Evidence map›Paper›PMID 21994418›Full record

ArticleClinical cancer research : an official journal of the American Association for Cancer Research2011

Phase I trial of ALT-801, an interleukin-2/T-cell receptor fusion protein targeting p53 (aa264-272)/HLA-A*0201 complex, in patients with advanced malignancies.

Mayer N Fishman, John A Thompson, Gregory K Pennock, Rene Gonzalez, Luz M Diez, Adil I Daud, Jeffery S Weber, Bee Y Huang, Shamay Tang, Peter R Rhode and 1 more

Open access · bronzeAbstract readClinical Trial, Phase I
In one paragraph

Article in Clinical cancer research : an official journal of the American Association for Cancer Research, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 17% 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

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 52 citations in OpenAlex.

  1. Pooled it
  2. Revisiting tumor immunogenicity through the lens of mutant p53: Implications for cancer immunotherapy.Apoptosis : an international journal on programmed cell death · 2026
    Review
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  5. Strategies to therapeutically modulate cytokine action.Nature reviews. Drug discovery · 2023
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  12. Targeting cancers through TCR-peptide/MHC interactions.Journal of hematology & oncology · 2019
    Review
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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

11 authors at 4 institutions in 1 country.

Mayer N FishmanDepartments of Genitourinary Oncology and Cutaneous Oncology, H. Lee Moffitt Cancer Center & Research Institute, Tampa, FL 33612, USA. mayer.fishman@moffitt.org
John A Thompson
Gregory K Pennock
Rene Gonzalez
Luz M Diez
Adil I Daud
Jeffery S Weber
Bee Y Huang
Shamay Tang
Peter R Rhode
Hing C Wong
Orlando Health · USMoffitt Cancer Center · USAltor BioScience (United States) · USUniversity of Colorado Denver · US

Funding

TRANSLATIONAL RESEARCHP30CA076292 · NCI · UNIVERSITY OF SOUTH FLORIDA · PI John L. Cleveland · 1998 to 2026
$93.5M
Bifunctional T cell receptor based immunotherapeuticsR44CA097550 · NCI · ALTOR BIOSCIENCE. LLC · PI WONG, HING C. · 2004 to 2011
$4.1M
Bifunctional T cell receptor based immunotherapeuticsR43CA097550 · NCI · ALTOR BIOSCIENCE CORPORATION · PI WONG, HING C. · 2002 to 2002
$100k
NCI NIH HHS CA097550NCI NIH HHS P30 CA076292NCI NIH HHS R43 CA097550NCI NIH HHS R44 CA097550
6 · The paper itself

Abstract

purposeALT-801 is a bifunctional fusion protein comprising interleukin-2 (IL-2) linked to a soluble, single-chain T-cell receptor domain that recognizes a peptide epitope (aa264-272) of the human p53 antigen displayed on cancer cells in the context of HLA-A*0201 (p53+/HLA-A*0201). We evaluated the safety, pharmacokinetics, and pharmacodynamics of ALT-801 in p53+/HLA-A*0201 patients with metastatic malignancies. EXPERIMENTAL

designp53+/HLA-A*0201 patients were treated with ALT-801 on a schedule of four daily 15-minute intravenous infusions, then 10 days rest and four more daily infusions. Cohorts of patients were treated at 0.015, 0.040, and 0.080 mg/kg/dose.

resultsFour, 16, and 6 patients were treated at the 0.015, 0.04, and 0.08 mg/kg cohorts, respectively. Two dose-limiting toxicities (a grade 4 transient thrombocytopenia and a myocardial infarction) in the 0.08 mg/kg cohort established the maximum tolerated dose (MTD) at 0.04 mg/kg. Patients treated at the MTD experienced toxicities similar to those associated with high-dose IL-2 but of lesser severity. The serum half-life of ALT-801 was 4 hours and ALT-801 serum recovery was as expected based on the dose administered. ALT-801 treatment induced an increase of serum IFN-γ but not TNF-α. Response assessment showed 10 subjects with stable disease at at least 11 weeks, and in one who had melanoma metastasis, there is an ongoing complete absence of identifiable disease after resection of radiographically identified lesions.

conclusionThis first-in-man study defines an ALT-801 regimen that can be administered safely and is associated with immunologic changes of potential antitumor relevance.

Indexed as

AdultAgedDose-Response Relationship, DrugDrug Administration ScheduleEpitopesFemaleFeverHLA-A2 AntigenHumansInfusions, IntravenousInterferon-gammaInterleukin-2Leukocytes, MononuclearLymphocyte CountLymphocytesMaleALT-801EpitopesHLA-A*02:01 antigenHLA-A2 AntigenInterferon-gammaInterleukin-2Receptors, Antigen, T-CellRecombinant Fusion ProteinsTumor Suppressor Protein p53

Identifiers

PMID21994418
PMCPMC3972922
OpenAlexW2100100860

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.