Evidence map›Paper›PMID 19876628›Full record

ArticleCancer immunology, immunotherapy : CII2010

Ten-year survival analysis for renal carcinoma patients treated with an autologous tumour lysate vaccine in an adjuvant setting.

Matthias May, Sabine Brookman-May, Bernd Hoschke, Christian Gilfrich, Friederike Kendel, Susann Baxmann, Stefan Wittke, Stephan T Kiessig, Kurt Miller, Manfred Johannsen

Open access · greenAbstract read
In one paragraph

Article in Cancer immunology, immunotherapy : CII, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
4.5field-weighted citation impact, top 5% 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

21 citing papers in PubMed, 46 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. Review
  6. Review
  7. Article
  8. Autologous tumor lysate/Bacillus Calmette-Guérin immunotherapy as an adjuvant to conventional breast cancer therapy.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2015
    Article
  9. Harnessing the PD-1 pathway in renal cell carcinoma: current evidence and future directions.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2014
    Review
  10. Review
  11. Article
  12. Article
  13. Review
  14. Article
  15. Therapeutic vaccines in renal cell carcinoma.Therapy (London, England : 2004) · 2011
    Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Recent updates in renal cell carcinoma.Current opinion in oncology · 2010
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 1 country.

Matthias MayDepartment of Urology, St. Elisabeth Hospital Straubing, Germany. Matthias.May@klinikum-straubing.de
Sabine Brookman-May
Bernd Hoschke
Christian Gilfrich
Friederike Kendel
Susann Baxmann
Stefan Wittke
Stephan T Kiessig
Kurt Miller
Manfred Johannsen
Barmherzige Brüder Klinikum St. Elisabeth in Straubing · DECharité - Universitätsmedizin Berlin · DECarl-Thiem-Klinikum Cottbus · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

About 30% of renal cell carcinomas (RCC) will develop recurrence after surgery. Despite evidence for a significantly improved survival by autologous tumour cell vaccination therapy, the procedure has not become standard. Between August 1993 and December 1996, 1,267 RCC patients undergoing radical nephrectomy in 84 German hospitals were subsequently treated by autologous tumour cell vaccination therapy. The study group comprised 692 patients with complete follow-up (stages pT2-3, pNx-2, M0 based on the TNM classification, 4th edition). Subsequent propensity-score matching according to 7 defined criteria with 861 control patients undergoing nephrectomy alone without adjuvant treatment at the Carl-Thiem-Hospital Cottbus, resulted in 495 matched pairs. Overall and stage-specific survival rates were analysed after a median follow-up of 131 months. The 5- and 10-year overall survival (OS) rates were 80.6 and 68.9% in the vaccine group and 79.2 and 62.1% in the control group (p = 0.066). Patients with pT3 stage RCC revealed 5- and 10-year OS rates of 71.3 and 53.6% in the study group and 65.4 and 36.2% in the control group (p = 0.022). In multivariable analysis, patients in the vaccine group showed a significantly improved survival both in the whole study group (HR = 1.28, p = 0.030) and in the subgroup presenting with pT3 stage tumours (HR = 1.67, p = 0.011). Adjuvant treatment with autologous vaccination therapy resulted in a significantly improved overall survival in pT3 stage RCC patients, suggesting benefit especially in this subgroup. However, controlled clinical trials integrating the recent TNM classification and further risk constellations are required to define additional patient groups that may derive benefit from this treatment.

Indexed as

AdolescentAdultAgedAged, 80 and overAntigens, NeoplasmCancer VaccinesCarcinoma, Renal CellClinical Trials as TopicCombined Modality TherapyCompassionate Use TrialsFemaleHumansKaplan-Meier EstimateKidney NeoplasmsMaleMiddle AgedAntigens, NeoplasmCancer Vaccines

Identifiers

PMID19876628
PMCPMC11030846
OpenAlexW2029322454

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.