Evidence map›Paper›PMID 21069321›Full record

Trial reportCancer immunology, immunotherapy : CII2011

Wild-type and modified gp100 peptide-pulsed dendritic cell vaccination of advanced melanoma patients can lead to long-term clinical responses independent of the peptide used.

W Joost Lesterhuis, Gerty Schreibelt, Nicole M Scharenborg, H Mary-lène H Brouwer, Marie-Jeanne P Gerritsen, Sandra Croockewit, Pierre G Coulie, Ruurd Torensma, Gosse J Adema, Carl G Figdor and 2 more

Open access · greenAbstract readClinical Trial
In one paragraph

Trial report in Cancer immunology, immunotherapy : CII, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 1 pooled it
2.8field-weighted citation impact, top 9% 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

34 citing papers in PubMed, 1 synthesis or guideline pooled it, 79 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Dendritic cells loaded with mRNA encoding full-length tumor antigens prime CD4+ and CD8+ T cells in melanoma patients.Molecular therapy : the journal of the American Society of Gene Therapy · 2012
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  15. Advances in immunotherapy for melanoma management.Human vaccines & immunotherapeutics · 2016
    Review
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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

12 authors at 3 institutions in 2 countries.

W Joost LesterhuisDepartment of Medical Oncology, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.
Gerty Schreibelt
Nicole M Scharenborg
H Mary-lène H Brouwer
Marie-Jeanne P Gerritsen
Sandra Croockewit
Pierre G Coulie
Ruurd Torensma
Gosse J Adema
Carl G Figdor
I Jolanda M de Vries
Cornelis J A Punt
Radboud University Nijmegen · NLRadboud University Medical Center · NLUCLouvain · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Dendritic cell (DC)-based immunotherapy is explored worldwide in cancer patients. Several strategies have been employed to load DC with antigen, including peptide loading. To increase immunogenicity of peptides, major histocompatibility complex (MHC) class I binding affinity and stability of peptide-MHC complexes at the cell surface may be improved by modification of the amino acid sequence. In this study, we compared the capacity of DC loaded with wild-type versus modified gp100 peptides with higher binding affinities to induce an immune and clinical response in advanced melanoma patients. Metastatic HLA-A2.1(+) melanoma patients were vaccinated intravenously (on average 25 × 10(6) DC) and intradermally (on average 11 × 10(6) DC) with mature DC loaded with keyhole limpet hemocyanin (KLH) together with tyrosinase peptide and either wild-type (15 patients) or modified (12 patients) gp100 peptides. All vaccinated patients showed a pronounced proliferative T cell or humoral response against KLH. Gp100-specific T cell responses were monitored in post-treatment delayed type hypersensitivity (DTH) skin biopsies by tetramer and functional analysis. Antigen-specific T cells were found in 2 of 15 patients vaccinated with wild-type gp100-loaded DC, versus 1 of 12 patients vaccinated with modified peptide-loaded DC. These three patients also had the best clinical response, with long-term (>8 years) complete responses in two patients, one in each group. We conclude that vaccination with peptide-loaded DC can result in long-term clinical responses in a minority of metastatic melanoma patients, and that the use of modified as compared to wild-type gp100 peptides for DC loading does not result in a relevant enhanced immune responses.

Indexed as

AdultAgedAntigens, NeoplasmCancer VaccinesCell ProliferationCytokinesDendritic CellsDisease ProgressionFemalegp100 Melanoma AntigenHumansMaleMelanomaMiddle AgedT-Lymphocytes, CytotoxicTreatment OutcomeAntigens, NeoplasmCancer VaccinesCytokinesgp100 Melanoma Antigen

Identifiers

PMID21069321
PMCPMC11029288
OpenAlexW2127072344

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.