Evidence map›Paper›PMID 21989902›Full record

Trial reportCancer2012

Clinical trial results of the HER-2/neu (E75) vaccine to prevent breast cancer recurrence in high-risk patients: from US Military Cancer Institute Clinical Trials Group Study I-01 and I-02.

Elizabeth A Mittendorf, Guy T Clifton, Jarrod P Holmes, Kevin S Clive, Ritesh Patil, Linda C Benavides, Jeremy D Gates, Alan K Sears, Alexander Stojadinovic, Sathibalan Ponniah and 1 more

3 registry-linked trialsAbstract readClinical Trial, Phase IClinical Trial, Phase II
In one paragraph

Trial report in Cancer, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 78 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
78citing papers in PubMed, 1 pooled it
6.3field-weighted citation impact, top 3% 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.

NCT00841399 phase1completednot on this map

Phase Ib Trial of HER2/Neu Peptide (E75) Vaccine in Breast Cancer Patients at Risk for Recurrence After Surgical and Medical Therapies

TypeinterventionalSponsorCOL George Peoples, MD, FACSRan2001 to 2013Enrolled100ConditionsBreast CancerArmsE75 + GM-CSF vaccine
NCT00854789 phase1completednot on this map

Phase Ib Trial of HER2/Neu Peptide (E75) Vaccine in Node Negative Breast Cancer Patients

TypeinterventionalSponsorCOL George Peoples, MD, FACSRan2002 to 2013Enrolled95ConditionsBreast CancerArmsE75 + GM-CSF vaccine
NCT01479244 phase3completednot on this map

PRESENT: Prevention of Recurrence in Early-Stage, Node-Positive Breast Cancer With Low to Intermediate HER2 Expressions With NeuVax™Treatment

TypeinterventionalSponsorGalena Biopharma, Inc.Ran2011 to 2016Enrolled758ConditionsBreast Cancer With Low to Intermediate HER2 ExpressionArmsNeuVax™ vaccine, Leukine® (sargramostim, GM-CSF) and water for injection
3 · Its place in the literature

Who cites it

78 citing papers in PubMed, 1 synthesis or guideline pooled it, 171 citations in OpenAlex.

  1. Pooled it
  2. Trial
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  7. Review
  8. Advances in Targeting HER2 across Cancer Subtypes: A Pan-Tumor Approach.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
    Review
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  11. Review
  12. Review
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  18. Review
  19. Peptides for Vaccine Development.ACS applied bio materials · 2022
    Review
  20. Review

18 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

11 authors at 7 institutions in 1 country.

Elizabeth A MittendorfDepartment of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Guy T Clifton
Jarrod P Holmes
Kevin S Clive
Ritesh Patil
Linda C Benavides
Jeremy D Gates
Alan K Sears
Alexander Stojadinovic
Sathibalan Ponniah
George E Peoples
San Antonio Military Medical Center · USJoint Base San Antonio · USUniformed Services University of the Health Sciences · USNaval Medical Center San Diego · USRoswell Park Comprehensive Cancer Center · USThe University of Texas MD Anderson Cancer Center · USWalter Reed Army Institute of Research · US

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Scott Kopetz · 1985 to 2026
$290.8M
Cyclin E: Implications for targeted therapy in HER2-overexpressing breast cancerR00CA133244 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI MITTENDORF, ELIZABETH · 2010 to 2012
$720k
NCI NIH HHS 4R00CA133244-03NCI NIH HHS R00 CA133244
6 · The paper itself

Abstract

backgroundThe authors conducted exploratory phase 1-2 clinical trials vaccinating breast cancer patients with E75, a human leukocyte antigen (HLA) A2/A3-restricted HER-2/neu (HER2) peptide, and granulocyte-macrophage colony-stimulating factor. The vaccine is given as adjuvant therapy to prevent disease recurrence. They previously reported that the vaccine is safe and effective in stimulating expansion of E75-specific cytotoxic T cells. Here, they report 24-month landmark analyses of disease-free survival (DFS).

methodsThese dose escalation/schedule optimization trials enrolled lymph node-positive and high-risk lymph node-negative patients with HER2 (immunohistochemistry [IHC] 1-3(+) ) expressing tumors. HLA-A2/A3(+) patients were vaccinated; others were followed prospectively as controls for recurrence. DFS was analyzed by Kaplan-Meier curves; groups were compared using log-rank tests.

resultsOf 195 enrolled patients, 182 were evaluable: 106 (58.2%) in the vaccinated group and 76 (41.8%) in the control group. The 24-month landmark analysis DFS was 94.3% in the vaccinated group and 86.8% in the control group (P = .08). Importantly, because of trial design, 65% of patients received a lower than optimal vaccine dose. In subset analyses, patients who benefited most from vaccination (vaccinated group vs control group) had lymph node-positive (DFS, 90.2% vs 79.1%; P = .13), HER2 IHC 1+-2+ (DFS, 94.0% vs 79.4%; P = .04), or grade 1 or 2 (DFS, 98.4% vs 86.0%; P = .01) tumors and were optimally dosed (DFS, 97.3% vs 86.8%; P = .08). A booster program has been initiated; no patients receiving booster inoculations have recurred.

conclusionsThe E75 vaccine has clinical efficacy that is more prominent in certain patients. A phase 3 trial enrolling lymph node-positive patients with HER2 low-expressing tumors is warranted.

Indexed as

AdultAgedAged, 80 and overBreast NeoplasmsCancer VaccinesDisease-Free SurvivalErb-b2 Receptor Tyrosine KinasesFemaleGranulocyte-Macrophage Colony-Stimulating FactorHLA-A2 AntigenHLA-A3 AntigenHumansMiddle AgedNeoplasm Recurrence, LocalPeptide FragmentsRiskCancer VaccinesERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesGranulocyte-Macrophage Colony-Stimulating FactorHLA-A2 AntigenHLA-A3 AntigenPeptide Fragments

Identifiers

PMID21989902
PMCPMC3428069
OpenAlexW2023685040

What OpenQuestion holds

Textmetadata
LicenceTDM
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.