Evidence map›Paper›PMID 19638573›Full record

ArticleCancer research2009

Intravesical immunotherapy of superficial bladder cancer with chitosan/interleukin-12.

David A Zaharoff, Benjamin S Hoffman, H Brooks Hooper, Compton J Benjamin, Kiranpreet K Khurana, Kenneth W Hance, Connie J Rogers, Peter A Pinto, Jeffrey Schlom, John W Greiner

Open access · bronzeAbstract read
In one paragraph

Article in Cancer research, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed
9.4field-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.

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

58 citing papers in PubMed, 108 citations in OpenAlex.

  1. Review
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  11. The past, present, and future of immunotherapy for bladder tumors.Medical oncology (Northwood, London, England) · 2022
    Review
  12. Article
  13. Review
  14. Article
  15. Immune escape mechanisms and immunotherapy of urothelial bladder cancer.Journal of clinical and translational research · 2021
    Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. NHS-IL12, a Tumor-Targeting Immunocytokine.ImmunoTargets and therapy · 2021
    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

10 authors at 2 institutions in 1 country.

David A ZaharoffLaboratory of Tumor Immunology Center for Cancer Research, National Cancer Institute, NIH, Bethesda, Maryland 20892, USA.
Benjamin S Hoffman
H Brooks Hooper
Compton J Benjamin
Kiranpreet K Khurana
Kenneth W Hance
Connie J Rogers
Peter A Pinto
Jeffrey Schlom
John W Greiner
Center for Cancer Research · USNational Cancer Institute · US

Funding

Strategies for Cancer Vaccine Development: Preclinical StudiesZIABC010944 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI SCHLOM, JEFFREY · 2009 to 2025
$26.6M
Prostate SectionZIABC011081 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI PINTO, PETER · 2009 to 2025
$15.2M
Clinical Fellowship Training ProgramZIEBC011023 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI PINTO, PETER · 2009 to 2025
$10.3M
The use of chitosan for cancer vaccine deliveryZIABC010969 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI GREINER, JOHN · 2009 to 2012
$2.3M
Intramural NIH HHS Z99 CA999999
6 · The paper itself

Abstract

Intravesical BCG has been used successfully to treat superficial bladder cancer for three decades. However, 20% to 30% of patients will fail initial BCG therapy and 30% to 50% of patients will develop recurrent tumors within 5 years. Alternative or complementary strategies for the management of superficial bladder cancer are needed. Interleukin-12 (IL-12) is a potent T(H)1 cytokine with robust antitumor activity and the ability to potentiate immunologic memory. Unfortunately, intravesical IL-12 did not show antitumor efficacy in a recent clinical study of patients with recurrent superficial bladder cancer. We hypothesized that coformulation of IL-12 with chitosan, a biocompatible, mucoadhesive polysaccharide, could improve intravesical IL-12 delivery and provide an effective and durable alternative for the treatment of superficial bladder cancer. In antitumor studies, 88% to 100% of mice bearing orthotopic bladder tumors were cured after four intravesical treatments with chitosan/IL-12. In contrast, only 38% to 60% of mice treated with IL-12 alone and 0% treated with BCG were cured. Antitumor responses following chitosan/IL-12 treatments were durable and provided complete protection from intravesical tumor rechallenge. Urinary cytokine analysis showed that chitosan/IL-12 induced multiple T(H)1 cytokines at levels significantly higher than either IL-12 alone or BCG. Immunohistochemistry revealed moderate to intense tumor infiltration by T cells and macrophages following chitosan/IL-12 treatments. Bladder submucosa from cured mice contained residual populations of immune cells that returned to baseline levels after several months. Intravesical chitosan/IL-12 is a well-tolerated, effective immunotherapy that deserves further consideration for testing in humans for the management of superficial bladder cancer.

Indexed as

Administration, IntravesicalAnimalsBCG VaccineCarcinoma, Transitional CellCell Line, TumorChitosanFemaleImmunohistochemistryInterferon-gammaInterleukin-12LuciferasesMacrophagesMiceMice, Inbred C57BLTransfectionUrinary Bladder NeoplasmsBCG VaccineChitosanInterferon-gammaInterleukin-12Luciferases

Identifiers

PMID19638573
PMCPMC2788203
OpenAlexW1968101765

What OpenQuestion holds

Textmetadata
LicenceTDM
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.