Evidence map›Paper›PMID 22186789›Full record

ArticleMolecular therapy : the journal of the American Society of Gene Therapy2012

Phase I trial of "bi-shRNAi(furin)/GMCSF DNA/autologous tumor cell" vaccine (FANG) in advanced cancer.

Neil Senzer, Minal Barve, Joseph Kuhn, Anton Melnyk, Peter Beitsch, Martin Lazar, Samuel Lifshitz, Mitchell Magee, Jonathan Oh, Susan W Mill and 16 more

15 registry-linked trialsOpen access · hybridAbstract readClinical Trial, Phase I
In one paragraph

Article in Molecular therapy : the journal of the American Society of Gene Therapy, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 15 registered trials, which are not on this map. Cited by 101 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
101citing papers in PubMed, 1 pooled it
4.6field-weighted citation impact, top 5% 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.

NCT01061840 phase1completednot on this map

Phase I Trial of Bi-shRNAfurin and GMCSF Augmented Autologous Tumor Cell Vaccine for Advanced Cancer

TypeinterventionalSponsorGradalis, Inc.Ran2009 to 2019Enrolled100ConditionsEwings Sarcoma, Non Small Cell Lung Cancer, Liver CancerArmsVigil™
NCT01309230 phase2completednot on this map

Open-label Phase II Trial of Adjuvant bishRNAfurin and GMCSF Augmented Autologous Tumor Cell Vaccine (FANG™) for High Risk Stage III/IV Ovarian Cancer

TypeinterventionalSponsorGradalis, Inc.Ran2011 to 2022Enrolled39ConditionsOvarian CancerArmsVigil™
NCT01453361 phase2terminatednot on this map

Phase II Trial of FANG™ Autologous Tumor Cell Vaccine in Advanced Melanoma

TypeinterventionalSponsorGradalis, Inc.Ran2011 to 2016Enrolled18ConditionsAdvanced MelanomaArmsVigil™ Vaccine
NCT01505166 phase2terminatednot on this map

Randomized Phase II Trial of Post-operative Adjuvant Chemotherapy ± FANG™ Autologous Tumor Cell Vaccine in Colorectal Carcinoma With Liver Metastases

TypeinterventionalSponsorGradalis, Inc.Ran2012 to 2016Enrolled3ConditionsColon CancerArmsVigil™ Vaccine, Placebo
NCT01551745 phase2completednot on this map

Phase II Trial of Adjuvant Bi-shRNAfurin and GMCSF Augmented Autologous Tumor Cell Vaccine (FANG™) Integrated With Bevacizumab for Patients With Recurrent/Refractory Ovarian Cancer Participating in Study CL-PTL 105

TypeinterventionalSponsorGradalis, Inc.Ran2012 to 2016Enrolled5ConditionsStage III Ovarian Cancer, Stage IV Ovarian CancerArmsVigil™ Vaccine, Bevacizumab
NCT01867086 phase2completednot on this mapstarted 2013, after this paper: background citation

Phase II Trial of Adjuvant Bi-shRNAfurin and GMCSF Augmented Autologous Tumor Cell Vaccine (FANG™) Integrated With Chemotherapy for Patients With Recurrent Cisplatinum Sensitive Ovarian Cancer Participating in Study CL-PTL 105

TypeinterventionalSponsorGradalis, Inc.Ran2013 to 2016Enrolled1ConditionsStage III Ovarian Cancer, Stage IV Ovarian CancerArmsVigil™ Vaccine, Carboplatinum, Carboplatinum and Taxol
NCT02346747 phase2active not recruitingnot on this mapstarted 2015, after this paper: background citation

A Randomized, Double-Blind, Placebo-Controlled Phase 2 Trial of Vigil Engineered Autologous Tumor Cell Immunotherapy in Subjects With Stage IIIb-IV Ovarian Cancer in Clinical Complete Response Following Surgery and Primary Chemotherapy

TypeinterventionalSponsorGradalis, Inc.Ran2015 to 2028Enrolled92ConditionsOvarian Cancer, Ovarian NeoplasmsArmsVigil, Placebo
NCT02511132 phase2completednot on this mapstarted 2016, after this paper: background citation

A 2-part Trial Comparing Overall Survival of Patients With Metastatic Ewing's Sarcoma Treated With Vigil Versus Gemcitabine and Docetaxel and to Determine Safety Profile of Vigil in Combination With Irinotecan and Temozolomide.

