Evidence map›Paper›PMID 21631324›Full record

Trial reportThe New England journal of medicine2011

gp100 peptide vaccine and interleukin-2 in patients with advanced melanoma.

Douglas J Schwartzentruber, David H Lawson, Jon M Richards, Robert M Conry, Donald M Miller, Jonathan Treisman, Fawaz Gailani, Lee Riley, Kevin Conlon, Barbara Pockaj and 16 more

Registry-linked trialAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in The New England journal of medicine, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00019682 (A Phase III Multi-Institutional Randomized Study of Immunization With the gp100), which is not on this map. Cited by 432 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
432citing papers in PubMed, 2 pooled it
43.2field-weighted citation impact, top 1% 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.

NCT00019682 phase3completednot on this map

A Phase III Multi-Institutional Randomized Study of Immunization With the gp100: 209-217 (210M) Peptide Followed by High Dose IL-2 vs. High Dose IL-2 Alone in Patients With Metastatic Melanoma

TypeinterventionalSponsorNational Cancer Institute (NCI)Ran1999 to 2011Enrolled185ConditionsRecurrent Melanoma, Stage IIIA Skin Melanoma, Stage IIIB Skin Melanoma, Stage IIIC Skin MelanomaArmsAldesleukin, gp100 Antigen, Montanide ISA 51 VG, Quality-of-Life Assessment, Questionnaire Administration
3 · Its place in the literature

Who cites it

432 citing papers in PubMed, 2 syntheses or guidelines pooled it, 881 citations in OpenAlex.

  1. Pooled it
  2. Systemic treatments for metastatic cutaneous melanoma.The Cochrane database of systematic reviews · 2018
    Pooled it
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  13. Predicting Neoantigen Immunogenicity frombioRxiv : the preprint server for biology · 2026
    Article
  14. Article
  15. Review
  16. Review
  17. Review
  18. Cellular immunotherapy in melanoma: the next frontier in cancer treatment.Journal of experimental & clinical cancer research : CR · 2026
    Review
  19. Review
  20. Review

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

26 authors at 20 institutions in 2 countries.

Douglas J SchwartzentruberIndiana University Health Goshen Center for Cancer Care, Goshen, IN 46526, USA. dschwart@iuhealth.org
David H Lawson
Jon M Richards
Robert M Conry
Donald M Miller
Jonathan Treisman
Fawaz Gailani
Lee Riley
Kevin Conlon
Barbara Pockaj
Kari L Kendra
Richard L White
Rene Gonzalez
Timothy M Kuzel
Brendan Curti
Phillip D Leming
Eric D Whitman
Jai Balkissoon
Douglas S Reintgen
Howard Kaufman
Francesco M Marincola
Maria J Merino
Steven A Rosenberg
Peter Choyke
Don Vena
Patrick Hwu
Alta Bates Summit Medical Center · USAtlantic Health System · USAurora St. Luke's Medical Center · USCancer Institute (WIA) · INCarolinas Medical Center · USChrist Hospital · USEmmes (United States) · USIndiana University Health · USJames Graham Brown Foundation · USKaiser Permanente Riverside Medical Center · USMayo Clinic Hospital · USNational Institutes of Health · USOncology Specialists · USProvidence Portland Medical Center · USRush University Medical Center · USSt. Vincent's Medical Center · USThe Ohio State University · USThe University of Texas MD Anderson Cancer Center · USUniversity of Colorado Denver · USUniversity of South Florida · US

Funding

Adoptive Cell Transfer Immunotherapy of CancerZIABC010984 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI ROSENBERG, STEVEN · 2009 to 2025
$56.8M
Immunogenetic Study of Infectious Diseases and CancerZ01CL002118 · CLC · CLINICAL CENTER · PI MARINCOLA, FRANCESCO M · 2007 to 2008
$1.4M
Immunogenetic Study of Infectious Diseases and CancerZIACL002118 · CLC · CLINICAL CENTER · PI MARINCOLA, FRANCESCO M · 2009 to 2012
$0k
Intramural NIH HHS Z01 CL002118
6 · The paper itself

Abstract

backgroundStimulating an immune response against cancer with the use of vaccines remains a challenge. We hypothesized that combining a melanoma vaccine with interleukin-2, an immune activating agent, could improve outcomes. In a previous phase 2 study, patients with metastatic melanoma receiving high-dose interleukin-2 plus the gp100:209-217(210M) peptide vaccine had a higher rate of response than the rate that is expected among patients who are treated with interleukin-2 alone.

methodsWe conducted a randomized, phase 3 trial involving 185 patients at 21 centers. Eligibility criteria included stage IV or locally advanced stage III cutaneous melanoma, expression of HLA*A0201, an absence of brain metastases, and suitability for high-dose interleukin-2 therapy. Patients were randomly assigned to receive interleukin-2 alone (720,000 IU per kilogram of body weight per dose) or gp100:209-217(210M) plus incomplete Freund's adjuvant (Montanide ISA-51) once per cycle, followed by interleukin-2. The primary end point was clinical response. Secondary end points included toxic effects and progression-free survival.

resultsThe treatment groups were well balanced with respect to baseline characteristics and received a similar amount of interleukin-2 per cycle. The toxic effects were consistent with those expected with interleukin-2 therapy. The vaccine-interleukin-2 group, as compared with the interleukin-2-only group, had a significant improvement in centrally verified overall clinical response (16% vs. 6%, P=0.03), as well as longer progression-free survival (2.2 months; 95% confidence interval [CI], 1.7 to 3.9 vs. 1.6 months; 95% CI, 1.5 to 1.8; P=0.008). The median overall survival was also longer in the vaccine-interleukin-2 group than in the interleukin-2-only group (17.8 months; 95% CI, 11.9 to 25.8 vs. 11.1 months; 95% CI, 8.7 to 16.3; P=0.06).

conclusionsIn patients with advanced melanoma, the response rate was higher and progression-free survival longer with vaccine and interleukin-2 than with interleukin-2 alone. (Funded by the National Cancer Institute and others; ClinicalTrials.gov number, NCT00019682.).

Indexed as

AdultAntineoplastic AgentsCancer VaccinesDisease-Free SurvivalFemaleHumansInterleukin-2MaleMelanomaMiddle AgedSkin NeoplasmsSurvival AnalysisAntineoplastic AgentsCancer Vaccinesgp100(209-2M) vaccineInterleukin-2

Identifiers

PMID21631324
PMCPMC3517182
OpenAlexW2089401318

What OpenQuestion holds

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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.