Evidence map›Paper›PMID 21850019›Full record

Trial reportThe Journal of investigative dermatology2012

Immunomodulation by imiquimod in patients with high-risk primary melanoma.

Rupa Narayan, Hong Nguyen, Jason J Bentow, Lauren Moy, Diana K Lee, Stephanie Greger, Jacquelyn Haskell, Veena Vanchinathan, Pei-Lin Chang, Shanli Tsui and 8 more

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The Journal of investigative dermatology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
2.0field-weighted citation impact, top 14% 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

32 citing papers in PubMed, 53 citations in OpenAlex.

  1. Topical TLR7 agonist imiquimod can induce immune-mediated rejection of skin metastases in patients with breast cancer.Clinical cancer research : an official journal of the American Association for Cancer Research · 2012
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  19. pH-degradable imidazoquinoline-ligated nanogels for lymph node-focused immune activation.Proceedings of the National Academy of Sciences of the United States of America · 2016
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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

18 authors at 2 institutions in 1 country.

Rupa NarayanDivision of Dermatology, Los Angeles Biomedical Research Institute, Harbor-UCLA Medical Center, Torrance, California 90502, USA.
Hong Nguyen
Jason J Bentow
Lauren Moy
Diana K Lee
Stephanie Greger
Jacquelyn Haskell
Veena Vanchinathan
Pei-Lin Chang
Shanli Tsui
Tamiko Konishi
Begonya Comin-Anduix
Christine Dauphine
Hernan I Vargas
James S Economou
Antoni Ribas
Kevin W Bruhn
Noah Craft
University of California, Los Angeles · USThe Lundquist Institute · US

Funding

UCLA Clinical and Translational Science InstituteUL1TR000124 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI DUBINETT, STEVEN M. · 2012 to 2015
$57.0M
Immunomodulation in melanoma therapyR01CA127565 · NCI · LUNDQUIST INSTITUTE FOR BIOMEDICAL INNOVATION AT HARBOR-UCLA MEDICAL CENTER · PI CRAFT, NOAH A · 2008 to 2012
$1.8M
Immunomodulation in melanoma: Toll like receptors and therapeutic vaccinesK22CA127135 · NCI · LUNDQUIST INSTITUTE FOR BIOMEDICAL INNOVATION AT HARBOR-UCLA MEDICAL CENTER · PI CRAFT, NOAH A · 2008 to 2010
$485k
NCATS NIH HHS UL1 TR000124NCI NIH HHS K22 CA127135NCI NIH HHS R01 CA127565
6 · The paper itself

Abstract

Imiquimod is a synthetic Toll-like receptor 7 (TLR7) agonist approved for the topical treatment of actinic keratoses, superficial basal cell carcinoma, and genital warts. Imiquimod leads to an 80-100% cure rate of lentigo maligna; however, studies of invasive melanoma are lacking. We conducted a pilot study to characterize the local, regional, and systemic immune responses induced by imiquimod in patients with high-risk melanoma. After treatment of the primary melanoma biopsy site with placebo or imiquimod cream, we measured immune responses in the treated skin, sentinel lymph nodes (SLNs), and peripheral blood. Treatment of primary melanomas with 5% imiquimod cream was associated with an increase in both CD4+ and CD8+ T cells in the skin, and CD4+ T cells in the SLN. Most of the CD8+ T cells in the skin were CD25 negative. We could not detect any increases in CD8+ T cells specifically recognizing HLA-A(*)0201-restricted melanoma epitopes in the peripheral blood. The findings from this small pilot study demonstrate that topical imiquimod treatment results in enhanced local and regional T-cell numbers in both the skin and SLN. Further research into TLR7 immunomodulating pathways as a basis for effective immunotherapy against melanoma in conjunction with surgery is warranted.

Indexed as

Administration, TopicalAdultAminoquinolinesAntineoplastic AgentsCombined Modality TherapyFemaleHumansImiquimodImmunologic FactorsMaleMelanomaPilot ProjectsPreoperative CareProspective StudiesRisk FactorsSkinAminoquinolinesAntineoplastic AgentsImiquimodImmunologic FactorsTLR7 protein, humanToll-Like Receptor 7

Identifiers

PMID21850019
PMCPMC3229834
OpenAlexW2089738194

What OpenQuestion holds

Textmetadata
LicenceTDM
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.