Autologous Tumor Cells With an Allogeneic GM-CSF Producing Cell Line

TypeinterventionalSponsorCell GenesysRan2001 to 2006Enrolled55ConditionsAcute Myelogenous LeukemiaArmsGVAX leukemia vaccine (therapeutic cellular vaccine, GM-CSF producing)
3 · Its place in the literature

Who cites it

49 citing papers in PubMed, 97 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Review
  4. Article
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  6. Review
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  12. Article
  13. Cancer Immunotherapy, Part 2: Efficacy, Safety, and Other Clinical Considerations.P & T : a peer-reviewed journal for formulary management · 2017
    Article
  14. Multigene Measurable Residual Disease Assessment Improves Acute Myeloid Leukemia Relapse Risk Stratification in Autologous Hematopoietic Cell Transplantation.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2016
    Article
  15. Review
  16. Review
  17. Insight to drug delivery aspects for colorectal cancer.World journal of gastroenterology · 2016
    Review
  18. Review
  19. Article
  20. Review
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 5 institutions in 1 country.

Ivan M BorrelloThe Johns Hopkins University, Baltimore, MD 21231, USA
Hyam I Levitsky
Wendy Stock
Dorie Sher
Lu Qin
Daniel J DeAngelo
Edwin P Alyea
Richard M Stone
Lloyd E Damon
Charles A Linker
Daniel J Maslyar
Kristen M Hege
Harvard University · USJohns Hopkins University · USGenesys (United States) · USUniversity of California, San Francisco · USUniversity of Chicago · US

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Kathrin Milbury · 1985 to 2026
$290.8M
TUMOR VACCINESP01CA015396 · NCI · JOHNS HOPKINS UNIVERSITY · PI LEVITSKY, HYAM ISAAC · 1985 to 2016
$38.1M
NCI NIH HHS 2P01CA15396-23NCI NIH HHS P01 CA015396
6 · The paper itself

Abstract

Preclinical models have demonstrated the efficacy of granulocyte-macrophage colony-stimulating factor-secreting cancer immunotherapies (GVAX platform) accompanied by immunotherapy-primed lymphocytes after autologous stem cell transplantation in hematologic malignancies. We conducted a phase 2 study of this combination in adult patients with acute myeloid leukemia. Immunotherapy consisted of autologous leukemia cells admixed with granulocyte-macrophage colony-stimulating factor-secreting K562 cells. "Primed" lymphocytes were collected after a single pretransplantation dose of immunotherapy and reinfused with the stem cell graft. Fifty-four subjects were enrolled; 46 (85%) achieved a complete remission, and 28 (52%) received the pretransplantation immunotherapy. For all patients who achieved complete remission, the 3-year relapse-free survival (RFS) rate was 47.4% and overall survival was 57.4%. For the 28 immunotherapy-treated patients, the RFS and overall survival rates were 61.8% and 73.4%, respectively. Posttreatment induction of delayed-type hypersensitivity reactions to autologous leukemia cells was associated with longer 3-year RFS rate (100% vs 48%). Minimal residual disease was monitored by quantitative analysis of Wilms tumor-1 (WT1), a leukemia-associated gene. A decrease in WT1 transcripts in blood was noted in 69% of patients after the first immunotherapy dose and was also associated with longer 3-year RFS (61% vs 0%). In conclusion, immunotherapy in combination with primed lymphocytes and autologous stem cell transplantation shows encouraging signals of potential activity in acute myeloid leukemia (ClinicalTrials.gov: NCT00116467).

Indexed as

AdultCell Line, TumorDisease-Free SurvivalFemaleGranulocyte-Macrophage Colony-Stimulating FactorHumansImmunotherapyLeukemia, Myeloid, AcuteMaleMiddle AgedRemission InductionStem Cell TransplantationTransplantation, AutologousTreatment OutcomeGranulocyte-Macrophage Colony-Stimulating Factor

Identifiers

PMID19556425
PMCPMC2738565
OpenAlexW2137236915

What OpenQuestion holds

Textmetadata
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.