Evidence map›Paper›PMID 26232492›Full record

ReviewAnnals of oncology : official journal of the European Society for Medical Oncology2015

Why has active immunotherapy not worked in lung cancer?

A Thomas, G Giaccone

Open access · bronzeAbstract readReview
In one paragraph

Review in Annals of oncology : official journal of the European Society for Medical Oncology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
3.6field-weighted citation impact, top 7% 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

26 citing papers in PubMed, 48 citations in OpenAlex.

  1. Multiple roles and mechanisms of MUC6 in cancer (Review).International journal of molecular medicine · 2025
    Review
  2. Article
  3. Review
  4. Review
  5. Review
  6. Review
  7. Adoptive cell therapies in thoracic malignancies.Cancer immunology, immunotherapy : CII · 2022
    Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Review
  13. Immuno-oncology-the new paradigm of lung cancer treatment.Current oncology (Toronto, Ont.) · 2020
    Review
  14. Review
  15. Article
  16. Article
  17. Phase I Trial of Intratumoral Injection ofClinical cancer research : an official journal of the American Association for Cancer Research · 2017
    Article
  18. Article
  19. Article
  20. Review
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

2 authors at 2 institutions in 2 countries.

A ThomasThoracic and GI Oncology Branch, National Cancer Institute, Bethesda.
G GiacconeLombardi Comprehensive Cancer Center, Georgetown University, Washington, USA gg496@georgetown.edu.
Cancer Institute (WIA) · INGeorgetown University · US

Funding

Intramural NIH HHS
6 · The paper itself

Abstract

Vaccines that rely on active specific stimulation of the host immune system have the potential to trigger durable antitumor responses with minimal toxicity. However, in nonsmall-cell lung cancer (NSCLC), several large phase III trials of vaccines reported within the last year have yielded disappointing results. Compared with placebo, belagenpumatucel-L (an allogenic tumor cell vaccine), tecemotide (a peptide vaccine targeting MUC-1) and melanoma-associated antigen-A3 (a protein-based vaccine) did not improve outcomes in NSCLC. The lack of clinically significant outcomes, despite their ability to prime and expand tumor antigen-specific T cells could at least partly be attributed to the inability of vaccine-induced T-cell responses to overcome the tumoral mechanisms of immune escape which limit the clonal expansion of T cells following vaccination. A number of such mechanisms have been recognized including reduced antigen presentation, antigenic loss, cytokines, immunosuppressive cells and immune checkpoints. Strategies aimed at modulating the immune checkpoints have shown promise and are on the verge of revolutionizing the therapeutic landscape of metastatic NSCLC. Overcoming immune tolerance and improving the activation of antitumor T cells via combinatorial approaches may represent a new and more promising therapeutic application for active immunotherapies in NSCLC.

Indexed as

AnimalsAntibodies, MonoclonalAntigens, NeoplasmCarcinoma, Non-Small-Cell LungClinical Trials, Phase III as TopicHumansImmunotherapy, ActiveLung NeoplasmsT-LymphocytesAntibodies, MonoclonalAntigens, Neoplasmactive immunotherapyimmune checkpointnonsmall-cell lung cancertumor-mediated immunosuppressionvaccines

Identifiers

PMID26232492
PMCPMC4621028
OpenAlexW2111510610

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.