Evidence map›Paper›PMID 24888813›Full record

Trial reportJournal of clinical oncology : official journal of the American Society of Clinical Oncology2014

Antigen-specific immune responses and clinical outcome after vaccination with glioma-associated antigen peptides and polyinosinic-polycytidylic acid stabilized by lysine and carboxymethylcellulose in children with newly diagnosed malignant brainstem and nonbrainstem gliomas.

Ian F Pollack, Regina I Jakacki, Lisa H Butterfield, Ronald L Hamilton, Ashok Panigrahy, Douglas M Potter, Angela K Connelly, Sharon A Dibridge, Theresa L Whiteside, Hideho Okada

Open access · greenAbstract readClinical Trial
In one paragraph

Trial report in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 120 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
120citing papers in PubMed, 3 pooled it
9.7field-weighted citation impact, top 1% 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

120 citing papers in PubMed, 3 syntheses or guidelines pooled it, 203 citations in OpenAlex.

  1. Pooled it
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  10. Induction of robust type-I CD8+ T-cell responses in WHO grade 2 low-grade glioma patients receiving peptide-based vaccines in combination with poly-ICLC.Clinical cancer research : an official journal of the American Association for Cancer Research · 2015
    Trial
  11. Article
  12. Review
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  18. Bibliometric analysis of the top 100 most cited articles on the immunotherapy for glioblastoma.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2024
    Article
  19. Immunotherapy for pediatric low-grade gliomas.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2024
    Review
  20. Review

60 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

10 authors at 1 institution in 1 country.

Ian F PollackAll authors: University of Pittsburgh, Pittsburgh, PA. ian.pollack@chp.edu.
Regina I JakackiAll authors: University of Pittsburgh, Pittsburgh, PA.
Lisa H ButterfieldAll authors: University of Pittsburgh, Pittsburgh, PA.
Ronald L HamiltonAll authors: University of Pittsburgh, Pittsburgh, PA.
Ashok PanigrahyAll authors: University of Pittsburgh, Pittsburgh, PA.
Douglas M PotterAll authors: University of Pittsburgh, Pittsburgh, PA.
Angela K ConnellyAll authors: University of Pittsburgh, Pittsburgh, PA.
Sharon A DibridgeAll authors: University of Pittsburgh, Pittsburgh, PA.
Theresa L WhitesideAll authors: University of Pittsburgh, Pittsburgh, PA.
Hideho OkadaAll authors: University of Pittsburgh, Pittsburgh, PA.
University of Pittsburgh · US

Funding

VECTOR CORE FACILITYP30CA047904 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Jessie Nedrow · 1988 to 2026
$158.0M
UNIVERSITY OF PITTSBURGH CLINICAL AND TRANSLATIONAL SCIENCE INSTITUTE: BPCAUL1RR024153 · NCRR · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2006 to 2011
$73.9M
University of Pittsburgh Clinical and Translational Science InstituteUL1TR000005 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2012 to 2015
$50.8M
Vector delivery to modify the brain tumor and its microenvironmentP01NS040923 · NINDS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI GLORIOSO, JOSEPH C · 2002 to 2012
$12.7M
Peptide vaccine-based immunotherapy for children with recurrent ependymomas.R01CA174858 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI POLLACK, IAN F. · 2013 to 2015
$945k
Peptide-Based Vaccine Therapy for Childhood Malignant GliomasR21CA149872 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI OKADA, HIDEHO, POLLACK, IAN F. · 2010 to 2011
$619k
NCATS NIH HHS UL1 TR000005NCATS NIH HHS UL1TR000005NCI NIH HHS P30 CA047904NCI NIH HHS P30CA47904NCI NIH HHS R01 CA174858NCI NIH HHS R21 CA149872NCI NIH HHS R21CA149872NCRR NIH HHS UL1 RR024153NINDS NIH HHS P01 NS040923NINDS NIH HHS P01NS40923
6 · The paper itself

Abstract

purposeDiffuse brainstem gliomas (BSGs) and other high-grade gliomas (HGGs) of childhood carry a dismal prognosis despite current treatments, and new therapies are needed. Having identified a series of glioma-associated antigens (GAAs) commonly overexpressed in pediatric gliomas, we initiated a pilot study of subcutaneous vaccinations with GAA epitope peptides in HLA-A2-positive children with newly diagnosed BSG and HGG. PATIENTS AND

methodsGAAs were EphA2, interleukin-13 receptor alpha 2 (IL-13Rα2), and survivin, and their peptide epitopes were emulsified in Montanide-ISA-51 and given every 3 weeks with intramuscular polyinosinic-polycytidylic acid stabilized by lysine and carboxymethylcellulose for eight courses, followed by booster vaccinations every 6 weeks. Primary end points were safety and T-cell responses against vaccine-targeted GAA epitopes. Treatment response was evaluated clinically and by magnetic resonance imaging.

resultsTwenty-six children were enrolled, 14 with newly diagnosed BSG treated with irradiation and 12 with newly diagnosed BSG or HGG treated with irradiation and concurrent chemotherapy. No dose-limiting non-CNS toxicity was encountered. Five children had symptomatic pseudoprogression, which responded to dexamethasone and was associated with prolonged survival. Only two patients had progressive disease during the first two vaccine courses; 19 had stable disease, two had partial responses, one had a minor response, and two had prolonged disease-free status after surgery. Enzyme-linked immunosorbent spot analysis in 21 children showed positive anti-GAA immune responses in 13: to IL-13Rα2 in 10, EphA2 in 11, and survivin in three.

conclusionGAA peptide vaccination in children with gliomas is generally well tolerated and has preliminary evidence of immunologic and clinical responses. Careful monitoring and management of pseudoprogression is essential.

Indexed as

AdolescentAntigens, NeoplasmBrain NeoplasmsBrain Stem NeoplasmsCancer VaccinesCarboxymethylcellulose SodiumChildChild, PreschoolDisease-Free SurvivalDrug CarriersEnzyme-Linked Immunospot AssayEpitopesFemaleGliomaHumansImmunohistochemistryAntigens, NeoplasmBIRC5 protein, humanCancer VaccinesCarboxymethylcellulose SodiumDrug CarriersEpitopesIL13RA1 protein, humanInhibitor of Apoptosis ProteinsInterferon InducersInterleukin-13 Receptor alpha1 SubunitLysinePoly I-CReceptor, EphA2Receptors, Interleukin-13Survivin

Identifiers

PMID24888813
PMCPMC4067943
OpenAlexW2113249787

What OpenQuestion holds

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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.