Evidence map›Paper›PMID 27294163›Full record

Trial reportJournal of immunology research2016

Adjuvant Autologous Melanoma Vaccine for Macroscopic Stage III Disease: Survival, Biomarkers, and Improved Response to CTLA-4 Blockade.

Michal Lotem, Sharon Merims, Stephen Frank, Tamar Hamburger, Aviram Nissan, Luna Kadouri, Jonathan Cohen, Ravid Straussman, Galit Eisenberg, Shoshana Frankenburg and 12 more

Open access · goldAbstract readClinical Trial, Phase II
In one paragraph

Trial report in Journal of immunology research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 18% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Pooled it
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  9. Prognostic gene biomarkers for c-Src inhibitor Si162 sensitivity in melanoma cells.Turkish journal of biology = Turk biyoloji dergisi · 2024
    Article
  10. Distribution pattern of tumor infiltrating lymphocytes and tumor microenvironment composition as prognostic indicators in anorectal malignant melanoma.Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc · 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

22 authors at 7 institutions in 2 countries.

Michal LotemSharett Institute of Oncology, Hadassah Hebrew University Hospital, Ein Karem Campus, 91120 Jerusalem, Israel.
Sharon MerimsSharett Institute of Oncology, Hadassah Hebrew University Hospital, Ein Karem Campus, 91120 Jerusalem, Israel.
Stephen FrankSharett Institute of Oncology, Hadassah Hebrew University Hospital, Ein Karem Campus, 91120 Jerusalem, Israel.
Tamar HamburgerSharett Institute of Oncology, Hadassah Hebrew University Hospital, Ein Karem Campus, 91120 Jerusalem, Israel.
Aviram NissanDepartments of Surgery, Hadassah Hebrew University Hospital, Mount Scopus Campus, 91240 Jerusalem, Israel.
Luna KadouriSharett Institute of Oncology, Hadassah Hebrew University Hospital, Ein Karem Campus, 91120 Jerusalem, Israel.
Jonathan CohenSharett Institute of Oncology, Hadassah Hebrew University Hospital, Ein Karem Campus, 91120 Jerusalem, Israel.
Ravid StraussmanDepartment of Molecular Cell Biology, Weizmann Institute of Science, 7610001 Rehovot, Israel.
Galit EisenbergSharett Institute of Oncology, Hadassah Hebrew University Hospital, Ein Karem Campus, 91120 Jerusalem, Israel.
Shoshana FrankenburgSharett Institute of Oncology, Hadassah Hebrew University Hospital, Ein Karem Campus, 91120 Jerusalem, Israel.
Einat CarmonDepartments of Surgery, Hadassah Hebrew University Hospital, Mount Scopus Campus, 91240 Jerusalem, Israel.
Bilal AlaiyanDepartments of Surgery, Hadassah Hebrew University Hospital, Mount Scopus Campus, 91240 Jerusalem, Israel.
Shlomo ShneibaumDepartment of Surgery, Tel Aviv Sourasky Medical Center, 64239 Tel Aviv, Israel.
Zeynep Ozge AyyildizDepartment of Molecular Biology and Genetics, Bilkent University, 06800 Ankara, Turkey.
Murat IsbilenDepartment of Molecular Biology and Genetics, Bilkent University, 06800 Ankara, Turkey.
Kerem Mert SensesDepartment of Molecular Biology and Genetics, Bilkent University, 06800 Ankara, Turkey.
Ilan RonDepartment of Oncology, Tel Aviv Sourasky Medical Center, 64239 Tel Aviv, Israel.
Hanna SteinbergSharett Institute of Oncology, Hadassah Hebrew University Hospital, Ein Karem Campus, 91120 Jerusalem, Israel.
Yoav SmithGenomic Data Analysis Unit, Hebrew University Medical School, 91120 Jerusalem, Israel.
Eitan ShiloniDepartment of Surgery, Bnai Zion Medical Center, 31048 Haifa, Israel.
Ali Osmay GureDepartment of Molecular Biology and Genetics, Bilkent University, 06800 Ankara, Turkey.
Tamar PeretzSharett Institute of Oncology, Hadassah Hebrew University Hospital, Ein Karem Campus, 91120 Jerusalem, Israel.
Hadassah Medical Center · ILBilkent University · TRHadassah Academic College · ILTel Aviv Sourasky Medical Center · ILBnai Zion Medical Center · ILHebrew University of Jerusalem · ILWeizmann Institute of Science · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background. There is not yet an agreed adjuvant treatment for melanoma patients with American Joint Committee on Cancer stages III B and C. We report administration of an autologous melanoma vaccine to prevent disease recurrence. Patients and Methods. 126 patients received eight doses of irradiated autologous melanoma cells conjugated to dinitrophenyl and mixed with BCG. Delayed type hypersensitivity (DTH) response to unmodified melanoma cells was determined on the vaccine days 5 and 8. Gene expression analysis was performed on 35 tumors from patients with good or poor survival. Results. Median overall survival was 88 months with a 5-year survival of 54%. Patients attaining a strong DTH response had a significantly better (p = 0.0001) 5-year overall survival of 75% compared with 44% in patients without a strong response. Gene expression array linked a 50-gene signature to prognosis, including a cluster of four cancer testis antigens: CTAG2 (NY-ESO-2), MAGEA1, SSX1, and SSX4. Thirty-five patients, who received an autologous vaccine, followed by ipilimumab for progressive disease, had a significantly improved 3-year survival of 46% compared with 19% in nonvaccinated patients treated with ipilimumab alone (p = 0.007). Conclusion. Improved survival in patients attaining a strong DTH and increased response rate with subsequent ipilimumab suggests that the autologous vaccine confers protective immunity.

Indexed as

ImmunotherapyAdjuvants, ImmunologicAdolescentAdultAgedAged, 80 and overAnimalsAntibodies, MonoclonalAntigens, NeoplasmAntineoplastic AgentsBiomarkersCancer VaccinesCell Line, TumorCluster AnalysisCombined Modality TherapyCTLA-4 AntigenAdjuvants, ImmunologicAntibodies, MonoclonalAntigens, NeoplasmAntineoplastic AgentsBiomarkersCancer VaccinesCTLA-4 AntigenIpilimumab

Identifiers

PMID27294163
PMCPMC4887652
OpenAlexW2404598267

What OpenQuestion holds

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LicenceCC BY
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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.