Evidence map›Paper›PMID 23657083›Full record

Trial reportAnnals of surgery2013

A randomized phase II study of immunization with dendritic cells modified with poxvectors encoding CEA and MUC1 compared with the same poxvectors plus GM-CSF for resected metastatic colorectal cancer.

Michael A Morse, Donna Niedzwiecki, John L Marshall, Christopher Garrett, David Z Chang, Mebea Aklilu, Todd S Crocenzi, David J Cole, Sophie Dessureault, Amy C Hobeika and 10 more

Registry-linked trialOpen access · greenAbstract readClinical Trial, Phase IIComparative StudyMulticenter Study
In one paragraph

Trial report in Annals of surgery, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00103142 (A Phase II Study of Active Immunotherapy With PANVAC or Autologous, Cultured Dendritic Cells Infected With PANVAC After Complete Resection of Hepatic or Pulmonary Metastases of Colorectal Carcinoma), which is not on this map. Cited by 72 papers.

0numbers the graph read from it
0cells of the map it votes in
72citing papers in PubMed
9.4field-weighted citation impact, top 2% 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.

NCT00103142 phase2completednot on this map

A Phase II Study of Active Immunotherapy With PANVAC or Autologous, Cultured Dendritic Cells Infected With PANVAC After Complete Resection of Hepatic or Pulmonary Metastases of Colorectal Carcinoma

TypeinterventionalSponsorMichael Morse, MDRan2005 to 2013Enrolled74ConditionsColorectal Cancer, Metastatic CancerArmsfalimarev, inalimarev, sargramostim, therapeutic autologous dendritic cells
3 · Its place in the literature

Who cites it

72 citing papers in PubMed, 139 citations in OpenAlex.

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  3. [Novel therapeutic strategies for liver metastases driven by the common microenvironment].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2026
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12 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

20 authors at 9 institutions in 1 country.

Michael A MorseDepartments of *Medicine, †Biostatistics and Bioinformatics, ‡Surgery, Duke University Medical Center §Duke Comprehensive Cancer Center, ‖Department of Immunology, Duke University Medical Center, Durham, NC ¶Georgetown University, Washington, DC **MD Anderson Cancer Center, Houston, TX ††Wake Forest University Baptist Medical Center, Winston-Salem, NC ‡‡Earle Chiles Cancer Center, Providence Portland Medical Center, Portland, OR §§Medical University of South Carolina, Charleston, SC ‖‖Moffitt Cancer Center, Tampa, FL. Dr Chang is now with Virginia Oncology Associates, Newport News, VA. Dr Clay is now with GlaxoSmithKline, Rixensart, Belgium.
Donna Niedzwiecki
John L Marshall
Christopher Garrett
David Z Chang
Mebea Aklilu
Todd S Crocenzi
David J Cole
Sophie Dessureault
Amy C Hobeika
Takuya Osada
Mark Onaitis
Bryan M Clary
David Hsu
Gayathri R Devi
Anuradha Bulusu
Robert P Annechiarico
Vijaya Chadaram
Timothy M Clay
H Kim Lyerly
Duke Medical Center · USDuke University · USMedical University of South Carolina · USGeorgetown University · USProvidence Portland Medical Center · USThe University of Texas MD Anderson Cancer Center · USU-M Rogel Cancer CenterUniversity of South Florida · USWake Forest University · US

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Scott Kopetz · 1985 to 2026
$290.8M
TRANSLATIONAL RESEARCHP30CA076292 · NCI · UNIVERSITY OF SOUTH FLORIDA · PI KENNETH Lynn WRIGHT · 1998 to 2026
$93.5M
Tissue Culture Shared ResourceP30CA051008 · NCI · GEORGETOWN UNIVERSITY · PI STEPHEN W BYERS · 1990 to 2026
$71.5M
RNA TRASFECTED DENDRITIC CELLS FOR CANCER IMMUNOTHERAPYP01CA078673 · NCI · DUKE UNIVERSITY · PI MORSE, MICHAEL A · 1999 to 2008
$13.2M
NCI NIH HHS 2P01 CA078673-07NCI NIH HHS P01 CA078673NCI NIH HHS P30 CA016672NCI NIH HHS P30 CA051008NCI NIH HHS P30 CA076292
6 · The paper itself

Abstract

objectiveTo determine whether 1 of 2 vaccines based on dendritic cells (DCs) and poxvectors encoding CEA (carcinoembryonic antigen) and MUC1 (PANVAC) would lengthen survival in patients with resected metastases of colorectal cancer (CRC).

backgroundRecurrences after complete resections of metastatic CRC remain frequent. Immune responses to CRC are associated with fewer recurrences, suggesting a role for cancer vaccines as adjuvant therapy. Both DCs and poxvectors are potent stimulators of immune responses against cancer antigens.

methodsPatients, disease-free after CRC metastasectomy and perioperative chemotherapy (n = 74), were randomized to injections of autologous DCs modified with PANVAC (DC/PANVAC) or PANVAC with per injection GM-CSF (granulocyte-macrophage colony-stimulating factor). Endpoints were recurrence-free survival overall survival, and rate of CEA-specific immune responses. Clinical outcome was compared with that of an unvaccinated, contemporary group of patients who had undergone CRC metastasectomy, received similar perioperative therapy, and would have otherwise been eligible for the study.

resultsRecurrence-free survival at 2 years was similar (47% and 55% for DC/PANVAC and PANVAC/GM-CSF, respectively) (χ P = 0.48). At a median follow-up of 35.7 months, there were 2 of 37 deaths in the DC/PANVAC arm and 5 of 37 deaths in the PANVAC/GM-CSF arm. The rate and magnitude of T-cell responses against CEA was statistically similar between study arms. As a group, vaccinated patients had superior survival compared with the contemporary unvaccinated group.

conclusionsBoth DC and poxvector vaccines have similar activity. Survival was longer for vaccinated patients than for a contemporary unvaccinated group, suggesting that a randomized trial of poxvector vaccinations compared with standard follow-up after metastasectomy is warranted. (NCT00103142).

Indexed as

Cancer VaccinesCarcinoembryonic AntigenDendritic CellsGranulocyte-Macrophage Colony-Stimulating FactorMembrane GlycoproteinsMucin-1AdultAgedColorectal NeoplasmsDisease-Free SurvivalFemaleHumansImmunizationMaleMiddle AgedNeoplasm MetastasisCancer VaccinesCarcinoembryonic AntigenGranulocyte-Macrophage Colony-Stimulating FactorMembrane GlycoproteinsMUC1 protein, humanMucin-1Panvac-VF

Identifiers

PMID23657083
PMCPMC3812363
OpenAlexW2138839690

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.