Evidence map›Paper›PMID 20109232›Full record

Trial reportJournal of translational medicine2010

A pilot clinical trial testing mutant von Hippel-Lindau peptide as a novel immune therapy in metastatic renal cell carcinoma.

Osama E Rahma, Ed Ashtar, Ramy Ibrahim, Antoun Toubaji, Barry Gause, Vincent E Herrin, W Marston Linehan, Seth M Steinberg, Frank Grollman, George Grimes and 3 more

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in Journal of translational medicine, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
1.7field-weighted citation impact, top 16% 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

19 citing papers in PubMed, 40 citations in OpenAlex.

  1. Review
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  15. Hereditary kidney cancer syndromes.Advances in chronic kidney disease · 2014
    Review
  16. Article
  17. Article
  18. Update on vaccine development for renal cell cancer.Open access journal of urology · 2010
    Review
  19. 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

13 authors at 5 institutions in 1 country.

Osama E RahmaVaccine Branch, NCI, NIH, Bethesda, MD, USA. rahmaoe@mail.nih.gov
Ed Ashtar
Ramy Ibrahim
Antoun Toubaji
Barry Gause
Vincent E Herrin
W Marston Linehan
Seth M Steinberg
Frank Grollman
George Grimes
Sarah A Bernstein
Jay A Berzofsky
Samir N Khleif
National Institutes of Health · USMedica (United States) · USNaval Medical Research Command · USCenter for Cancer Research · USNational Institutes of Health Clinical Center · US

Funding

Vaccine and immunotherapy strategies for cancer and viruses causing cancerZIASC004020 · NCI · DIVISION OF CLINICAL SCIENCES - NCI · PI BERZOFSKY, JAY A · 2009 to 2025
$51.8M
Molecular Therapeutics of Kidney Cancer: VHL Gene and Fumarate Hydratase GeneZIABC011038 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI LINEHAN, WILLIAM MARSTON · 2009 to 2025
$29.8M
Clinical Studies of the Molecular Genetic Basis of Kidney CancerZIABC011028 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI LINEHAN, WILLIAM MARSTON · 2009 to 2025
$17.9M
Clinical Nursing and Data Management CoreZIDBC011089 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI LINEHAN, WILLIAM MARSTON · 2009 to 2025
$17.4M
Office of Collaborative BiostatisticsZIDSC007202 · NCI · DIVISION OF CLINICAL SCIENCES - NCI · PI CHOO-WOSOBA, HYOYOUNG · 2009 to 2025
$14.5M
Enhancing immune response strategies:ZIABC010755 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI KHLEIF, SAMIR · 2009 to 2012
$2.4M
Clinical trial development in cancer vaccinesZIABC010757 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI KHLEIF, SAMIR · 2009 to 2012
$1.4M
6 · The paper itself

Abstract

backgroundDue to the lack of specific tumor antigens, the majority of tested cancer vaccines for renal cell carcinoma (RCC) are based on tumor cell lysate. The identification of the von Hippel-Lindau (VHL) gene mutations in RCC patients provided the potential for developing a novel targeted vaccine for RCC. In this pilot study, we tested the feasibility of vaccinating advanced RCC patients with the corresponding mutant VHL peptides.

methodsSix patients with advanced RCC and mutated VHL genes were vaccinated with the relevant VHL peptides. Patients were injected with the peptide mixed with Montanide subcutaneously (SQ) every 4 weeks until disease progression or until the utilization of all available peptide stock.

resultsFour out of five evaluable patients (80%) generated specific immune responses against the corresponding mutant VHL peptides. The vaccine was well tolerated. No grade III or IV toxicities occurred. The median overall survival (OS) and median progression-free survival (PFS) were 30.5 and 6.5 months, respectively.

conclusionsThe vaccine demonstrated safety and proved efficacy in generating specific immune response to the mutant VHL peptide. Despite the fact that the preparation of these custom-made vaccines is time consuming, the utilization of VHL as a vaccine target presents a promising approach because of the lack of other specific targets for RCC. Accordingly, developing mutant VHL peptides as vaccines for RCC warrants further investigation in larger trials.

trial registration98C0139.

Indexed as

PeptidesVon Hippel-Lindau Tumor Suppressor ProteinAdultAgedCancer VaccinesCarcinoma, Renal CellDisease ProgressionFemaleHumansMaleMiddle AgedNeoplasm MetastasisPilot ProjectsT-Lymphocytes, RegulatoryTreatment OutcomeCancer VaccinesPeptidesVon Hippel-Lindau Tumor Suppressor Protein

Identifiers

PMID20109232
PMCPMC2843651
OpenAlexW1999170132

What OpenQuestion holds

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LicenceCC BY
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.