Evidence map›Paper›PMID 21284052›Full record

Trial reportHead & neck2011

Novel neoadjuvant immunotherapy regimen safety and survival in head and neck squamous cell cancer.

Gregory T Wolf, Willard E Fee, Robert W Dolan, Jeffrey S Moyer, Michael J Kaplan, Paul M Spring, James Suen, Daniel E Kenady, Jason G Newman, William R Carroll and 6 more

2 registry-linked trialsOpen access · greenAbstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Head & neck, 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 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
3.1field-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.

NCT00210470 phase2completednot on this map

A Phase 2, Open-label Trial of the Safety and Biological Effect of Subcutaneous IRX-2 (With Cyclophosphamide, Indomethacin, and Zinc) in Patients With Resectable Cancer of the Head and Neck

TypeinterventionalSponsorBrooklyn ImmunoTherapeutics, LLCRan2005 to 2012Enrolled27ConditionsSquamous Cell Carcinoma of the Head and NeckArmsIRX-2, Cyclophosphamide, Indomethacin, Zinc, Omeprazole
NCT02609386 phase2completednot on this mapstarted 2016, after this paper: background citation

A Randomized Phase 2 Trial of Neoadjuvant and Adjuvant Therapy With the IRX 2 Regimen in Patients With Newly Diagnosed Stage II, III, or IVA Squamous Cell Carcinoma of the Oral Cavity

TypeinterventionalSponsorBrooklyn ImmunoTherapeutics, LLCRan2016 to 2022Enrolled105ConditionsSquamous Cell Carcinoma of the Oral CavityArmsIRX-2, Cyclophosphamide, Indomethacin, Zinc-containing multivitamin, Omeprazole
3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 1 synthesis or guideline pooled it, 54 citations in OpenAlex.

  1. Pooled it
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  17. Window of opportunity trials in head and neck cancer.Journal of cancer metastasis and treatment · 2019
    Article
  18. Review
  19. Therapeutic vaccines for high-risk HPV-associated diseases.Papillomavirus research (Amsterdam, Netherlands) · 2018
    Review
  20. Head and Neck Carcinoma Immunotherapy: Facts and Hopes.Clinical cancer research : an official journal of the American Association for Cancer Research · 2018
    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

16 authors at 9 institutions in 1 country.

Gregory T WolfDepartment of Otolaryngology-Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan, USA. gregwolf@umich.edu
Willard E Fee
Robert W Dolan
Jeffrey S Moyer
Michael J Kaplan
Paul M Spring
James Suen
Daniel E Kenady
Jason G Newman
William R Carroll
M Boyd Gillespie
Scott M Freeman
Lorraine Baltzer
Terry D Kirkley
Harvey J Brandwein
John W Hadden
University of Arkansas for Medical Sciences · USUniversity of Michigan–Ann Arbor · USLahey Hospital and Medical Center · USMedical University of South Carolina · USStanford Medicine · USStanford University · USUniversity of Alabama at Birmingham Hospital · USUniversity of Kentucky · USUniversity of Pennsylvania · US

Funding

Therapeutic Potential and Mechanism of Action of Potent Small Molecule InhibitorsP50CA097248 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI WOLF, GREGORY T · 2002 to 2013
$25.3M
NCI NIH HHS P50 CA097248
6 · The paper itself

Abstract

backgroundCellular immune suppression is observed in head and neck squamous cell cancer (HNSCC) and contributes to poor prognosis. Restoration of immune homeostasis may require primary cell-derived cytokines at physiologic doses. An immunotherapy regimen containing a biologic, with multiple-active cytokine components, and administered with cytoxan, zinc, and indomethacin was developed to modulate cellular immunity.

methodsStudy methods were designed to determine the safety and efficacy of a 21-day neoadjuvant immunotherapy regimen in a phase 2 trial that enrolled 27 therapy-naïve patients with stage II to IVa HNSCC. Methods included safety, clinical and radiologic tumor response, disease-free survival (DFS), overall survival (OS), and tumor lymphocytic infiltrate (LI) data collection.

resultsAcute toxicity was minimal. Patients completed neoadjuvant treatment without surgical delay. By independent radiographic review, 83% had stable disease during treatment. OS was 92%, 73%, and 69% at 12, 24, and 36 months, respectively. Histologic analysis suggested correlation between survival and tumor LI.

conclusionImmunotherapy regimen was tolerated. Survival results are encouraging.

Indexed as

ImmunotherapyNeoadjuvant TherapyAdultAgedAntineoplastic AgentsCarcinoma, Squamous CellCyclophosphamideCytokinesDisease-Free SurvivalDrug Administration ScheduleFemaleGluconatesHead and Neck NeoplasmsHumansIndomethacinInjections, SubcutaneousAntineoplastic AgentsCyclophosphamideCytokinesGluconatesgluconic acidIndomethacinInterferon-gammaInterleukin-1betaInterleukin-2IRX 2Tumor Necrosis Factor-alpha

Identifiers

PMID21284052
PMCPMC4062188
OpenAlexW2141208318

What OpenQuestion holds

Textmetadata
LicenceTDM
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.