Evidence map›Paper›PMID 24335700›Full record

Trial reportNeuro-oncology2014

Heat-shock protein peptide complex-96 vaccination for recurrent glioblastoma: a phase II, single-arm trial.

Orin Bloch, Courtney A Crane, Yelena Fuks, Rajwant Kaur, Manish K Aghi, Mitchel S Berger, Nicholas A Butowski, Susan M Chang, Jennifer L Clarke, Michael W McDermott and 4 more

Registry-linked trialOpen access · bronzeAbstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Neuro-oncology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00293423 (Phase I/II Trial of Heat Shock Protein Peptide Complex-96), which is not on this map. Cited by 156 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
156citing papers in PubMed, 4 pooled it
8.0field-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.

NCT00293423 phase1 / phase2completednot on this map

Phase I/II Trial of Heat Shock Protein Peptide Complex-96 (HSPPC-96) Vaccine for Patients With Recurrent High Grade Glioma

TypeinterventionalSponsorUniversity of California, San FranciscoRan2005 to 2013Enrolled96ConditionsBrain and Central Nervous System TumorsArmsHSPPC-96, Standard Surgical Resection
3 · Its place in the literature

Who cites it

156 citing papers in PubMed, 4 syntheses or guidelines pooled it, 234 citations in OpenAlex.

  1. A systematic review of immunotherapy in high-grade glioma: learning from the past to shape future perspectives.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024
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  5. Autologous Heat Shock Protein Peptide Vaccination for Newly Diagnosed Glioblastoma: Impact of Peripheral PD-L1 Expression on Response to Therapy.Clinical cancer research : an official journal of the American Association for Cancer Research · 2017
    Trial
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96 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 7 institutions in 1 country.

Orin BlochCorresponding Author: Andrew T. Parsa, MD, PhD, Professor and Chair, Department of Neurological Surgery, Northwestern University, Feinberg School of Medicine, 676 N. St. Clair Street, Suite 2210, Chicago, IL 60611. aparsa@nmff.org.
Courtney A Crane
Yelena Fuks
Rajwant Kaur
Manish K Aghi
Mitchel S Berger
Nicholas A Butowski
Susan M Chang
Jennifer L Clarke
Michael W McDermott
Michael D Prados
Andrew E Sloan
Jeffrey N Bruce
Andrew T Parsa
Columbia University · USUniversity of Washington · USCase Western Reserve University · USUniversity of California, San Francisco · USNeurological Surgery · USNorthwestern University · USUniversity Hospitals of Cleveland · US

Funding

Tissue CoreP50CA097257 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Joseph F Costello · 2002 to 2026
$57.4M
B7H1 Mediated Immunosuppression in GliomaR01CA164714 · NCI · UNIVERSITY OF CALIFORNIA AT DAVIS · PI BLOCH, ORIN · 2013 to 2018
$1.6M
NCI NIH HHS P50 CA097257NCI NIH HHS R01 CA164714
6 · The paper itself

Abstract

backgroundOutcomes for patients with recurrent glioblastoma multiforme (GBM) are poor and may be improved by immunotherapy. We investigated the safety and efficacy of an autologous heat-shock protein peptide complex-96 (HSPPC-96) vaccine for patients with recurrent GBM.

methodsIn this open-label, single-arm, phase II study, adult patients with surgically resectable recurrent GBM were given vaccine after gross total resection. The primary endpoint was overall survival at 6 months. Secondary endpoints included overall survival, progression-free survival, safety, and immune profiling. Outcome analyses were performed in the intention-to-treat and efficacy populations.

resultsBetween October 3, 2007 and October 24, 2011, 41 patients underwent gross total resection of recurrent GBM and received a median of 6 doses of HSPPC-96 vaccine. Following treatment, 90.2% of patients were alive at 6 months (95% confidence interval [CI]: 75.9-96.8) and 29.3% were alive at 12 months (95% CI: 16.6-45.7). Median overall survival was 42.6 weeks (95% CI: 34.7-50.5). Twenty-seven (66%) patients were lymphopenic prior to therapy, and patients with lymphocyte counts below the cohort median demonstrated decreased overall survival (hazard ratio: 4.0; 95% CI: 1.4-11.8; P = .012). There were no treatment-related deaths. There were 37 serious (grades 3-5) adverse events reported, with 17 attributable to surgical resection and a single grade 3 constitutional event related to the vaccine.

conclusionThe HSPPC-96 vaccine is safe and warrants further study of efficacy for the treatment of recurrent GBM. Significant pretreatment lymphopenia may impact the outcomes of immunotherapy and deserves additional investigation.

Indexed as

AdultAgedBrain NeoplasmsCancer VaccinesFemaleFollow-Up StudiesGlioblastomaHeat-Shock ProteinsHumansMaleMiddle AgedNeoplasm Recurrence, LocalNeoplasm StagingPrognosisSurvival RateVaccinationCancer VaccinesHeat-Shock Proteinsvitespinglioblastomaheat-shock proteinsimmunotherapy

Identifiers

PMID24335700
PMCPMC3895386
OpenAlexW2146881779

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.