Evidence map›Paper›PMID 26228486›Full record

Trial reportBlood2015

Topical resiquimod can induce disease regression and enhance T-cell effector functions in cutaneous T-cell lymphoma.

Alain H Rook, Joel M Gelfand, Joel C Gelfand, Maria Wysocka, Andrea B Troxel, Bernice Benoit, Christian Surber, Rosalie Elenitsas, Marie A Buchanan, Deborah S Leahy and 4 more

Erratum issuedOpen access · bronzeAbstract readClinical Trial
In one paragraph

Trial report in Blood, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 111 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
111citing papers in PubMed, 1 pooled it
12.9field-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

111 citing papers in PubMed, 1 synthesis or guideline pooled it, 219 citations in OpenAlex.

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51 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 5 institutions in 3 countries.

Alain H RookDepartment of Dermatology and the Center for Clinical Biostatistics and Epidemiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA;
Joel M GelfandDepartment of Dermatology and the Center for Clinical Biostatistics and Epidemiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA;
Joel C Gelfand
Maria WysockaDepartment of Dermatology and the Center for Clinical Biostatistics and Epidemiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA;
Andrea B TroxelDepartment of Dermatology and the Center for Clinical Biostatistics and Epidemiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA;
Bernice BenoitDepartment of Dermatology and the Center for Clinical Biostatistics and Epidemiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA;
Christian SurberDepartment of Dermatology, University Hospital, Zürich, Switzerland; Department of Dermatology, University Hospital, Basel, Switzerland;
Rosalie ElenitsasDepartment of Dermatology and the Center for Clinical Biostatistics and Epidemiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA;
Marie A BuchananDepartment of Dermatology and the Center for Clinical Biostatistics and Epidemiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA;
Deborah S LeahyDepartment of Dermatology and the Center for Clinical Biostatistics and Epidemiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA;
Rei WatanabeDepartment of Dermatology, University of Tokyo, Tokyo, Japan; Department of Dermatology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA;
Ilan R KirschAdaptive Biotechnologies, Seattle, WA; and.
Ellen J KimDepartment of Dermatology and the Center for Clinical Biostatistics and Epidemiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA;
Rachael A ClarkDepartment of Dermatology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA; Dana-Farber/Brigham and Women's Cancer Center, Boston, MA.
University of Pennsylvania · USAdaptive Biotechnologies (United States) · USHarvard University · USThe University of Tokyo · JPUniversity Hospital of Zurich · CH

Funding

UNIVERSITY OF PENNSYLVANIA CAN CTR SUPPORT GRANTP30CA016520 · NCI · UNIVERSITY OF PENNSYLVANIA · PI SHELLEY L BERGER · 1985 to 2026
$222.3M
Vaccination to generate protective tissue resident T cellsR01AI097128 · NIAID · BRIGHAM AND WOMEN'S HOSPITAL · PI CLARK, RACHAEL ANN, KUPPER, THOMAS S. · 2011 to 2015
$6.1M
Transforming the diagnosis and care of patients with CTCL using TCR sequencingR01CA203721 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI CLARK, RACHAEL ANN, KUPPER, THOMAS S. · 2016 to 2020
$3.4M
Immune Evasion in Human Squamous Cell Carcinomas of the SkinR01AR056720 · NIAMS · BRIGHAM AND WOMEN'S HOSPITAL · PI CLARK, RACHAEL ANN · 2009 to 2013
$1.9M
CTCL immunobiology: lessons from alemtuzumabR01AR063962 · NIAMS · BRIGHAM AND WOMEN'S HOSPITAL · PI CLARK, RACHAEL ANN · 2013 to 2017
$1.8M
Toll Receptor Ligand Therapy of Cutaneous T-Cell LymphomaR01CA122569 · NCI · UNIVERSITY OF PENNSYLVANIA · PI ROOK, ALAIN H · 2008 to 2011
$1.1M
Phase 1 Study of Resiquimod Gel Therapy for Cutaneous T-Cell LymphomaR01FD004092 · FDA · UNIVERSITY OF PENNSYLVANIA · PI GELFAND, JOEL M, ROOK, ALAIN H · 2012 to 2013
$395k
CD164 as a novel biomarker for malignant CD4 T cells in cutaneous T cell lymphomaR21CA178424 · NCI · UNIVERSITY OF PENNSYLVANIA · PI ROOK, ALAIN H, WYSOCKA, MARIA · 2013 to 2014
$378k
FDA HHS FD-RO1-04092NCI NIH HHS P30 CA016520NCI NIH HHS R01 CA122569NCI NIH HHS R01 CA203721NCI NIH HHS R21 CA178424NIAID NIH HHS R01 AI097128NIAMS NIH HHS R01 AR056720NIAMS NIH HHS R01 AR063962
6 · The paper itself

Abstract

Early-stage cutaneous T-cell lymphoma (CTCL) is a skin-limited lymphoma with no cure aside from stem cell transplantation. Twelve patients with stage IA-IIA CTCL were treated in a phase 1 trial of 0.03% and 0.06% topical resiquimod gel, a Toll-like receptor 7/8 agonist. Treated lesions significantly improved in 75% of patients and 30% had clearing of all treated lesions. Resiquimod also induced regression of untreated lesions. Ninety-two percent of patients had more than a 50% improvement in body surface area involvement by the modified Severity-Weighted Assessment Tool analysis and 2 patients experienced complete clearing of disease. Four of 5 patients with folliculotropic disease also improved significantly. Adverse effects were minor and largely skin limited. T-cell receptor sequencing and flow cytometry studies of T cells from treated lesions demonstrated decreased clonal malignant T cells in 90% of patients and complete eradication of malignant T cells in 30%. High responses were associated with recruitment and expansion of benign T-cell clones in treated skin, increased skin T-cell effector functions, and a trend toward increased natural killer cell functions. In patients with complete or near eradication of malignant T cells, residual clinical inflammation was associated with cytokine production by benign T cells. Fifty percent of patients had increased activation of circulating dendritic cells, consistent with a systemic response to therapy. In summary, topical resiquimod is safe and effective in early-stage CTCL and the first topical therapy to our knowledge that can induce clearance of untreated lesions and complete remissions in some patients. This trial was registered at www.clinicaltrials.gov as #NCT813320.

Indexed as

Administration, TopicalAdultAgedAntineoplastic AgentsFemaleHumansImidazolesLymphoma, T-Cell, CutaneousMaleMiddle AgedSkinSkin NeoplasmsT-LymphocytesAntineoplastic AgentsImidazolesresiquimod

Identifiers

PMID26228486
PMCPMC4573868
OpenAlexW2237699600

What OpenQuestion holds

Textmetadata
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.