Evidence map›Paper›PMID 27599039›Full record

Trial reportBritish journal of cancer2016

Randomised, open-label, phase II study of gemcitabine with and without IMM-101 for advanced pancreatic cancer.

Angus G Dalgleish, Justin Stebbing, Douglas Ja Adamson, Seema Safia Arif, Paolo Bidoli, David Chang, Sue Cheeseman, Robert Diaz-Beveridge, Carlos Fernandez-Martos, Rob Glynne-Jones and 13 more

Erratum issued Registry-linked trialOpen access · hybridAbstract readClinical Trial, Phase IIComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in British journal of cancer, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT01303172 (A Randomised, Open-Label, Proof-of-Concept, Phase II Trial Comparing Gemcitabine With and Without IMM-101 in Advanced Pancreatic Cancer), which is not on this 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
4.9field-weighted citation impact, top 4% 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.

NCT01303172 phase2completednot on this map

A Randomised, Open-Label, Proof-of-Concept, Phase II Trial Comparing Gemcitabine With and Without IMM-101 in Advanced Pancreatic Cancer

TypeinterventionalSponsorImmodulon Therapeutics LtdRan2011 to 2016Enrolled110ConditionsAdvanced Pancreatic CancerArmsIMM-101, Gemcitabine
3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 1 synthesis or guideline pooled it, 74 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Review
  5. Article
  6. Article
  7. Review
  8. The Role of Immunotherapy in Pancreatic Cancer.Current oncology (Toronto, Ont.) · 2022
    Review
  9. Suppression of the malignancy of mammary tumor in mice model by inactivated preparation ofVeterinary research forum : an international quarterly journal · 2022
    Article
  10. Article
  11. Rapidly GrowingInternational journal of molecular sciences · 2021
    Review
  12. Article
  13. Review
  14. Article
  15. Review
  16. Article
  17. Effect of Gemcitabine based chemotherapy on the immunogenicity of pancreatic tumour cells and T-cells.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2021
    Article
  18. Review
  19. Is innate immunity our best weapon for flattening the curve?The Journal of clinical investigation · 2020
    Review
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

23 authors at 19 institutions in 5 countries.

Angus G DalgleishCancer Vaccine Institute, St George's University of London, London, UK.
Justin StebbingDepartment of Oncology, Imperial College, Hammersmith Hospital, London, UK.
Douglas Ja AdamsonDepartment of Oncology, Ninewells Hospital, Dundee, UK.
Seema Safia ArifVelindre Cancer Centre, Cardiff, UK.
Paolo BidoliDepartment of Oncology, Azienda Ospedaliera San Gerardo, Monza, Italy.
David ChangDepartment of General Surgery, Royal Blackburn Hospital, Blackburn, UK.
Sue CheesemanDepartment of Oncology, Bradford Teaching Hospitals NHS Foundation Trust, Bradford, UK.
Robert Diaz-BeveridgeMédico Adjunto de Oncología Médica, Hospital La Fe de Valencia, Valencia, Spain.
Carlos Fernandez-MartosInstituto Valenciano de Oncologia, Valencia, Spain.
Rob Glynne-JonesMount Vernon Cancer Centre, Northwood, UK.
Cristina GranettoMedical Oncology, Azienda Ospedaliera Santa Croce e Carle, Cuneo, Italy.
Bartomeu MassutiEnsayos Clínicos Oncología, Hospital General Universitario de Alicante, Alicante, Spain.
Karen McAdamOncology Department, Peterborough and Stamford Hospitals NHS Trust, Peterborough, UK.
Raymond McDermottMedical Oncology, St Vincent's University Hospital and The Adelaide and Meath Hospital, Dublin, Republic of Ireland.
Andrés J Muñoz MartínGastrointestinal Cancer Unit, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
Demetris PapamichaelDepartment of Medical Oncology, Bank of Cyprus Oncology Centre, Nicosia, Cyprus.
Roberto Pazo-CidServicio de Oncología Médica, Hospital Miguel Servet, Zaragoza, Spain.
Jose M VieitezArea and Neuroendocrine Tumors Gastrointestinal Medical Oncology, Hospital Central de Asturias, Asturias, Spain.
Alberto ZaniboniOncology Department, Fondazione Poliambulanza, Brescia, Italy.
Kevin J CarrollTranScrip Partners LLP, Reading, UK.
Shama WagleTranScrip Partners LLP, Reading, UK.
Andrew GayaClinical Oncology, Guy's & St Thomas' Hospitals NHS Trust, London, UK.
Satvinder S MudanSt George's University of London, Imperial College, London and The Royal Marsden Hospital, London, UK.
Azienda Ospedaliera San Gerardo · ITAzienda Sanitaria Ospedaliera S.Croce e Carle Cuneo · ITBank of Cyprus Oncology Center · CYBradford Teaching Hospitals NHS Foundation Trust · GBFondazione Poliambulanza Istituto Ospedaliero · ITFundación Instituto Valenciano de Oncología · ESHammersmith Hospital · GBHospital General Universitario de Alicante Doctor Balmis · ESHospital General Universitario Gregorio Marañón · ESHospital Universitario Miguel Servet · ESImperial College London · GBMount Vernon Cancer Centre · GBNinewells Hospital · GBPeterborough and Stamford Hospitals NHS Foundation Trust · GBRoyal Blackburn Teaching Hospital · GBSt George's, University of London · GBSt Thomas' Hospital · GBTallaght University Hospital · IEVelindre Cancer Centre · GB

Funding

Department of Health NIHR-RP-011-053
6 · The paper itself

Abstract

backgroundImmune Modulation and Gemcitabine Evaluation-1, a randomised, open-label, phase II, first-line, proof of concept study (NCT01303172), explored safety and tolerability of IMM-101 (heat-killed Mycobacterium obuense; NCTC 13365) with gemcitabine (GEM) in advanced pancreatic ductal adenocarcinoma.

methodsPatients were randomised (2 : 1) to IMM-101 (10 mg ml(-l) intradermally)+GEM (1000 mg m(-2) intravenously; n=75), or GEM alone (n=35). Safety was assessed on frequency and incidence of adverse events (AEs). Overall survival (OS), progression-free survival (PFS) and overall response rate (ORR) were collected.

resultsIMM-101 was well tolerated with a similar rate of AE and serious adverse event reporting in both groups after allowance for exposure. Median OS in the intent-to-treat population was 6.7 months for IMM-101+GEM v 5.6 months for GEM; while not significant, the hazard ratio (HR) numerically favoured IMM-101+GEM (HR, 0.68 (95% CI, 0.44-1.04, P=0.074). In a pre-defined metastatic subgroup (84%), OS was significantly improved from 4.4 to 7.0 months in favour of IMM-101+GEM (HR, 0.54, 95% CI 0.33-0.87, P=0.01).

conclusionsIMM-101 with GEM was as safe and well tolerated as GEM alone, and there was a suggestion of a beneficial effect on survival in patients with metastatic disease. This warrants further evaluation in an adequately powered confirmatory study.

Indexed as

Immunotherapy, ActiveAgedAged, 80 and overAntimetabolites, AntineoplasticBiomarkers, TumorCancer VaccinesCarcinoma, Pancreatic DuctalCombined Modality TherapyDeoxycytidineDisease-Free SurvivalEuropeFemaleGemcitabineHumansKaplan-Meier EstimateMaleAntimetabolites, AntineoplasticBiomarkers, TumorCancer VaccinesDeoxycytidineGemcitabineIMM-101

Identifiers

PMID27599039
PMCPMC5046215
OpenAlexW2516156628

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.