Evidence map›Paper›PMID 26082837›Full record

ArticleJournal for immunotherapy of cancer2015

Self-adjuvanted mRNA vaccination in advanced prostate cancer patients: a first-in-man phase I/IIa study.

Hubert Kübler, Birgit Scheel, Ulrike Gnad-Vogt, Kurt Miller, Wolfgang Schultze-Seemann, Frank Vom Dorp, Giorgio Parmiani, Christian Hampel, Steffen Wedel, Lutz Trojan and 10 more

Abstract read
In one paragraph

Article in Journal for immunotherapy of cancer, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 169 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
169citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

169 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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109 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

20 authors.

Hubert Kübler *Klinikum rechts der Isar der Technischen Universität München, Munich, Germany.
Birgit Scheel *CureVac GmbH, Paul-Ehrlich-Str. 15, Tuebingen, 72076 Germany.
Ulrike Gnad-VogtCureVac GmbH, Paul-Ehrlich-Str. 15, Tuebingen, 72076 Germany.
Kurt MillerCharité University Hospital Berlin, Berlin, Germany.
Wolfgang Schultze-SeemannUniversity Hospital Freiburg, Freiburg, Germany.
Frank Vom DorpUniversitäty Hospital Essen, Essen, Germany.
Giorgio ParmianiSan Raffaele Scientific Institute, Milan, Italy.
Christian HampelUniversity Hospital of the Johannes-Gutenberg-University Mainz, Mainz, Germany.
Steffen WedelOrtenau Klinikum Offenburg-Gengenbach, Offenburg, Germany.
Lutz TrojanUniversity Hospital Göttingen, Göttingen/University Hospital Mannheim, Mannheim, Germany.
Dieter JochamUniversity Hospital Schleswig-Holstein Campus Luebeck, Luebeck, Germany.
Tobias MaurerKlinikum rechts der Isar der Technischen Universität München, Munich, Germany.
Gerd RippinRippin-Consulting, Solingen, Germany.
Mariola Fotin-MleczekCureVac GmbH, Paul-Ehrlich-Str. 15, Tuebingen, 72076 Germany.
Florian von der MülbeCureVac GmbH, Paul-Ehrlich-Str. 15, Tuebingen, 72076 Germany.
Jochen ProbstCureVac GmbH, Paul-Ehrlich-Str. 15, Tuebingen, 72076 Germany.
Ingmar HoerrCureVac GmbH, Paul-Ehrlich-Str. 15, Tuebingen, 72076 Germany.
Karl-Josef KallenCureVac GmbH, Paul-Ehrlich-Str. 15, Tuebingen, 72076 Germany.
Thomas LanderCureVac GmbH, Paul-Ehrlich-Str. 15, Tuebingen, 72076 Germany.
Arnulf StenzlUniversity Hospital Tuebingen, Tuebingen, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCV9103 is a prostate-cancer vaccine containing self-adjuvanted mRNA (RNActive®) encoding the antigens PSA, PSCA, PSMA, and STEAP1. This phase I/IIa study evaluated safety and immunogenicity of CV9103 in patients with advanced castration-resistant prostate-cancer.

methods44 Patients received up to 5 intra-dermal vaccinations. Three dose levels of total mRNA were tested in Phase I in cohorts of 3-6 patients to determine a recommended dose. In phase II, 32 additional patients were treated at the recommended dose. The primary endpoint was safety and tolerability, the secondary endpoint was induction of antigen specific immune responses monitored at baseline and at weeks 5, 9 and 17.

resultsThe most frequent adverse events were grade 1/2 injection site erythema, injection site reactions, fatigue, pyrexia, chills and influenza-like illness. Possibly treatment related urinary retention occurred in 3 patients. The recommended dose was 1280 μg. A total of 26/33 evaluable patients treated at 1280 μg developed an immune response, directed against multiple antigens in 15 out of 33 patients. One patient showed a confirmed PSA response. In the subgroup of 36 metastatic patients, the Kaplan-Meier estimate of median overall survival was 31.4 months [95 % CI: 21.2; n.a].

conclusionsThe self-adjuvanted RNActive® vaccine CV9103 was well tolerated and immunogenic. The technology is a versatile, fast and cost-effective platform allowing for creation of vaccines. The follow-up vaccine CV9104 including the additional antigens prostatic acid phosphatase (PAP) and Muc1 is currently being tested in a randomized phase IIb trial to assess the clinical benefit induced by this new vaccination approach.

trial registrationEU Clinical Trials Register: EudraCT number 2008-003967-37, registered 27 Jan 2009.

Identifiers

PMID26082837
PMCPMC4468959

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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.