Evidence map›Paper›PMID 21698545›Full record

Trial reportCancer immunology, immunotherapy : CII2011

Immunoediting and persistence of antigen-specific immunity in patients who have previously been vaccinated with NY-ESO-1 protein formulated in ISCOMATRIX™.

Theo Nicholaou, Weisan Chen, Ian D Davis, Heather M Jackson, Nektaria Dimopoulos, Catherine Barrow, Judy Browning, Duncan Macgregor, David Williams, Wendie Hopkins and 6 more

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Cancer immunology, immunotherapy : CII, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
2.3field-weighted citation impact, top 12% 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

21 citing papers in PubMed, 49 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Review
  4. Article
  5. Targeted Cancer Immunotherapy: Nanoformulation Engineering and Clinical Translation.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2022
    Review
  6. Review
  7. Perspective: cancer vaccines in the era of immune checkpoint blockade.Mammalian genome : official journal of the International Mammalian Genome Society · 2018
    Review
  8. Article
  9. Review
  10. Review
  11. Synthetic nanovaccines for immunotherapy.Journal of controlled release : official journal of the Controlled Release Society · 2017
    Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Update on vaccines for high-risk melanoma.Current treatment options in oncology · 2014
    Review
  18. Review
  19. Article
  20. Cancer testis antigen and immunotherapy.ImmunoTargets and therapy · 2013
    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 5 institutions in 2 countries.

Theo NicholaouLudwig Institute for Cancer Research, Melbourne, Austin Hospital, Heidelberg, VIC, Australia.
Weisan Chen
Ian D Davis
Heather M Jackson
Nektaria Dimopoulos
Catherine Barrow
Judy Browning
Duncan Macgregor
David Williams
Wendie Hopkins
Eugene Maraskovsky
Ralph Venhaus
Linda Pan
Eric W Hoffman
Lloyd J Old
Jonathan Cebon
Ludwig Cancer Research · AUAustin Health · AULudwig Cancer Research · USAustin Hospital · AUCSL (Australia) · AU

Funding

Wellcome TrustWellcome Trust 066646/Z/01/Z
6 · The paper itself

Abstract

backgroundNY-ESO-1 protein formulated in ISCOMATRIX™ results in CD4+, CD8+ T cell and antibody-mediated immunity. We evaluated persistence of immunity, relapse-free survival and tumour antigen expression upon relapse in patients vaccinated in an earlier trial.

methodsImmunity was measured in 28 patients with resected NY-ESO-1-expressing tumours (melanoma 25, breast 3) 252-1,155 days (median = 681) after vaccination. In the earlier vaccination, trial patients received NY-ESO-1 with ISCOMATRIX™ adjuvant at three protein doses 10 μg, 30 μg or 100 μg (n = 14); 100 μg NY-ESO-1 protein (n = 8) or placebo (n = 6), together with 1 μg of intradermal (ID) NY-ESO-1 protein twice for DTH skin testing. Immune responses assessed in the current study included antibody titres, circulating NY-ESO-1-specific T cells and DTH reactivity 2 days after DTH skin testing with NY-ESO-1 protein (1 μg) or peptides (10 μg). Relapse-free survival was determined for 42 melanoma patients. On relapse NY-ESO-1 and HLA, class I was assessed by immunohistochemistry in 17.

resultsPersisting anti-NY-ESO-1 immunity was detected in 10/14 recipients who had previously received vaccine with ISCOMATRIX™ adjuvant. In contrast, immunity only persisted in 3/14 who received 100 μg un-adjuvanted NY-ESO-1 protein (3/8) or 2 μg DTH protein (0/6) P = 0.02. Hence, persisting NY-ESO-1 immunity was associated with prior adjuvant. Tumour NY-ESO-1 or HLA class I was downregulated in participants who relapsed suggesting immunoediting had occurred.

conclusionImmunoediting suggests that a signal of anti-tumour activity was observed in high-risk resected melanoma patients vaccinated with NY-ESO-1/ISCOMATRIX™. This was associated with measurable persisting immunity in the majority of vaccinated subjects tested. A prospective randomised trial has been undertaken to confirm these results.

Indexed as

Adjuvants, ImmunologicAdultAgedAmino Acid SequenceAntigens, NeoplasmBreast NeoplasmsCancer VaccinesCholesterolDisease-Free SurvivalDown-RegulationDrug CombinationsDrug HypersensitivityFemaleHumansImmunohistochemistryMaleAdjuvants, ImmunologicAntigens, NeoplasmCancer VaccinesCholesterolCTAG1B protein, humanDrug CombinationsISCOMATRIXMembrane ProteinsPhospholipidsSaponins

Identifiers

PMID21698545
PMCPMC11028944
OpenAlexW2036539860

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.