Evidence map›Paper›PMID 22383993›Full record

Trial reportPloS one2012

A pilot study of IL-2Rα blockade during lymphopenia depletes regulatory T-cells and correlates with enhanced immunity in patients with glioblastoma.

John H Sampson, Robert J Schmittling, Gary E Archer, Kendra L Congdon, Smita K Nair, Elizabeth A Reap, Annick Desjardins, Allan H Friedman, Henry S Friedman, James E Herndon and 6 more

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00626015 (Zenapax®-Activated Peptide ImmunoTherapy [ZAP IT]), which is not on this map. Cited by 66 papers.

0numbers the graph read from it
0cells of the map it votes in
66citing papers in PubMed
5.9field-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.

NCT00626015 phase1completednot on this map

Zenapax®-Activated Peptide ImmunoTherapy [ZAP IT]

TypeinterventionalSponsorJohn SampsonRan2007 to 2013Enrolled16ConditionsMalignant Neoplasms of BrainArmsPEP-3-KLH conjugate vaccine, daclizumab, temozolomide, placebo, PEP-3-KLH
3 · Its place in the literature

Who cites it

66 citing papers in PubMed, 107 citations in OpenAlex.

  1. Review
  2. Review
  3. Targeting inflammation as cancer therapy.Journal of hematology & oncology · 2024
    Review
  4. Article
  5. Article
  6. Review
  7. CD103Nature cancer · 2023
    Article
  8. Review
  9. Article
  10. Review
  11. Review
  12. Harnessing cytokines and chemokines for cancer therapy.Nature reviews. Clinical oncology · 2022
    Review
  13. Review
  14. New Immunotherapeutic Approaches for Glioblastoma.Journal of immunology research · 2021
    Review
  15. Review
  16. Review
  17. Review
  18. Article
  19. Article
  20. Article

6 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

16 authors at 3 institutions in 1 country.

John H SampsonDivision of Neurosurgery, Department of Surgery, Duke University Medical Center, Durham, North Carolina, United States of America. john.sampson@duke.edu
Robert J Schmittling
Gary E Archer
Kendra L Congdon
Smita K Nair
Elizabeth A Reap
Annick Desjardins
Allan H Friedman
Henry S Friedman
James E Herndon
April Coan
Roger E McLendon
David A Reardon
James J Vredenburgh
Darell D Bigner
Duane A Mitchell
Duke Medical Center · USDuke University · USDana-Farber Cancer Institute · US

Funding

Pilot Project for the DTMI CRA ProgramUL1RR024128 · NCRR · DUKE UNIVERSITY · PI CALIFF, ROBERT M · 2006 to 2010
$48.1M
TUMOR SUPPRESSOR GENES IN HUMAN MEDULLOBLASTOMAP50NS020023 · NINDS · DUKE UNIVERSITY · PI BIGNER, DARELL D · 1985 to 2013
$17.3M
TEMODAR RESISTANCE IN CENTRAL NERVOUS SYSTEMP50CA108786 · NCI · DUKE UNIVERSITY · PI BIGNER, DARELL D · 2004 to 2009
$12.3M
Dendritic Cell Immunotherapy of Malignant GliomasR01CA097222 · NCI · DUKE UNIVERSITY · PI SAMPSON, JOHN H · 2002 to 2006
$1.5M
Effect on IL-2R Antibody on Regulatory T-cells in Patients with Malignant GliomasR21CA132891 · NCI · DUKE UNIVERSITY · PI SAMPSON, JOHN H. · 2008 to 2009
$464k
Pre-clinical Translation of Regulatory T-cell Inhibition in Brain TumorsR21NS067980 · NINDS · DUKE UNIVERSITY · PI SAMPSON, JOHN H. · 2010 to 2011
$432k
NCI NIH HHS P50 CA108786NCI NIH HHS P50-CA108786NCI NIH HHS R01 CA097222NCI NIH HHS R01-CA097222NCI NIH HHS R21 CA132891NCI NIH HHS R21-CA132891NCRR NIH HHS 1UL2-RR024128NCRR NIH HHS UL1 RR024128NINDS NIH HHS P50 NS020023NINDS NIH HHS P50-NS020023NINDS NIH HHS R21 NS067980NINDS NIH HHS R21-NS067980
6 · The paper itself

Abstract

backgroundPreclinical studies in mice have demonstrated that the prophylactic depletion of immunosuppressive regulatory T-cells (T(Regs)) through targeting the high affinity interleukin-2 (IL-2) receptor (IL-2Rα/CD25) can enhance anti-tumor immunotherapy. However, therapeutic approaches are complicated by the inadvertent inhibition of IL-2Rα expressing anti-tumor effector T-cells.

objectiveTo determine if changes in the cytokine milieu during lymphopenia may engender differential signaling requirements that would enable unarmed anti-IL-2Rα monoclonal antibody (MAbs) to selectively deplete T(Regs) while permitting vaccine-stimulated immune responses. METHODOLOGY: A randomized placebo-controlled pilot study was undertaken to examine the ability of the anti-IL-2Rα MAb daclizumab, given at the time of epidermal growth factor receptor variant III (EGFRvIII) targeted peptide vaccination, to safely and selectively deplete T(Regs) in patients with glioblastoma (GBM) treated with lymphodepleting temozolomide (TMZ). RESULTS AND

conclusionsDaclizumab treatment (n = 3) was well-tolerated with no symptoms of autoimmune toxicity and resulted in a significant reduction in the frequency of circulating CD4+Foxp3+ TRegs in comparison to saline controls (n = 3)( p = 0.0464). A significant (p<0.0001) inverse correlation between the frequency of TRegs and the level of EGFRvIII specific humoral responses suggests the depletion of TRegs may be linked to increased vaccine-stimulated humoral immunity. These data suggest this approach deserves further study.

trial registrationClinicalTrials.gov NCT00626015.

Indexed as

AdultAgedAntibodies, Monoclonal, HumanizedBrain NeoplasmsCD4-Positive T-LymphocytesCD8-Positive T-LymphocytesDaclizumabFemaleGlioblastomaHumansImmune SystemImmunoglobulin GImmunosuppressive AgentsInterleukin-2 Receptor alpha SubunitLymphopeniaMaleAntibodies, Monoclonal, HumanizedDaclizumabImmunoglobulin GImmunosuppressive AgentsInterleukin-2 Receptor alpha Subunit

Identifiers

PMID22383993
PMCPMC3288003
OpenAlexW2114775991

What OpenQuestion holds

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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.