Evidence map›Paper›PMID 21030558›Full record

Trial reportBlood2011

Combination immunotherapy using adoptive T-cell transfer and tumor antigen vaccination on the basis of hTERT and survivin after ASCT for myeloma.

Aaron P Rapoport, Nicole A Aqui, Edward A Stadtmauer, Dan T Vogl, Hong-Bin Fang, Ling Cai, Stephen Janofsky, Anne Chew, Jan Storek, Gorgun Akpek and 16 more

2 registry-linked trialsOpen access · bronzeAbstract readClinical Trial, Phase IClinical Trial, Phase II
In one paragraph

Trial report in Blood, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 89 papers.

0numbers the graph read from it
0cells of the map it votes in
89citing papers in PubMed
7.7field-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.

NCT00499577 phase1 / phase2completednot on this map

Phase I/II Combination Immunotherapy After ASCT for Advanced Myeloma to Study HTERT Vaccination Followed by Adoptive Transfer of Vaccine-Primed Autologous T Cells

TypeinterventionalSponsorUniversity of Maryland Greenebaum Cancer CenterRan2006Enrolled56ConditionsMultiple Myeloma and Plasma Cell NeoplasmArmsCMV pp65 peptide, hTERT I540/R572Y/D988Y multipeptide vaccine, pneumococcal polyvalent vaccine, survivin Sur1M2 peptide vaccine
NCT00834665 phase1completednot on this map

Phase I/II Combination Immunotherapy After ASCT for Advanced Myeloma to Study HTERT Vaccination Followed by Adoptive Transfer of Vaccine-Primed Autologous T Cells

TypeinterventionalSponsorUniversity of PennsylvaniaRan2006 to 2017Enrolled59ConditionsMultiple MyelomaArmshTERT vaccine, GM-CSF, PCV, T cell infusion, GM-CSF, PCV, T cell infusion
3 · Its place in the literature

Who cites it

89 citing papers in PubMed, 163 citations in OpenAlex.

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29 more citing papers are in PubMed but not listed here.

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

26 authors at 4 institutions in 2 countries.

Aaron P RapoportUniversity of Maryland, Marlene and Stewart Greenebaum Cancer Center, Baltimore, MD, USA.
Nicole A Aqui
Edward A Stadtmauer
Dan T Vogl
Hong-Bin Fang
Ling Cai
Stephen Janofsky
Anne Chew
Jan Storek
Gorgun Akpek
Ashraf Badros
Saul Yanovich
Ming T Tan
Elizabeth Veloso
Marcela F Pasetti
Alan Cross
Sunita Philip
Heather Murphy
Rita Bhagat
Zhaohui Zheng
Todd Milliron
Julio Cotte
Andrea Cannon
Bruce L Levine
Robert H Vonderheide
Carl H June
University of Pennsylvania · USUniversity of Maryland Marlene and Stewart Greenebaum Comprehensive Cancer CenterUniversity of Maryland, Baltimore · USUniversity of Calgary · CA

Funding

TRANSFUSION MEDICINE RESEARCH TRAINING PROGRAMT32HL007775 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI SIEGEL, DONALD LAWRENCE · 1993 to 2023
$2.8M
Immunotherapy after ASCT for MM Using hTERT Vaccination + Vaccine-primed T cellsR21CA130293 · NCI · UNIVERSITY OF MARYLAND BALTIMORE · PI RAPOPORT, AARON P · 2007 to 2009
$710k
NCI NIH HHS 5R21CA130293NCI NIH HHS R21 CA130293NHLBI NIH HHS T32 HL007775PHS HHS 5K23A10675670
6 · The paper itself

Abstract

In a phase 1/2 two-arm trial, 54 patients with myeloma received autografts followed by ex vivo anti-CD3/anti-CD28 costimulated autologous T cells at day 2 after transplantation. Study patients positive for human leukocyte antigen A2 (arm A, n = 28) also received pneumococcal conjugate vaccine immunizations before and after transplantation and a multipeptide tumor antigen vaccine derived from the human telomerase reverse transcriptase and the antiapoptotic protein survivin. Patients negative for human leukocyte antigen A2 (arm B, n = 26) received the pneumococcal conjugate vaccine only. Patients exhibited robust T-cell recoveries by day 14 with supraphysiologic T-cell counts accompanied by a sustained reduction in regulatory T cells. The median event-free survival (EFS) for all patients is 20 months (95% confidence interval, 14.6-24.7 months); the projected 3-year overall survival is 83%. A subset of patients in arm A (36%) developed immune responses to the tumor antigen vaccine by tetramer assays, but this cohort did not exhibit better EFS. Higher posttransplantation CD4(+) T-cell counts and a lower percentage of FOXP3(+) T cells were associated with improved EFS. Patients exhibited accelerated polyclonal immunoglobulin recovery compared with patients without T-cell transfers. Adoptive transfer of tumor antigen vaccine-primed and costimulated T cells leads to augmented and accelerated cellular and humoral immune reconstitution, including antitumor immunity, after autologous stem cell transplantation for myeloma. This study was registered at www.clinicaltrials.gov as NCT00499577.

Indexed as

AdultAgedAmino Acid SequenceAntigens, NeoplasmCombined Modality TherapyExanthemaFemaleHematopoietic Stem Cell TransplantationHumansImmunotherapyImmunotherapy, AdoptiveInhibitor of Apoptosis ProteinsKaplan-Meier EstimateMaleMicrotubule-Associated ProteinsMiddle AgedAntigens, NeoplasmBIRC5 protein, humanInhibitor of Apoptosis ProteinsMicrotubule-Associated ProteinsPeptide FragmentsSurvivinTelomeraseTERT protein, human

Identifiers

PMID21030558
PMCPMC3035073
OpenAlexW2042662562

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.