Evidence map›Paper›PMID 22906006›Full record

Trial reportBMC cancer2012

Double-blind, placebo-controlled first in human study to investigate an oral vaccine aimed to elicit an immune reaction against the VEGF-Receptor 2 in patients with stage IV and locally advanced pancreatic cancer.

Andreas G Niethammer, Heinz Lubenau, Gerd Mikus, Philipp Knebel, Nicolas Hohmann, Christine Leowardi, Philipp Beckhove, Mustafa Akhisaroglu, Yingzi Ge, Marco Springer and 6 more

Registry-linked trialAbstract readClinical Trial, Phase IRandomized Controlled Trial
In one paragraph

Trial report in BMC cancer, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01486329 (VXM01 Phase I Dose Escalation Study in Patients With Locally Advanced, Inoperable and Stage IV Pancreatic Cancer to Examine Safety, Tolerability, and Immune Response to the Investigational VEGFR-2 DNA Vaccine VXM01), which is not on this map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
–field-weighted citation impact
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.

NCT01486329 phase1completednot on this map

VXM01 Phase I Dose Escalation Study in Patients With Locally Advanced, Inoperable and Stage IV Pancreatic Cancer to Examine Safety, Tolerability, and Immune Response to the Investigational VEGFR-2 DNA Vaccine VXM01

TypeinterventionalSponsorVaximm GmbHRan2011 to 2014Enrolled72ConditionsStage IV Pancreatic CancerArmsVXM01, Placebo
3 · Its place in the literature

Who cites it

36 citing papers in PubMed.

  1. Review
  2. Review
  3. Review
  4. Review
  5. Review
  6. Review
  7. Review
  8. Genetic engineering ofEcoSal Plus · 2024
    Review
  9. Review
  10. Review
  11. Review
  12. Review
  13. Tumor vaccines: Toward multidimensional anti-tumor therapies.Human vaccines & immunotherapeutics · 2023
    Review
  14. Review
  15. Review
  16. Review
  17. Recombinant AttenuatedCancers · 2022
    Review
  18. Article
  19. Review
  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

16 authors.

Andreas G NiethammerVaximm, Mannheim, Germany.
Heinz Lubenau
Gerd Mikus
Philipp Knebel
Nicolas Hohmann
Christine Leowardi
Philipp Beckhove
Mustafa Akhisaroglu
Yingzi Ge
Marco Springer
Lars Grenacher
Markus W Buchler
Moritz Koch
Jürgen Weitz
Walter E Haefeli
Friedrich H Schmitz-Winnenthal

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe investigational oral DNA vaccine VXM01 targets the vascular endothelial growth factor receptor 2 (VEGFR-2) and uses Salmonella typhi Ty21a as a vector. The immune reaction elicited by VXM01 is expected to disrupt the tumor neovasculature and, consequently, inhibit tumor growth. VXM01 potentially combines the advantages of anti-angiogenic therapy and active immunotherapy. METHODS/

designThis phase I trial examines the safety, tolerability, and immunological and clinical responses to VXM01. The randomized, placebo-controlled, double blind dose-escalation study includes up to 45 patients with locally advanced and stage IV pancreatic cancer. The patients will receive four doses of VXM01 or placebo in addition to gemcitabine as standard of care. Doses from 106 cfu up to 1010 cfu of VXM01 will be evaluated in the study. An independent data safety monitoring board (DSMB) will be involved in the dose-escalation decisions. In addition to safety as primary endpoint, the VXM01-specific immune reaction, as well as clinical response parameters will be evaluated. DISCUSSION: The results of this study shall provide the first data regarding the safety and immunogenicity of the oral anti-VEGFR-2 vaccine VXM01 in cancer patients. They will also define the recommended dose for phase II and provide the basis for further clinical evaluation, which may also include additional cancer indications.

trial registrationEudraCT No.: 2011-000222-29, NCT01486329, ISRCTN68809279.

Indexed as

Administration, OralAdultAntimetabolites, AntineoplasticCancer VaccinesClinical Trials, Phase I as TopicDeoxycytidineDouble-Blind MethodGemcitabineHumansNeovascularization, PathologicPancreatic NeoplasmsPlacebosRandomized Controlled Trials as TopicSalmonella typhiVaccines, DNAVascular Endothelial Growth Factor Receptor-2Antimetabolites, AntineoplasticCancer VaccinesDeoxycytidineGemcitabinePlacebosVaccines, DNAVascular Endothelial Growth Factor Receptor-2

Identifiers

PMID22906006
PMCPMC3493262

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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.