Evidence map›Paper›PMID 21768296›Full record

Trial reportBlood2011

Monoclonal antibody blockade of IL-2 receptor α during lymphopenia selectively depletes regulatory T cells in mice and humans.

Duane A Mitchell, Xiuyu Cui, Robert J Schmittling, Luis Sanchez-Perez, David J Snyder, Kendra L Congdon, Gary E Archer, Annick Desjardins, Allan H Friedman, Henry S Friedman and 6 more

Registry-linked trialOpen access · bronzeAbstract readClinical Trial
In one paragraph

Trial report in Blood, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00626483 (REGULATory T-Cell Inhibition With Basiliximab), which is not on this map. Cited by 77 papers.

0numbers the graph read from it
0cells of the map it votes in
77citing papers in PubMed
4.9field-weighted citation impact, top 4% 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.

NCT00626483 phase1completednot on this map

REGULATory T-Cell Inhibition With Basiliximab (Simulect®) During Recovery From Therapeutic Temozolomide-induced Lymphopenia During Antitumor Immunotherapy Targeted Against Cytomegalovirus in Patients With Newly-Diagnosed Glioblastoma Multiforme

TypeinterventionalSponsorGary Archer Ph.D.Ran2007 to 2016Enrolled34ConditionsMalignant Neoplasms BrainArmsRNA-loaded dendritic cell vaccine, basiliximab
3 · Its place in the literature

Who cites it

77 citing papers in PubMed, 114 citations in OpenAlex.

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17 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

16 authors at 2 institutions in 1 country.

Duane A MitchellThe Preston Robert Tisch Brain Tumor Center, Duke University Medical Center, Durham, NC, USA.
Xiuyu Cui
Robert J Schmittling
Luis Sanchez-Perez
David J Snyder
Kendra L Congdon
Gary E Archer
Annick Desjardins
Allan H Friedman
Henry S Friedman
James E Herndon
Roger E McLendon
David A Reardon
James J Vredenburgh
Darell D Bigner
John H Sampson
Texas Neurology · USDuke University · US

Funding

Pilot Project for the DTMI CRA ProgramUL1RR024128 · NCRR · DUKE UNIVERSITY · PI CALIFF, ROBERT M · 2006 to 2010
$48.1M
TEMODAR RESISTANCE IN CENTRAL NERVOUS SYSTEMP50CA108786 · NCI · DUKE UNIVERSITY · PI BIGNER, DARELL D · 2004 to 2009
$12.3M
NCI NIH HHS P50 CA108786NCI NIH HHS P50CA108786NCRR NIH HHS 1UL2RR024128-01NCRR NIH HHS UL1 RR024128
6 · The paper itself

Abstract

Lymphodepletion augments adoptive cell transfer during antitumor immunotherapy, producing dramatic clinical responses in patients with malignant melanoma. We report that the lymphopenia induced by the chemotherapeutic agent temozolomide (TMZ) enhances vaccine-driven immune responses and significantly reduces malignant growth in an established model of murine tumorigenesis. Unexpectedly, despite the improved antitumor efficacy engendered by TMZ-induced lymphopenia, there was a treatment related increase in the frequency of immunosuppressive regulatory T cells (T(Regs); P = .0006). Monoclonal antibody (mAb)-mediated inhibition of the high-affinity IL-2 receptor α (IL-2Rα/CD25) during immunotherapy in normal mice depleted T(Regs) (73% reduction; P = .0154) but also abolished vaccine-induced immune responses. However, during lymphodepletion, IL-2Rα blockade decreased T(Regs) (93% reduction; P = .0001) without impairing effector T-cell responses, to augment therapeutic antitumor efficacy (66% reduction in tumor growth; P = .0024). Of clinical relevance, we also demonstrate that anti-IL-2Rα mAb administration during recovery from lymphodepletive TMZ in patients with glioblastoma reduced T(Reg) frequency (48% reduction; P = .0061) while permitting vaccine-stimulated antitumor effector cell expansion. To our knowledge, this is the first report of systemic antibody-mediated T(Reg) depletion during lymphopenia and the consequent synergistic enhancement of vaccine-driven cellular responses, as well as the first demonstration that anti-IL-2Rα mAbs function differentially in nonlymphopenic versus lymphopenic contexts.

Indexed as

AdultAnimalsAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedAntineoplastic Agents, AlkylatingBrain NeoplasmsCancer VaccinesCells, CulturedCombined Modality TherapyDacarbazineDaclizumabDrug Evaluation, PreclinicalGlioblastomaHumansImmunoglobulin GImmunotherapyAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedAntineoplastic Agents, AlkylatingCancer VaccinesDacarbazineDaclizumabImmunoglobulin GInterleukin-2 Receptor alpha SubunitTemozolomide

Identifiers

PMID21768296
PMCPMC3175779
OpenAlexW2082099294

What OpenQuestion holds

Textmetadata
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.