Evidence map›Paper›PMID 24520093›Full record

Trial reportClinical cancer research : an official journal of the American Association for Cancer Research2014

Combination immunotherapy after ASCT for multiple myeloma using MAGE-A3/Poly-ICLC immunizations followed by adoptive transfer of vaccine-primed and costimulated autologous T cells.

Aaron P Rapoport, Nicole A Aqui, Edward A Stadtmauer, Dan T Vogl, Yin Yan Xu, Michael Kalos, Ling Cai, Hong-Bin Fang, Brendan M Weiss, Ashraf Badros and 15 more

Registry-linked trialAbstract readClinical Trial, Phase II
In one paragraph

Trial report in Clinical cancer research : an official journal of the American Association for Cancer Research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01245673 (Phase II Combination Immunotherapy After ASCT for Advanced Myeloma to Study MAGE-A3 Immunizations With Hiltonol®), which is not on this map. Cited by 71 papers.

0numbers the graph read from it
0cells of the map it votes in
71citing papers in PubMed
7.3field-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.

NCT01245673 phase2completednot on this map

Phase II Combination Immunotherapy After ASCT for Advanced Myeloma to Study MAGE-A3 Immunizations With Hiltonol® (Poly-ICLC) Plus Transfer of Vaccine-Primed Autologous T Cells Followed by Lenalidomide Maintenance

TypeinterventionalSponsorUniversity of PennsylvaniaRan2011 to 2018Enrolled28ConditionsMyelomaArmsPrevnar- Pneumococcal Conjugate Vaccine (PCV), Activated/costimulated autologous T-cell, Revlamid® (Lenalidomide), MAGE-A3/GM-GSF, Hiltonol® (Poly-ICLC)
3 · Its place in the literature

Who cites it

71 citing papers in PubMed, 123 citations in OpenAlex.

  1. Trial
  2. Review
  3. Anti-GM-CSF autoantibodies in myeloid leukemias.Best practice & research. Clinical haematology · 2025
    Review
  4. Article
  5. Review
  6. Human γδ T cells induce CD8Cancer immunology, immunotherapy : CII · 2023
    Article
  7. Review
  8. Review
  9. Review
  10. Review
  11. Review
  12. Review
  13. Review
  14. Article
  15. Article
  16. Article
  17. Review
  18. Review
  19. How to Train Your T Cells: Overcoming Immune Dysfunction in Multiple Myeloma.Clinical cancer research : an official journal of the American Association for Cancer Research · 2020
    Review
  20. Immunotherapy of multiple myeloma.The Journal of clinical investigation · 2020
    Review

11 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

25 authors at 3 institutions in 1 country.

Aaron P RapoportAuthors' Affiliations: University of Maryland Marlene and Stewart Greenebaum Cancer Center; Center for Vaccine Development and Department of Otorhinolaryngology-Head and Neck Surgery, University of Maryland School of Medicine, Baltimore, Maryland; Oncovir Inc., Washington, District of Columbia; Department of Pathology, University of Pennsylvania; and Abramson Cancer Center of the University of Pennsylvania, Philadelphia, Pennsylvania.
Nicole A Aqui
Edward A Stadtmauer
Dan T Vogl
Yin Yan Xu
Michael Kalos
Ling Cai
Hong-Bin Fang
Brendan M Weiss
Ashraf Badros
Saul Yanovich
Gorgun Akpek
Patricia Tsao
Alan Cross
Dean Mann
Sunita Philip
Naseem Kerr
Andrea Brennan
Zhaohui Zheng
Kathleen Ruehle
Todd Milliron
Scott E Strome
Andres M Salazar
Bruce L Levine
Carl H June
University of Pennsylvania · USOncovir (United States) · USUniversity of Maryland, Baltimore · US

Funding

IMMUNOTHERAPY WITH CAR T CELLSR01CA120409 · NCI · UNIVERSITY OF PENNSYLVANIA · PI JUNE, CARL H., ZHAO, YANGBING · 2006 to 2016
$2.7M
Culture systems to propogate human T cell subsetsR01CA105216 · NCI · UNIVERSITY OF PENNSYLVANIA · PI JUNE, CARL H. · 2004 to 2008
$1.5M
NCI NIH HHS R01 CA105216NCI NIH HHS R01 CA120409
6 · The paper itself

Abstract

purposeMyeloma-directed cellular immune responses after autologous stem cell transplantation (ASCT) may reduce relapse rates. We studied whether coinjecting the TLR-3 agonist and vaccine adjuvant Poly-ICLC with a MAGE-A3 peptide vaccine was safe and would elicit a high frequency of vaccine-directed immune responses when combined with vaccine-primed and costimulated autologous T cells. EXPERIMENTAL

designIn a phase II clinical trial (NCT01245673), we evaluated the safety and activity of ex vivo expanded autologous T cells primed in vivo using a MAGE-A3 multipeptide vaccine (compound GL-0817) combined with Poly-ICLC (Hiltonol), granulocyte macrophage colony-stimulating factor (GM-CSF) ± montanide. Twenty-seven patients with active and/or high-risk myeloma received autografts followed by anti-CD3/anti-CD28-costimulated autologous T cells, accompanied by MAGE-A3 peptide immunizations before T-cell collection and five times after ASCT. Immune responses to the vaccine were evaluated by cytokine production (all patients), dextramer binding to CD8(+) T cells, and ELISA performed serially after transplant.

resultsT-cell infusions were well tolerated, whereas vaccine injection site reactions occurred in >90% of patients. Two of nine patients who received montanide developed sterile abscesses; however, this did not occur in the 18 patients who did not receive montanide. Dextramer staining demonstrated MAGE-A3-specific CD8 T cells in 7 of 8 evaluable HLA-A2(+) patients (88%), whereas vaccine-specific cytokine-producing T cells were generated in 19 of 25 patients (76%). Antibody responses developed in 7 of 9 patients (78%) who received montanide and only weakly in 2 of 18 patients (11%) who did not. The 2-year overall survival was 74% [95% confidence interval (CI), 54%-100%] and 2-year event-free survival was 56% (95% CI, 37%-85%).

conclusionsA high frequency of vaccine-specific T-cell responses were generated after transplant by combining costimulated autologous T cells with a Poly-ICLC/GM-CSF-primed MAGE-A3 vaccine.

Indexed as

Immunotherapy, AdoptiveAdultAgedAntigens, NeoplasmCancer VaccinesCarboxymethylcellulose SodiumFemaleHematopoietic Stem Cell TransplantationHumansImmunizationMaleMiddle AgedMultiple MyelomaNeoplasm ProteinsPoly I-CPolylysineAntigens, NeoplasmCancer VaccinesCarboxymethylcellulose SodiumMAGEA3 protein, humanNeoplasm ProteinsPoly I-Cpoly ICLCPolylysine

Identifiers

PMID24520093
PMCPMC4557204
OpenAlexW1984768954

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.