TypeinterventionalSponsorGradalis, Inc.Ran2016 to 2020Enrolled22ConditionsEwing's SarcomaArmsVigil, Temozolomide, Irinotecan, Gemcitabine, Docetaxel
NCT02574533 phase1completednot on this mapstarted 2015, after this paper: background citation

A Pilot Study of Vigil™ Augmented Autologous Tumor Cell Immunotherapy in Combination With Pembrolizumab PD-1 Inhibitor for Patients With Advanced Melanoma

TypeinterventionalSponsorGradalis, Inc.Ran2015 to 2017Enrolled2ConditionsMelanoma Recurrent, Malignant Melanoma, MelanomaArmsVigil, Pembrolizumab
NCT02639234 phase2withdrawnnot on this mapstarted 2016, after this paper: background citation

A Phase 2 Study of Vigil™ Augmented Autologous Tumor Cell Immunotherapy in Combination With Nivolumab PD-1 Inhibitor for Patients With Advanced Non-Small Cell Lung Cancer

TypeinterventionalSponsorGradalis, Inc.Ran2016 to 2017Enrolled0ConditionsAdvanced Non-small Cell Lung Cancer, Metastatic Non-small Cell Lung Cancer, Lung NeoplasmsArmsVigil™, Nivolumab
NCT02736565 phase1completednot on this mapstarted 2016, after this paper: background citation

Phase I Trial of Pbi-shRNA™ EWS/FLI1 Type 1 Lipoplex (LPX) in Subjects With Advanced Ewing's Sarcoma

TypeinterventionalSponsorGradalis, Inc.Ran2016 to 2020Enrolled7ConditionsEwing's Sarcoma, Ewing Family of Tumors, Ewing's Tumor Metastatic, Ewing's Sarcoma MetastaticArmspbi-shRNA™ EWS/FLI1 Type 1 Lipoplex
NCT03073525 phase2completednot on this mapstarted 2017, after this paper: background citation

A Randomized, Intra-patient Crossover, Safety, Biomarker and Anti-Tumor Activity Assessment of the Combination of Atezolizumab and Vigil in Patients With Advanced Gynecological Cancers (A Companion Study to CL-PTL-119)

TypeinterventionalSponsorGradalis, Inc.Ran2017 to 2022Enrolled25ConditionsAdvanced Gynecological Cancers, Ovarian Cancer, Cervical Cancer, Uterine CancerArmsVigil, Atezolizumab
NCT03495921 phase3terminatednot on this mapstarted 2018, after this paper: background citation

A Multi-Center Phase III, Randomized, Open-Label Trial of Vigil (Bi-shRNAfurin and GMCSF Augmented Autologous Tumor Cell Immunotherapy) in Combination With Irinotecan and Temozolomide as a Second-Line Regimen for Ewing's Sarcoma

TypeinterventionalSponsorGradalis, Inc.Ran2018 to 2022Enrolled32ConditionsEwing Sarcoma, Ewing Family of Tumors, Ewing's Tumor Metastatic, Ewing's Sarcoma MetastaticArmsVigil, Irinotecan, Temozolomide
NCT03842865 temporarily not availablenot on this map

An Expanded Access Trial of Vigil (Bi-shRNAfurin and GMCSF Augmented Autologous Tumor Cell Immunotherapy) in Advanced Solid Tumors

Typeexpanded_accessSponsorGradalis, Inc.ConditionsSolid Tumor, Ewing Sarcoma, Ewing's Tumor Metastatic, Ewing's Sarcoma MetastaticArmsVigil
NCT07567222 phase1recruitingnot on this mapstarted 2026, after this paper: background citation

