Evidence map›Paper›PMID 20529333›Full record

Trial reportJournal of translational medicine2010

The application of adjuvant autologous antravesical macrophage cell therapy vs. BCG in non-muscle invasive bladder cancer: a multicenter, randomized trial.

Maximilian Burger, Nicolas Thiounn, Stefan Denzinger, Jozsef Kondas, Gerard Benoit, Manuel S Chapado, Fernando J Jimenz-Cruz, Laszlo Kisbenedek, Zoltán Szabo, Domján Zsolt and 10 more

Open access · goldAbstract readComparative StudyMulticenter StudyRandomized Controlled 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 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
0.3field-weighted citation impact, top 34% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.

  1. Pooled it
  2. Immunity and Beyond: Emerging Roles of Monocytes and Macrophages in Cancer.Advances in experimental medicine and biology · 2026
    Review
  3. Prospects of Synergy: Local Interventions and CAR T Cell Therapy in Solid Tumors.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2024
    Review
  4. Review
  5. Article
  6. Article
  7. Review
  8. Racing CARs to veterinary immuno-oncology.Frontiers in veterinary science · 2023
    Review
  9. Article
  10. Article
  11. Review
  12. Review
  13. Article
  14. Article
  15. Macrophage-based cell therapies: The long and winding road.Journal of controlled release : official journal of the Controlled Release Society · 2016
    Review
  16. Article
  17. 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

20 authors at 16 institutions in 6 countries.

Maximilian BurgerDepartment of Urology, Caritas St, Josef Medical Centre, University of Regensburg, Regensburg, Germany. maximilian.burger@klinik.uni-regensburg.de
Nicolas Thiounn
Stefan Denzinger
Jozsef Kondas
Gerard Benoit
Manuel S Chapado
Fernando J Jimenz-Cruz
Laszlo Kisbenedek
Zoltán Szabo
Domján Zsolt
Marc O Grimm
Imre Romics
Joachim W Thüroff
Tamas Kiss
Bertrand Tombal
Manfred Wirth
Marc Munsell
Bonnie Mills
Tung Koh
Jeff Sherman
Bács-Kiskun Megyei Kórház · HUUniversity Hospital Carl Gustav Carus · DEBajcsy-Zsilinszky Kórház és Rendelőintézet · HUBicêtre Hospital · FRCaritas-Krankenhaus St. Josef · DECliniques Universitaires Saint-Luc · BEHôpital Necker-Enfants Malades · FRHorizon Therapeutics (United States) · USHospital Universitario Príncipe de Asturias · ESJahn Ferenc Dél-Pesti Kórház és Rendelőintézet · HUJohannes Gutenberg University Mainz · DELeitat Technological Center · ESPéterfy Sándor Utcai Kórház-Rendelőintézet és Baleseti Központ · HUSemmelweis University · HUThe University of Texas MD Anderson Cancer Center · USUniversity of Regensburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionWhile adjuvant immunotherapy with Bacille Calmette Guérin (BCG) is effective in non-muscle-invasive bladder cancer (BC), adverse events (AEs) are considerable. Monocyte-derived activated killer cells (MAK) are discussed as essential in antitumoural immunoresponse, but their application may imply risks. The present trial compared autologous intravesical macrophage cell therapy (BEXIDEM) to BCG in patients after transurethral resection (TURB) of BC. MATERIALS AND

methodsThis open-label trial included 137 eligible patients with TaG1-3, T1G1-2 plurifocal or unifocal tumours and >or=2 occurrences within 24 months and was conducted from June 2004 to March 2007. Median follow-up for patients without recurrence was 12 months. Patients were randomized to BCG or mononuclear cells collected by apheresis after ex vivo cell processing and activation (BEXIDEM). Either arm treatment consisted of 6 weekly instillations and 2 cycles of 3 weekly instillations at months 3 and 6. Toxicity profile (primary endpoint) and prophylactic effects (secondary endpoint) were assessed.

resultsPatient characteristics were evenly distributed. Of 73 treated with BCG and 64 with BEXIDEM, 85% vs. 45% experienced AEs and 26% vs. 14% serious AEs (SAE), respectively (p<0.001). Recurrence occurred significantly less frequent with BCG than with BEXIDEM (12% vs. 38%; p<0.001). DISCUSSION: This initial report of autologous intravesical macrophage cell therapy in BC demonstrates BEXIDEM treatment to be safe. Recurrence rates were significantly lower with BCG however. As the efficacy of BEXIDEM remains uncertain, further data, e.g. marker lesions studies, are warranted.

trial registrationThe trial has been registered in the ISRCTN registry http://isrctn.org under the registration number ISRCTN35881130.

Indexed as

Adjuvants, ImmunologicAdultAgedAged, 80 and overDemographyFemaleHumansImmunotherapyMacrophagesMaleMiddle AgedMusclesMycobacterium bovisNeoplasm InvasivenessUrinary Bladder NeoplasmsAdjuvants, Immunologic

Identifiers

PMID20529333
PMCPMC2893125
OpenAlexW2074322564

What OpenQuestion holds

Textmetadata
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.