Evidence map›Paper›PMID 21499132›Full record

Trial reportJournal of immunotherapy (Hagerstown, Md. : 1997)2011

Immune response in patients with newly diagnosed glioblastoma multiforme treated with intranodal autologous tumor lysate-dendritic cell vaccination after radiation chemotherapy.

Camilo E Fadul, Jan L Fisher, Thomas H Hampton, Enrico C Lallana, Zhongze Li, Jiang Gui, Zbigniew M Szczepiorkowski, Tor D Tosteson, C Harker Rhodes, Heather A Wishart and 2 more

Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report in Journal of immunotherapy (Hagerstown, Md. : 1997), 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00323115 (A Phase II Feasibility Study of Adjuvant Intra-Nodal Autologous Dendritic Cell Vaccination for Newly Diagnosed Glioblastoma Multiforme), which is not on this map. Cited by 102 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
102citing papers in PubMed, 3 pooled it
6.3field-weighted citation impact, top 3% 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.

NCT00323115 phase2completednot on this map

A Phase II Feasibility Study of Adjuvant Intra-Nodal Autologous Dendritic Cell Vaccination for Newly Diagnosed Glioblastoma Multiforme

TypeinterventionalSponsorDartmouth-Hitchcock Medical CenterRan2006 to 2013Enrolled11ConditionsGlioblastoma MultiformeArmsAutologous Dendritic Cell, Temozolomide, Radiotherapy, Dendritic Cell Vaccine
3 · Its place in the literature

Who cites it

102 citing papers in PubMed, 3 syntheses or guidelines pooled it, 174 citations in OpenAlex.

  1. Autologous tumor lysate-loaded dendritic cell vaccination in glioblastoma patients: a systematic review of literature.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2025
    Pooled it
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  17. Vaccination with Designed Neopeptides Induces Intratumoral, Cross-reactive CD4+ T-cell Responses in Glioblastoma.Clinical cancer research : an official journal of the American Association for Cancer Research · 2022
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42 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

12 authors at 4 institutions in 2 countries.

Camilo E FadulSection of Hematology/Oncology-Dartmouth-Hitchcock Medical Center, One Medical Center Drive, Lebanon, NH 03756, USA. Camilo.E.Fadul@hitchcock.org
Jan L Fisher
Thomas H Hampton
Enrico C Lallana
Zhongze Li
Jiang Gui
Zbigniew M Szczepiorkowski
Tor D Tosteson
C Harker Rhodes
Heather A Wishart
Lionel D Lewis
Marc S Ernstoff
Dartmouth–Hitchcock Medical Center · USUSC Norris Comprehensive Cancer Center · USCotton (United States) · USImagerie et Cerveau · FR

Funding

Translational Engineering in Cancer (TEC)P30CA023108 · NCI · DARTMOUTH COLLEGE · PI Steven D Leach · 1985 to 2026
$91.3M
VARIATION IN BIOACCUMULATION AND BIOMAGNIFICATION OF METALS IN NORTHERN US LAKESP42ES007373 · NIEHS · DARTMOUTH COLLEGE · PI STANTON, BRUCE A. · 1995 to 2019
$52.0M
Quantitative Biology Research InstituteP20GM103534 · NIGMS · DARTMOUTH COLLEGE · PI AMOS, CHRISTOPHER I. · 2012 to 2016
$8.6M
Immunotherapy for Renal Cell CarcinomaR01CA095648 · NCI · DARTMOUTH COLLEGE · PI ERNSTOFF, MARC S · 2003 to 2010
$2.3M
QUANTITATIVE BIOLOGY RESEARCH INSTITUTEP20RR024475 · NCRR · DARTMOUTH COLLEGE · PI MOORE, JASON H. · 2011 to 2011
$2.3M
NCI NIH HHS CA-23108NCI NIH HHS P30 CA023108NCI NIH HHS R01 CA095648NCI NIH HHS R01CA095648NCRR NIH HHS P20 RR024475NIEHS NIH HHS P42 ES00737NIEHS NIH HHS P42 ES007373NIGMS NIH HHS P20 GM103534
6 · The paper itself

Abstract

Patients with glioblastoma multiforme (GBM) are profoundly immunosuppressed and may benefit from restoration of an antitumor immune response in combination with conventional radiation therapy and temozolomide (TMZ). The optimal strategies to evaluate clinically relevant immune responses to treatment have yet to be determined. The primary objective of our study was to determine immunologic response to cervical intranodal vaccination with autologous tumor lysate-loaded dendritic cells (DCs) in patients with GBM after radiation therapy and TMZ. We used a novel hierarchical clustering analysis of immune parameters measured before and after vaccination. Secondary objectives were to assess treatment feasibility and to correlate immune response with progression-free survival (PFS) and overall survival. Ten eligible patients received vaccination. Tumor-specific cytotoxic T-cell response measured after vaccination was enhanced for the precursor frequency of CD4+ T and CD4+ interferon γ-producing cells. Hierarchical clustering analysis of multiple functional outcomes discerned 2 groups of patients according to their immune response, and additionally showed that patients in the top quintile for at least one immune function parameter had improved survival. There were no serious adverse events related to DC vaccination. All patients were alive at 6 months after diagnosis and the 6-month PFS was 90%. The median PFS was 9.5 months and overall survival was 28 months. In patients with GBM, immune therapy with DC vaccination after radiation and TMZ resulted in tumor-specific immune responses that were associated with prolonged survival. Our data suggest that DC vaccination in combination with radiation and chemotherapy in patients with GBM is feasible, safe, and may induce tumor-specific immune responses.

Indexed as

AgedAntineoplastic Agents, AlkylatingCancer VaccinesCombined Modality TherapyDacarbazineDendritic CellsEpitopesFemaleGlioblastomaHumansImmunity, CellularMaleMiddle AgedRadiotherapyResearch DesignSurvival AnalysisAntineoplastic Agents, AlkylatingCancer VaccinesDacarbazineEpitopesTemozolomide

Identifiers

PMID21499132
PMCPMC3766324
OpenAlexW1987131997

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.