Evidence map›Paper›PMID 27558635›Full record

ArticleJournal of biomedical science2016

A phase I clinical study of immunotherapy for advanced colorectal cancers using carcinoembryonic antigen-pulsed dendritic cells mixed with tetanus toxoid and subsequent IL-2 treatment.

Ko-Jiunn Liu, Tsu-Yi Chao, Jang-Yang Chang, Ann-Lii Cheng, Hui-Ju Ch'ang, Woei-Yau Kao, Yu-Chen Wu, Wei-Lan Yu, Tsai-Rong Chung, Jacqueline Whang-Peng

Registry-linked trialOpen access · diamondAbstract readClinical Trial, Phase I
In one paragraph

Article in Journal of biomedical science, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00154713 (A Phase I/II Clinical Study of Immunotherapy for Advanced Colorectal Cancers Using CEA-Pulsed Dendritic Cells Mixed With Tetanus Toxoid and Subsequent IL-2 Treatment), which is not on this map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
0.8field-weighted citation impact, top 27% 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.

NCT00154713 phase1 / phase2unknown statusnot on this map

A Phase I/II Clinical Study of Immunotherapy for Advanced Colorectal Cancers Using CEA-Pulsed Dendritic Cells Mixed With Tetanus Toxoid and Subsequent IL-2 Treatment

TypeinterventionalSponsorNational Taiwan University HospitalRan2005 to 2005Enrolled37ConditionsColorectal CancerArmsCEA pulsed dendritic cells
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 27 citations in OpenAlex.

  1. Review
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  4. Review
  5. CEA vaccines.Human vaccines & immunotherapeutics · 2023
    Review
  6. Review
  7. Article
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  14. The Role of Interleukins in Colorectal Cancer.International journal of biological sciences · 2020
    Review
  15. Potential Vaccines for Treating Crohn's DiseaseIranian biomedical journal · 2020
    Review
  16. Review
  17. Review
  18. 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

10 authors at 3 institutions in 1 country.

Ko-Jiunn LiuNational Institute of Cancer Research, National Health Research Institutes, Tainan, Taiwan. kojiunn@nhri.org.tw.ORCID http://orcid.org/0000-0001-6695-9159
Tsu-Yi ChaoDivision of Hematology/Oncology, Tri-Service General Hospital, Taipei, Taiwan.
Jang-Yang ChangNational Institute of Cancer Research, National Health Research Institutes, Tainan, Taiwan.
Ann-Lii ChengDepartment of Oncology, National Taiwan University Hospital, Taipei, Taiwan.
Hui-Ju Ch'angNational Institute of Cancer Research, National Health Research Institutes, Tainan, Taiwan.
Woei-Yau KaoDivision of Hematology/Oncology, Tri-Service General Hospital, Taipei, Taiwan.
Yu-Chen WuNational Institute of Cancer Research, National Health Research Institutes, Tainan, Taiwan.
Wei-Lan YuNational Institute of Cancer Research, National Health Research Institutes, Tainan, Taiwan.
Tsai-Rong ChungNational Institute of Cancer Research, National Health Research Institutes, Tainan, Taiwan.
Jacqueline Whang-PengNational Institute of Cancer Research, National Health Research Institutes, Tainan, Taiwan. jqwpeng@nhri.org.tw.
National Health Research Institutes · TWTri-Service General Hospital · TWNational Taiwan University Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo better evaluate and improve the efficacy of dendritic cell (DC)-based cancer immunotherapy, we conducted a clinical study of patients with advanced colorectal cancer using carcinoembryonic antigen (CEA)-pulsed DCs mixed with tetanus toxoid and subsequent interleukin-2 treatment. The tetanus toxoid in the vaccine preparation serves as an adjuvant and provides a non-tumor specific immune response to enhance vaccine efficacy. The aims of this study were to (1) evaluate the toxicity of this treatment, (2) observe the clinical responses of vaccinated patients, and (3) investigate the immune responses of patients against CEA before and after treatment.

methodsTwelve patients were recruited and treated in this phase I clinical study. These patients all had metastatic colorectal cancer and failed standard chemotherapy. We first subcutaneously immunized patients with metastatic colorectal cancer with 1 × 10(6) CEA-pulsed DCs mixed with tetanus toxoid as an adjuvant. Patients received 3 successive injections with 1 × 10(6) CEA-pulsed DCs alone. Low-dose interleukin-2 was administered subcutaneously following the final DC vaccination to boost the growth of T cells. Patients were evaluated for adverse event and clinical status. Blood samples collected before, during, and after treatment were analyzed for T cell proliferation responses against CEA.

resultsNo severe treatment-related side effects or toxicity was observed in patients who received the regular 4 DC vaccine injections. Two patients had stable disease and 10 patients showed disease progression. A statistically significant increase in proliferation against CEA by T cells collected after vaccination was observed in 2 of 9 patients.

conclusionsThe results of this study indicate that it is feasible and safe to treat colorectal cancer patients using this protocol. An increase in the anti-CEA immune response and a clinical benefit was observed in a small fraction of patients. This treatment protocol should be further evaluated in additional colorectal cancer patients with modifications to enhance T cell responses.

trial registrationClinicalTrials.gov (identifier NCT00154713 ), September 8, 2005.

Indexed as

AgedAged, 80 and overCancer VaccinesCarcinoembryonic AntigenColorectal NeoplasmsDendritic CellsFemaleHumansImmunotherapyInterleukin-2MaleMiddle AgedTetanus ToxoidTreatment OutcomeCancer VaccinesCarcinoembryonic AntigenInterleukin-2Tetanus ToxoidCarcinoembryonic antigenColorectal cancerDendritic cellInterleukin-2Tetanus toxoid

Identifiers

PMID27558635
PMCPMC4997699
OpenAlexW2507413548

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.