Evidence map›Paper›PMID 27467913›Full record

ArticleOncoimmunology2016

Long-term survival correlates with immunological responses in renal cell carcinoma patients treated with mRNA-based immunotherapy.

Susanne M Rittig, Maik Haentschel, Katrin J Weimer, Annkristin Heine, Martin R Müller, Wolfram Brugger, Marius S Horger, Olga Maksimovic, Arnulf Stenzl, Ingmar Hoerr and 5 more

Open access · goldAbstract read
In one paragraph

Article in Oncoimmunology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 21% 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

39 citing papers in PubMed, 1 synthesis or guideline pooled it, 66 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Review
  5. Review
  6. Messenger RNA vaccines in the prevention of allergic diseases.The World Allergy Organization journal · 2025
    Review
  7. Applications of mRNA Delivery in Cancer Immunotherapy.International journal of nanomedicine · 2025
    Review
  8. Review
  9. RNA-Based Therapies in Kidney Diseases.Journal of inflammation research · 2025
    Review
  10. Review
  11. Review
  12. Research progress of MUC1 in genitourinary cancers.Cellular & molecular biology letters · 2024
    Review
  13. Article
  14. Treatment advances in high-grade gliomas.Frontiers in oncology · 2024
    Review
  15. Review
  16. Review
  17. RNA modification in mRNA cancer vaccines.Clinical and experimental medicine · 2023
    Review
  18. Circular RNA vaccine in disease prevention and treatment.Signal transduction and targeted therapy · 2023
    Review
  19. Review
  20. Article
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

15 authors at 5 institutions in 3 countries.

Susanne M RittigDepartment of Hematology, Oncology, Rheumatology, Immunology and Pulmology, University of Tuebingen , Tuebingen, Germany.
Maik HaentschelDepartment of Hematology, Oncology, Rheumatology, Immunology and Pulmology, University of Tuebingen , Tuebingen, Germany.
Katrin J WeimerDepartment of Hematology, Oncology, Rheumatology, Immunology and Pulmology, University of Tuebingen , Tuebingen, Germany.
Annkristin HeineDepartment of Hematology and Oncology, University of Bonn , Bonn, Germany.
Martin R MüllerDepartment of Hematology, Oncology, Rheumatology, Immunology and Pulmology, University of Tuebingen , Tuebingen, Germany.
Wolfram BruggerDepartment of Hematology and Oncology, Schwarzwald-Baar Clinic, Academic Teaching Hospital, University of Freiburg, Villingen-Schwenningen, Germany; AstraZeneca UK Limited R&D. Early Clinical Development / Oncology Translational Medicine Unit, Melbourn, UK.
Marius S HorgerDepartment of Radiology, University of Tuebingen , Tuebingen, Germany.
Olga MaksimovicDepartment of Hematology, Oncology, Rheumatology, Immunology and Pulmology, University of Tuebingen , Tuebingen, Germany.
Arnulf StenzlDepartment of Urology, University of Tuebingen , Tuebingen, Germany.
Ingmar HoerrCureVac GmbH , Tuebingen, Germany.
Hans-Georg RammenseeDepartment of Immunology, University of Tuebingen , Tuebingen, Germany.
Tobias A HolderriedDepartment of Hematology and Oncology, University of Bonn , Bonn, Germany.
Lothar KanzDepartment of Hematology, Oncology, Rheumatology, Immunology and Pulmology, University of Tuebingen , Tuebingen, Germany.
Steve PascoloDepartment of Dermatology, University Hospital Zurich , Zurich, Switzerland.
Peter BrossartDepartment of Hematology and Oncology, University of Bonn , Bonn, Germany.
University of Tübingen · DEUniversity of Bonn · DEAstraZeneca (United Kingdom) · GBCureVac (Germany) · DEUniversity Hospital of Zurich · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Renal cell carcinoma (RCC) is an immunogenic tumor for which immunotherapeutic approaches could be associated with clinically relevant responses. It was recently shown, that induction of T-cell responses against multiple tumor-associated antigen (TAA) epitopes results in prolonged overall survival in RCC patients. In 2003-2005, we performed a phase I/II trial testing an mRNA-based vaccine formulation consisting of a mixture of in vitro transcribed RNA coding for six different TAAs (MUC1, CEA, Her2/neu, telomerase, survivin, MAGE-A1) in 30 metastatic RCC (mRCC) patients. In the first 14 patients, vaccinations were applied i.d. on days 0, 14, 28, and 42. In the consecutive 16 patients, an intensified protocol consisting of i.d. injections (daily on days 0-3, 7-10, 28, and 42) was used. After the respective induction periods, patients in both cohorts were vaccinated monthly until tumor progression. At survival update performed in July 2015, one of the 30 patients was still alive. One patient was lost to follow-up. Median survival of 24.5 mo (all patients) and 89 mo (favorable risk patients) exceeded predicted survival according to Memorial Sloan Kettering Cancer Center (MSKCC) risk score. Impressively, long-term survivors displayed immunological responses to the applied antigens while vice versa no patient without detectable immune response had survived more than 33 mo. The current survival update shows a clear correlation between survival and immunological responses to TAAs encoded by the naked mRNA vaccine. This is one of the first vaccination studies and the only RNA trial that reports on safety and efficacy after a follow-up of more than 10 y.

Indexed as

Cancerdendritic cellhumanimmunotherapyphase I/IIrenal cell carcinomaRNAsurvivaltrialvaccine

Identifiers

PMID27467913
PMCPMC4910748
OpenAlexW2342656502

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.