Evidence map›Paper›PMID 24850844›Full record

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

Real-time immune monitoring to guide plasmid DNA vaccination schedule targeting prostatic acid phosphatase in patients with castration-resistant prostate cancer.

Douglas G McNeel, Jordan T Becker, Jens C Eickhoff, Laura E Johnson, Eric Bradley, Isabel Pohlkamp, Mary Jane Staab, Glenn Liu, George Wilding, Brian M Olson

Abstract read
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. Cited by 42 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 16% 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

42 citing papers in PubMed, 1 synthesis or guideline pooled it, 53 citations in OpenAlex.

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  16. Vaccines as treatments for prostate cancer.Nature reviews. Urology · 2023
    Review
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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

10 authors at 1 institution in 1 country.

Douglas G McNeelAuthors' Affiliations: University of Wisconsin Carbone Cancer Center; and dm3@medicine.wisc.edu.
Jordan T BeckerAuthors' Affiliations: University of Wisconsin Carbone Cancer Center; and.
Jens C EickhoffAuthors' Affiliations: University of Wisconsin Carbone Cancer Center; and Department of Biostatistics, University of Wisconsin, Madison, Wisconsin.
Laura E JohnsonAuthors' Affiliations: University of Wisconsin Carbone Cancer Center; and.
Eric BradleyAuthors' Affiliations: University of Wisconsin Carbone Cancer Center; and.
Isabel PohlkampAuthors' Affiliations: University of Wisconsin Carbone Cancer Center; and.
Mary Jane StaabAuthors' Affiliations: University of Wisconsin Carbone Cancer Center; and.
Glenn LiuAuthors' Affiliations: University of Wisconsin Carbone Cancer Center; and.
George WildingAuthors' Affiliations: University of Wisconsin Carbone Cancer Center; and.
Brian M OlsonAuthors' Affiliations: University of Wisconsin Carbone Cancer Center; and.
University of Wisconsin Carbone Cancer Center · US

Funding

UW COMPREHENSIVE CANCER CENTER SUPPORTP30CA014520 · NCI · UNIVERSITY OF WISCONSIN-MADISON · PI Christian Capitini · 1985 to 2026
$142.6M
Institutional Clinical and Translational Science AwardUL1TR000427 · NCATS · UNIVERSITY OF WISCONSIN-MADISON · PI DREZNER, MARC KENNETH · 2012 to 2016
$32.2M
INSTITUTIONAL CTSA (UW-MADISON): CLINICAL TRIALSUL1RR025011 · NCRR · UNIVERSITY OF WISCONSIN-MADISON · PI DREZNER, MARC KENNETH · 2007 to 2011
$29.5M
Pilot trial of a DNA vaccine encoding PAP in patients with prostate cancerR21CA132267 · NCI · UNIVERSITY OF WISCONSIN-MADISON · PI MCNEEL, DOUGLAS G. · 2008 to 2009
$591k
NCATS NIH HHS UL1 TR000427NCI NIH HHS P30 CA014520NCI NIH HHS R21 CA132267NCRR NIH HHS 1UL1RR025011NCRR NIH HHS UL1 RR025011
6 · The paper itself

Abstract

purposeWe have previously reported that a DNA vaccine encoding prostatic acid phosphatase (PAP) could elicit PAP-specific T cells in patients with early recurrent prostate cancer. In the current pilot trial, we sought to evaluate whether prolonged immunization with regular booster immunizations, or "personalized" schedules of immunization determined using real-time immune monitoring, could elicit persistent, antigen-specific T cells, and whether treatment was associated with changes in PSA doubling time (PSA DT). EXPERIMENTAL

designSixteen patients with castration-resistant, nonmetastatic prostate cancer received six immunizations at 2-week intervals and then either quarterly (arm 1) or as determined by multiparameter immune monitoring (arm 2).

resultsPatients were on study a median of 16 months; four received 24 vaccinations. Only one event associated with treatment >grade 2 was observed. Six of 16 (38%) remained metastasis-free at 2 years. PAP-specific T cells were elicited in 12 of 16 (75%), predominantly of a Th1 phenotype, which persisted in frequency and phenotype for at least 1 year. IFNγ-secreting T-cell responses measured by ELISPOT were detectable in 5 of 13 individuals at 1 year, and this was not statistically different between study arms. The overall median fold change in PSA DT from pretreatment to posttreatment was 1.6 (range, 0.6-7.0; P = 0.036).

conclusionsRepetitive immunization with a plasmid DNA vaccine was safe and elicited Th1-biased antigen-specific T cells that persisted over time. Modifications in the immunization schedule based on real-time immune monitoring did not increase the frequency of patients developing effector and memory T-cell responses with this DNA vaccine.

Indexed as

Acid PhosphataseAdenocarcinomaAgedAged, 80 and overCancer VaccinesHumansImmunizationImmunization ScheduleMaleMiddle AgedPlasmidsProstate-Specific AntigenProstatic Neoplasms, Castration-ResistantTreatment OutcomeVaccines, DNAAcid PhosphataseCancer VaccinesProstate-Specific Antigenprostatic acid phosphataseVaccines, DNA

Identifiers

PMID24850844
PMCPMC4102643
OpenAlexW2121219667

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.