Evidence map›Paper›PMID 24422723›Full record

Trial reportBritish journal of haematology2014

Wilms' Tumour 1 (WT1) peptide vaccination in patients with acute myeloid leukaemia induces short-lived WT1-specific immune responses.

Benjamin Uttenthal, Irma Martinez-Davila, Adam Ivey, Charles Craddock, Frederick Chen, Andras Virchis, Panagiotis Kottaridis, David Grimwade, Asim Khwaja, Hans Stauss and 1 more

Open access · hybridAbstract readClinical Trial, Phase IClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in British journal of haematology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
3.3field-weighted citation impact, top 7% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 54 citations in OpenAlex.

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  18. Interaction of PVR/PVRL2 with TIGIT/DNAM-1 as a novel immune checkpoint axis and therapeutic target in cancer.Mammalian genome : official journal of the International Mammalian Genome Society · 2018
    Review
  19. Immune Mechanisms Involved inFrontiers in immunology · 2018
    Article
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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

11 authors at 6 institutions in 1 country.

Benjamin UttenthalUCL Division of Infection and Immunity, Department of Immunology, University College London, London, UK.
Irma Martinez-Davila
Adam Ivey
Charles Craddock
Frederick Chen
Andras Virchis
Panagiotis Kottaridis
David Grimwade
Asim Khwaja
Hans Stauss
Emma C Morris
University College London · GBKing's College London · GBUniversity Hospitals Birmingham NHS Foundation Trust · GBChase Farm Hospital · GBRoyal Free London NHS Foundation Trust · GBUniversity College London Hospitals NHS Foundation Trust · GB

Funding

Medical Research Council G0501446Medical Research Council G0900950Medical Research Council G9721629Medical Research Council MR/J006742/1
6 · The paper itself

Abstract

Wilms' Tumour 1 (WT1) is a zinc finger transcription factor that is over-expressed in acute myeloid leukaemia (AML). Its restricted expression in normal tissues makes it a promising target for novel immunotherapies aiming to accentuate the cytotoxic T lymphocyte (CTL) response against AML. Here we report a phase I/II clinical trial of subcutaneous peptide vaccination with two separate HLA-A2-binding peptide epitopes derived from WT1, together with a pan-DR binding peptide epitope (PADRE), in Montanide adjuvant. Eight HLA-A2-positive patients with poor risk AML received five vaccination cycles at 3-weekly intervals. The three cohorts received 0·3, 0·6 and 1 mg of each peptide, respectively. In six patients, WT1-specific CTL responses were detected using enzyme-linked immunosorbent spot assays and pWT126/HLA-A*0201 tetramer staining, after ex vivo stimulation with the relevant WT1 peptides. However, re-stimulation of these WT1-specific T cells failed to elicit secondary expansion in all four patients tested, suggesting that the WT1-specific CD8(+) T cells generated following vaccination may be functionally impaired. No correlation was observed between peptide dose, cellular immune response, reduction in WT1 mRNA expression and clinical response. Larger studies are indicated to confirm these findings.

Indexed as

AgedCancer VaccinesEpitopesFemaleHLA-A2 AntigenHumansImmunotherapyLeukemia, Myeloid, AcuteMaleMiddle AgedT-Lymphocytes, CytotoxicWT1 ProteinsCancer VaccinesEpitopesHLA-A2 AntigenWT1 protein, humanWT1 Proteinsacute myeloid leukaemiaimmunotherapytrialstumour antigens

Identifiers

PMID24422723
PMCPMC4253125
OpenAlexW2038676366

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

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.