Evidence map›Paper›PMID 26498005›Full record

ArticleCancer immunology, immunotherapy : CII2015

Immunological factors influencing clinical outcome in lung cancer patients after telomerase peptide vaccination.

Gaute Lund Hansen, Gustav Gaudernack, Paal Fredrik Brunsvig, Milada Cvancarova, Jon Amund Kyte

Abstract read
In one paragraph

Article in Cancer immunology, immunotherapy : CII, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 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

33 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  13. Therapeutic cancer vaccines.Nature reviews. Cancer · 2021
    Review
  14. Peptides that immunoactivate the tumor microenvironment.Biochimica et biophysica acta. Reviews on cancer · 2021
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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

5 authors.

Gaute Lund HansenDepartment of Immunology, Radiumhospitalet, Oslo University Hospital, Oslo, Norway.
Gustav GaudernackDepartment of Immunology, Radiumhospitalet, Oslo University Hospital, Oslo, Norway.
Paal Fredrik BrunsvigThe Clinical Trial Unit, Department of Clinical Cancer Research, Radiumhospitalet, Oslo University Hospital, Oslo, Norway.
Milada CvancarovaNational Resource Center for Late Effects, Department of Oncology, Radiumhospitalet, Oslo University Hospital, Oslo, Norway.
Jon Amund KyteDepartment of Immunology, Radiumhospitalet, Oslo University Hospital, Oslo, Norway. jon.amund.kyte@rr-research.no.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We have previously reported two trials in non-small cell lung cancer (NSCLC) evaluating vaccine therapy with the telomerase peptide GV1001. The studies demonstrated considerable differences in survival among immune responders, highlighting that an immune response is not necessarily beneficial. In the present study, we conducted long-term clinical follow-up and investigated immunological factors hypothesized to influence clinical efficacy. Peripheral blood mononuclear cells from 33 NSCLC trial patients and 15 healthy donors were analyzed by flow cytometry for T regulatory cells (Tregs, CD4(+)CD25(+)CD127(low/-)FOXP3(+)) and two types of myeloid-derived suppressor cells (MDSCs, HLA-DR (low) CD14 (+) or Lin (-/lo) HLA-DR (-) CD33 (+) CD11b (+)). T cell cultures were analyzed for 17 cytokines. The results demonstrated that immune responders had increased overall survival (OS, p < 0.001) and progression-free survival (p = 0.003), compared to subjects without immunological response. The mean OS advantage was 54 versus 13 months. Six patients were still alive at the last clinical update, all belonging to the immune responders. No serious toxicity had developed (maximum observation 13 years). Most patients developed a polyfunctional cytokine profile, with high IFNγ/IL-4 and IFNγ/IL-10 ratios. Low Treg levels were associated with improved OS (p = 0.037) and a favorable cytokine profile, including higher IFNγ/IL-10 ratios. High CD33(+) MDSC levels were associated with poorer immune response rate (p = 0.005). The levels of CD14(+) MDSC were significantly higher in patients than in healthy controls (p = 0.012). We conclude that a randomized GV1001 trial in NSCLC is warranted. The findings suggest that Tregs and MDSCs are associated with a tolerogenic cytokine milieu and impaired clinical efficacy of vaccine responses.

Indexed as

AdultAgedCancer VaccinesCarcinoma, Non-Small-Cell LungCytokinesDisease-Free SurvivalFemaleFlow CytometryFollow-Up StudiesHumansLung NeoplasmsMaleMiddle AgedPeptide FragmentsTelomeraseT-Lymphocytes, RegulatoryCancer VaccinesCytokinesPeptide FragmentsTelomeraseVaccines, SubunitCancer vaccineCytokinesLung cancerMyeloid-derived suppressor cellsRegulatory T cellsSurvival

Identifiers

PMID26498005
PMCPMC11029677

What OpenQuestion holds

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Registered trials

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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.