Safety, Tolerability, and Preliminary Antitumor Activity of Novel Therapeutic Tumor Vaccines in Advanced Solid Tumors

TypeinterventionalSponsorWest China HospitalRan2026 to 2027Enrolled54ConditionsMalignant TumorArmsYMN101, YMN102, YMN103, YMN104, YMN105
3 · Its place in the literature

Who cites it

101 citing papers in PubMed, 1 synthesis or guideline pooled it, 193 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Preclinical assessment of GNEFuture science OA · 2026
    Article
  7. Review
  8. Review
  9. Review
  10. Review
  11. Article
  12. Review
  13. Review
  14. Article
  15. Review
  16. Development and Prospects of Furin Inhibitors for Therapeutic Applications.International journal of molecular sciences · 2024
    Review
  17. Article
  18. Article
  19. Article
  20. TGF-β signaling in health, disease, and therapeutics.Signal transduction and targeted therapy · 2024
    Review

41 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

26 authors at 8 institutions in 1 country.

Neil SenzerMary Crowley Cancer Research Centers, Dallas, Texas 75201, USA.
Minal Barve
Joseph Kuhn
Anton Melnyk
Peter Beitsch
Martin Lazar
Samuel Lifshitz
Mitchell Magee
Jonathan Oh
Susan W Mill
Cynthia Bedell
Candice Higgs
Padmasini Kumar
Yang Yu
Fabienne Norvell
Connor Phalon
Nicolas Taquet
Donald D Rao
Zhaohui Wang
Chris M Jay
Beena O Pappen
Gladice Wallraven
F Charles Brunicardi
David M Shanahan
Phillip B Maples
John Nemunaitis
Gradalis (United States) · USMary Crowley Cancer Research Center · USTexas Oncology · USCardiovascular Research Associates · USGynecologic Oncology Associates · USMedical City Dallas Hospital · USTexas Neurology · USUniversity of California, Los Angeles · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We performed a phase I trial of FANG vaccine, an autologous tumor-based product incorporating a plasmid encoding granulocyte-macrophage colony-stimulating factor (GMCSF) and a novel bifunctional short hairpin RNAi (bi-shRNAi) targeting furin convertase, thereby downregulating endogenous immunosuppressive transforming growth factors (TGF) β1 and β2. Patients with advanced cancer received up to 12 monthly intradermal injections of FANG vaccine (1 × 10(7) or 2.5 × 10(7) cells/ml injection). GMCSF, TGFβ1, TGFβ2, and furin proteins were quantified by enzyme-linked immunosorbent assay (ELISA). Safety and response were monitored. Vaccine manufacturing was successful in 42 of 46 patients of whom 27 received ≥1 vaccine. There were no treatment-related serious adverse events. Most common grade 1, 2 adverse events included local induration (n = 14) and local erythema (n = 11) at injection site. Post-transfection mean product expression GMCSF increased from 7.3 to 1,108 pg/10(6) cells/ml. Mean TGFβ1 and β2 effective target knockdown was 93.5 and 92.5% from baseline, respectively. Positive enzyme-linked immunospot (ELISPOT) response at month 4 was demonstrated in 9 of 18 patients serially assessed and correlated with survival duration from time of treatment (P = 0.025). Neither dose-adverse event nor dose-response relationship was noted. In conclusion, FANG vaccine was safe and elicited an immune response correlating with prolonged survival. Phase II assessment is justified.

Indexed as

AdultAgedCancer VaccinesFemaleFurinGene ExpressionGranulocyte-Macrophage Colony-Stimulating FactorHumansInterferon-gammaLeukocytes, MononuclearMaleMiddle AgedNeoplasmsNeoplasm StagingRNA, Small InterferingSurvival AnalysisCancer VaccinesFANG vaccineFurinGranulocyte-Macrophage Colony-Stimulating FactorInterferon-gammaRNA, Small Interfering

Identifiers

PMID22186789
PMCPMC3293620
OpenAlexW1987657194

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

and 9 more above

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.