Evidence map›Paper›PMID 21398051›Full record

Trial reportInternational journal of radiation oncology, biology, physics2012

Combination of external beam radiotherapy (EBRT) with intratumoral injection of dendritic cells as neo-adjuvant treatment of high-risk soft tissue sarcoma patients.

Steven E Finkelstein, Cristina Iclozan, Marilyn M Bui, Matthew J Cotter, Rupal Ramakrishnan, Jamil Ahmed, David R Noyes, David Cheong, Ricardo J Gonzalez, Randy V Heysek and 8 more

Abstract readClinical Trial, Phase IClinical Trial, Phase II
In one paragraph

Trial report in International journal of radiation oncology, biology, physics, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 68 papers.

0numbers the graph read from it
0cells of the map it votes in
68citing papers in PubMed
9.7field-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.

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

68 citing papers in PubMed, 113 citations in OpenAlex.

  1. Review
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  15. Article
  16. Review
  17. Intratumoral Immunotherapy for Early-stage Solid Tumors.Clinical cancer research : an official journal of the American Association for Cancer Research · 2020
    Review
  18. Article
  19. Immunotherapy in soft-tissue sarcoma.Current oncology (Toronto, Ont.) · 2020
    Review
  20. Review

8 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

18 authors at 1 institution in 1 country.

Steven E FinkelsteinH. Lee Moffitt Cancer Center, Tampa, FL 33612, USA. steven.finkelstein@moffitt.org
Cristina Iclozan
Marilyn M Bui
Matthew J Cotter
Rupal Ramakrishnan
Jamil Ahmed
David R Noyes
David Cheong
Ricardo J Gonzalez
Randy V Heysek
Claudia Berman
Brianna C Lenox
William Janssen
Jonathan S Zager
Vernon K Sondak
G Douglas Letson
Scott J Antonia
Dmitry I Gabrilovich
Moffitt Cancer Center · US

Funding

TRANSLATIONAL RESEARCHP30CA076292 · NCI · UNIVERSITY OF SOUTH FLORIDA · PI John L. Cleveland · 1998 to 2026
$93.5M
Development of Immunotherapeutic Strategies in the Treatment of Lung CancerK24CA128953 · NCI · H. LEE MOFFITT CANCER CTR & RES INST · PI ANTONIA, SCOTT J. · 2008 to 2012
$946k
NCI NIH HHS K24 CA128953NCI NIH HHS P30 CA076292
6 · The paper itself

Abstract

purposeThe goal of this study was to determine the effect of combination of intratumoral administration of dendritic cells (DC) and fractionated external beam radiation (EBRT) on tumor-specific immune responses in patients with soft-tissue sarcoma (STS). METHODS AND MATERIAL: Seventeen patients with large (>5 cm) high-grade STS were enrolled in the study. They were treated in the neoadjuvant setting with 5,040 cGy of EBRT, split into 28 fractions and delivered 5 days per week, combined with intratumoral injection of 10(7) DCs followed by complete resection. DCs were injected on the second, third, and fourth Friday of the treatment cycle. Clinical evaluation and immunological assessments were performed.

resultsThe treatment was well tolerated. No patient had tumor-specific immune responses before combined EBRT/DC therapy; 9 patients (52.9%) developed tumor-specific immune responses, which lasted from 11 to 42 weeks. Twelve of 17 patients (70.6%) were progression free after 1 year. Treatment caused a dramatic accumulation of T cells in the tumor. The presence of CD4(+) T cells in the tumor positively correlated with tumor-specific immune responses that developed following combined therapy. Accumulation of myeloid-derived suppressor cells but not regulatory T cells negatively correlated with the development of tumor-specific immune responses. Experiments with (111)In labeled DCs demonstrated that these antigen presenting cells need at least 48 h to start migrating from tumor site.

conclusionsCombination of intratumoral DC administration with EBRT was safe and resulted in induction of antitumor immune responses. This suggests that this therapy is promising and needs further testing in clinical trials design to assess clinical efficacy.

Indexed as

AdultAgedAged, 80 and overCell MovementCombined Modality TherapyDendritic CellsDose Fractionation, RadiationFemaleHumansImmunity, HumoralIndium RadioisotopesInhibitor of Apoptosis ProteinsInjections, IntralesionalLymphocytes, Tumor-InfiltratingMaleMiddle AgedBIRC5 protein, humanIndium RadioisotopesInhibitor of Apoptosis ProteinsNeoplasm ProteinsSurvivin

Identifiers

PMID21398051
PMCPMC4241354
OpenAlexW2015894534

What OpenQuestion holds

Textmetadata
LicenceTDM
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.