Evidence map›Paper›PMID 21673660›Full record

ArticleMolecular therapy : the journal of the American Society of Gene Therapy2011

Immunological effects of low-dose cyclophosphamide in cancer patients treated with oncolytic adenovirus.

Vincenzo Cerullo, Iulia Diaconu, Lotta Kangasniemi, Maria Rajecki, Sophie Escutenaire, Anniina Koski, Valentina Romano, Noora Rouvinen, Tamara Tuuminen, Leena Laasonen and 11 more

Abstract readControlled Clinical Trial
In one paragraph

Article in Molecular therapy : the journal of the American Society of Gene Therapy, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 88 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
88citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

88 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Clinical Application of Oncolytic Viruses: A Systematic Review.International journal of molecular sciences · 2020
    Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Low-Dose Cyclophosphamide Induces Antitumor T-Cell Responses, which Associate with Survival in Metastatic Colorectal Cancer.Clinical cancer research : an official journal of the American Association for Cancer Research · 2017
    Trial
  7. Trial
  8. Trial
  9. Trial
  10. Oncolytic viruses: advanced strategies in cancer therapy.Signal transduction and targeted therapy · 2026
    Review
  11. Review
  12. Review
  13. Review
  14. Review
  15. Translation of oncolytic viruses in sarcoma.Molecular therapy. Oncology · 2024
    Review
  16. Review
  17. Article
  18. Review
  19. Article
  20. Article

28 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

21 authors.

Vincenzo CerulloCancer Gene Therapy Group, Transplantation Laboratory, Haartman Institute and Finnish Institute of Molecular Medicine, University of Helsinki, Helsinki, Finland.
Iulia Diaconu
Lotta Kangasniemi
Maria Rajecki
Sophie Escutenaire
Anniina Koski
Valentina Romano
Noora Rouvinen
Tamara Tuuminen
Leena Laasonen
Kaarina Partanen
Satu Kauppinen
Timo Joensuu
Minna Oksanen
Sirkka-Liisa Holm
Elina Haavisto
Aila Karioja-Kallio
Anna Kanerva
Sari Pesonen
Petteri T Arstila
Akseli Hemminki

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Patients with advanced solid tumors refractory to and progressing after conventional therapies were treated with three different regimens of low-dose cyclophosphamide (CP) in combination with oncolytic adenovirus. CP was given with oral metronomic dosing (50 mg/day, N = 21), intravenously (single 1,000 mg dose, N = 7) or both (N = 7). Virus was injected intratumorally. Controls (N = 8) received virus without CP. Treatments were well tolerated and safe regardless of schedule. Antibody formation and virus replication were not affected by CP. Metronomic CP (oral and oral + intravenous schedules) decreased regulatory T cells (T(regs)) without compromising induction of antitumor or antiviral T-cell responses. Oncolytic adenovirus given together with metronomic CP increased cytotoxic T cells and induced Th1 type immunity on a systemic level in most patients. All CP regimens resulted in higher rates of disease control than virus only (all P < 0.0001) and the best progression-free (PFS) and overall survival (OS) was seen in the oral + intravenous group. One year PFS and OS were 53 and 42% (P = 0.0016 and P < 0.02 versus virus only), respectively, both which are unusually high for chemotherapy refractory patients. We conclude that low-dose CP results in immunological effects appealing for oncolytic virotherapy. While these first-in-human data suggest good safety, intriguing efficacy and extended survival, the results should be confirmed in a randomized trial.

Indexed as

AdenoviridaeAdolescentAdultAgedAnimalsAntineoplastic AgentsCell Line, TumorChildCombined Modality TherapyCricetinaeCyclophosphamideDose-Response Relationship, DrugDrug Administration ScheduleFemaleGenetic VectorsHumansAntineoplastic AgentsCyclophosphamide

Identifiers

PMID21673660
PMCPMC3182348

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.