Evidence map›Paper›PMID 21927947›Full record

Trial reportCancer immunology, immunotherapy : CII2012

A gynecologic oncology group phase II trial of two p53 peptide vaccine approaches: subcutaneous injection and intravenous pulsed dendritic cells in high recurrence risk ovarian cancer patients.

Osama E Rahma, Ed Ashtar, Malgorzata Czystowska, Marta E Szajnik, Eva Wieckowski, Sarah Bernstein, Vincent E Herrin, Mortada A Shams, Seth M Steinberg, Maria Merino and 8 more

Abstract readClinical Trial, Phase II
In one paragraph

Trial report in Cancer immunology, immunotherapy : CII, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 2 pooled it
4.0field-weighted citation impact, top 6% 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

46 citing papers in PubMed, 2 syntheses or guidelines pooled it, 101 citations in OpenAlex.

  1. Antigen-specific active immunotherapy for ovarian cancer.The Cochrane database of systematic reviews · 2018
    Pooled it
  2. Is the "3+3" dose-escalation phase I clinical trial design suitable for therapeutic cancer vaccine development? A recommendation for alternative design.Clinical cancer research : an official journal of the American Association for Cancer Research · 2014
    Pooled it
  3. Trial
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  18. Immunotherapy in Ovarian Cancer.Archivum immunologiae et therapiae experimentalis · 2022
    Review
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  20. 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

18 authors at 8 institutions in 2 countries.

Osama E RahmaVaccine Branch, CCR, NCI, 41 Medlars Dr., Building 41 Room B900, Bethesda, MD 20892, USA.
Ed Ashtar
Malgorzata Czystowska
Marta E Szajnik
Eva Wieckowski
Sarah Bernstein
Vincent E Herrin
Mortada A Shams
Seth M Steinberg
Maria Merino
William Gooding
Carmen Visus
Albert B Deleo
Judith K Wolf
Jeffrey G Bell
Jay A Berzofsky
Theresa L Whiteside
Samir N Khleif
Center for Cancer Research · USUPMC Hillman Cancer Center · USData Management Services (United States) · USNational Institutes of Health Clinical Center · USPoznan University of Medical Sciences · PLRiverside Methodist Hospital · USThe University of Texas MD Anderson Cancer Center · USUniversity of Mississippi · US

Funding

GYNECOLOGIC ONCOLOGY GROUP HEADQUARTERSU10CA027469 · NCI · GYNECOLOGIC ONCOLOGY GROUP · PI DISAIA, PHILIP J. · 1985 to 2013
$132.6M
GYNECOLOGIC ONCOLOGY GROUP STATISTICAL OFFICEU10CA037517 · NCI · ROSWELL PARK CANCER INSTITUTE CORP · PI BLESSING, JOHN A · 1985 to 2013
$67.4M
Vaccine and immunotherapy strategies for cancer and viruses causing cancerZIASC004020 · NCI · DIVISION OF CLINICAL SCIENCES - NCI · PI BERZOFSKY, JAY A · 2009 to 2025
$51.8M
University of Pittsburgh Clinical and Translational Science InstituteUL1TR000005 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2012 to 2015
$50.8M
Office of Collaborative BiostatisticsZIDSC007202 · NCI · DIVISION OF CLINICAL SCIENCES - NCI · PI CHOO-WOSOBA, HYOYOUNG · 2009 to 2025
$14.5M
Tissue Procurement / ImmunohistologyP01CA109688 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI SCHLESSELMAN, JAMES J · 2006 to 2010
$5.9M
Translational Surgical PathologyZIESC000853 · NCI · DIVISION OF CLINICAL SCIENCES - NCI · PI MERINO, MARIA · 2009 to 2025
$4.3M
Clinical trial development in cancer vaccinesZIABC010757 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI KHLEIF, SAMIR · 2009 to 2012
$1.4M
DNA-Based Vaccines for Oral CarcnomaR01DE013918 · NIDCR · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI WHITESIDE, THERESA L. · 2001 to 2005
$974k
Intramural NIH HHSNCATS NIH HHS UL1 TR000005NCI NIH HHS CA27469NCI NIH HHS CA37517NCI NIH HHS P01 CA109688NCI NIH HHS U10 CA027469NCI NIH HHS U10 CA037517NIDCR NIH HHS R01 DE013918NIDCR NIH HHS R01 DE13918
6 · The paper itself

Abstract

purposePeptide antigens have been administered by different approaches as cancer vaccine therapy, including direct injection or pulsed onto dendritic cells; however, the optimal delivery method is still debatable. In this study, we describe the immune response elicited by two vaccine approaches using the wild-type (wt) p53 vaccine. EXPERIMENTAL

designTwenty-one HLA-A2.1 patients with stage III, IV, or recurrent ovarian cancer overexpressing the p53 protein with no evidence of disease were treated in two cohorts. Arm A received SC wt p53:264-272 peptide admixed with Montanide and GM-CSF. Arm B received wt p53:264-272 peptide-pulsed dendritic cells IV. Interleukin-2 (IL-2) was administered to both cohorts in alternative cycles.

resultsNine of 13 patients (69%) in arm A and 5 of 6 patients (83%) in arm B developed an immunologic response as determined by ELISPOT and tetramer assays. The vaccine caused no serious systemic side effects. IL-2 administration resulted in grade 3 and 4 toxicities in both arms and directly induced the expansion of T regulatory cells. The median overall survival was 40.8 and 29.6 months for arm A and B, respectively; the median progression-free survival was 4.2 and. 8.7 months, respectively.

conclusionWe found that using either vaccination approach generates comparable specific immune responses against the p53 peptide with minimal toxicity. Accordingly, our findings suggest that the use of less demanding SC approach may be as effective. Furthermore, the use of low-dose SC IL-2 as an adjuvant might have interfered with the immune response. Therefore, it may not be needed in future trials.

Indexed as

AdultAgedCancer VaccinesCohort StudiesCombined Modality TherapyDendritic CellsFatigueFemaleGranulocyte-Macrophage Colony-Stimulating FactorHLA-A2 AntigenHumansInjections, IntravenousInjections, SubcutaneousInterleukin-2Kaplan-Meier EstimateLymphopeniaCancer VaccinesGranulocyte-Macrophage Colony-Stimulating FactorHLA-A2 AntigenInterleukin-2Tumor Suppressor Protein p53Vaccines, Subunit

Identifiers

PMID21927947
PMCPMC3708463
OpenAlexW1971374555

What OpenQuestion holds

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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.