Evidence map›Paper›PMID 24520094›Full record

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

Phase I trial of a bivalent gangliosides vaccine in combination with β-glucan for high-risk neuroblastoma in second or later remission.

Brian H Kushner, Irene Y Cheung, Shakeel Modak, Kim Kramer, Govind Ragupathi, Nai-Kong V Cheung

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

Article 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 NCT00911560 (Phase I/II Trial of a Bivalent Vaccine With Escalating Doses of the Immunological Adjuvant OPT-821, in Combination With Oral β-glucan for High-Risk Neuroblastoma), which is not on this map. Cited by 82 papers.

0numbers the graph read from it
0cells of the map it votes in
82citing papers in PubMed
6.8field-weighted citation impact, top 3% 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.

NCT00911560 phase1 / phase2completednot on this map

Phase I/II Trial of a Bivalent Vaccine With Escalating Doses of the Immunological Adjuvant OPT-821, in Combination With Oral β-glucan for High-Risk Neuroblastoma

TypeinterventionalSponsorMemorial Sloan Kettering Cancer CenterRan2009 to 2026Enrolled374ConditionsNeuroblastomaArmsadjuvant OPT-821 in a vaccine containing two antigens (GD2L and GD3L) covalently linked to KLH, oral β-glucan
3 · Its place in the literature

Who cites it

82 citing papers in PubMed, 138 citations in OpenAlex.

  1. Trial
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  7. Trained Immunity in Childhood Vaccination.Acta paediatrica (Oslo, Norway : 1992) · 2026
    Review
  8. Review
  9. Targeted therapies in pediatric oncology: A start.Molecular therapy. Oncology · 2026
    Review
  10. Review
  11. Immunotherapeutic Strategies Targeting GD2-Expressing Malignancies.Advances in experimental medicine and biology · 2026
    Review
  12. Review
  13. Review
  14. Review
  15. Review
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  17. Review
  18. Article
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22 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

6 authors at 1 institution in 1 country.

Brian H KushnerAuthors' Affiliations: Departments of Pediatrics and Medicine, Memorial Sloan-Kettering Cancer Center, New York, New York.
Irene Y Cheung
Shakeel Modak
Kim Kramer
Govind Ragupathi
Nai-Kong V Cheung
Memorial Sloan Kettering Cancer Center · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
Molecular Stratification of Brain TumorsR21CA104504 · NCI · ROSWELL PARK CANCER INSTITUTE CORP · PI COWELL, JOHN K · 2004 to 2005
$262k
CONSTRUCTION AND TESTING OF A TRIVALENT VACCINE AGAINST NEUROBLASTOMA ADMINISTERER43CA171392 · NCI · MABVAX THERAPEUTICS, INC. · PI KUSHNER, BRIAN H, LIVINGSTON, PHILIP O. · 2012 to 2012
$149k
NCI NIH HHS CA10450NCI NIH HHS P30 CA008748NCI NIH HHS R21 CA104504NCI NIH HHS R43 CA171392
6 · The paper itself

Abstract

purposeTo report on a phase I trial designed to find the maximally tolerated dose in children of the immunologic adjuvant OPT-821 in a vaccine containing neuroblastoma-associated antigens (GD2 and GD3; Clinicaltrials.gov NCT00911560). Secondary objectives were to obtain preliminary data on immune response and activity against minimal residual disease (MRD). Treatment also included the immunostimulant β-glucan. EXPERIMENTAL

designPatients with neuroblastoma in ≥2nd complete/very good partial remission received vaccine subcutaneously (weeks 1-2-3-8-20-32-52). Vaccine contained 30 μg each of GD2 and GD3 stabilized as lactones and conjugated to the immunologic carrier protein keyhole limpet hemocyanin; and OPT-821, which was dose escalated as 50, 75, 100, and 150 μg/m(2) per injection. Oral β-glucan (40 mg/kg/day, 14 days on/14 days off) started week 6.

resultsThe study was completed with 15 patients because there was no dose-limiting toxicity at 150 μg/m(2) of OPT-821 (the dosing used in adults). Thirteen of fifteen patients received the entire protocol treatment, including 12 who remain relapse-free at 24+ to 39+ (median 32+) months and 1 who relapsed (single node) at 21 months. Relapse-free survival was 80% ± 10% at 24 months. Vaccine and β-glucan were well tolerated. Twelve of fifteen patients had antibody responses against GD2 and/or GD3. Disappearance of MRD was documented in 6 of 10 patients assessable for response.

conclusionsThis immunotherapy program lacks major toxicity and is transportable to any outpatient clinic. Patient outcome is encouraging but the efficacy is uncertain because of the complexity and heterogeneity of prior therapies. A larger phase II trial is underway.

Indexed as

AdolescentAntigens, Neoplasmbeta-GlucansCancer VaccinesChildChild, PreschoolFemaleGangliosidesHumansImmunotherapyMaleNeoplasm Recurrence, LocalNeoplasm, ResidualNeoplasm StagingNeuroblastomaRadiotherapyAntigens, Neoplasmbeta-GlucansCancer VaccinesGangliosides

Identifiers

PMID24520094
PMCPMC5592799
OpenAlexW2130686884

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.