Evidence map›Paper›PMID 28427434›Full record

Trial reportJournal of translational medicine2017

Adenovirus-mediated CD40L gene transfer increases Teffector/Tregulatory cell ratio and upregulates death receptors in metastatic melanoma patients.

A Schiza, J Wenthe, S Mangsbo, E Eriksson, Anders Nilsson, T H Tötterman, A Loskog, G Ullenhag

Registry-linked trialOpen access · goldAbstract readClinical Trial, Phase IClinical Trial, Phase II
In one paragraph

Trial report in Journal of translational medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01455259 (Phase I/IIa AdCD40L Immunogene Therapy for Patients With Advanced Malignant Disease.), which is not on this map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
1.9field-weighted citation impact, top 15% 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.

NCT01455259 phase1 / phase2completednot on this map

Phase I/IIa AdCD40L Immunogene Therapy for Patients With Advanced Malignant Disease.

TypeinterventionalSponsorUppsala UniversityRan2011 to 2016Enrolled30ConditionsMalignant MelanomaArmsAdCD40L
3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 56 citations in OpenAlex.

  1. Trial
  2. Review
  3. Review
  4. Review
  5. Review
  6. Article
  7. Cancer immunotherapies: A hope for the uncurable?Frontiers in molecular medicine · 2023
    Review
  8. Review
  9. Review
  10. CD40-CD40L in Neurological Disease.International journal of molecular sciences · 2022
    Review
  11. Article
  12. Article
  13. Review
  14. Review
  15. Article
  16. Article
  17. Review
  18. Oncolytic Adenoviruses for Cancer Therapy.International journal of molecular sciences · 2021
    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

8 authors at 2 institutions in 1 country.

A SchizaDepartment of Immunology, Genetics and Pathology, Uppsala University, Uppsala, Sweden.
J WentheDepartment of Immunology, Genetics and Pathology, Uppsala University, Uppsala, Sweden.
S MangsboDepartment of Immunology, Genetics and Pathology, Uppsala University, Uppsala, Sweden.
E ErikssonDepartment of Immunology, Genetics and Pathology, Uppsala University, Uppsala, Sweden.
Anders NilssonDivision of Radiology, Uppsala University Hospital, Uppsala, Sweden.
T H TöttermanDepartment of Immunology, Genetics and Pathology, Uppsala University, Uppsala, Sweden.
A LoskogDepartment of Immunology, Genetics and Pathology, Uppsala University, Uppsala, Sweden.
G UllenhagDepartment of Immunology, Genetics and Pathology, Uppsala University, Uppsala, Sweden. gustav.ullenhag@igp.uu.se.ORCID 0000-0003-4949-3267
Uppsala University · SEUppsala University Hospital · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsMalignant melanoma is an aggressive tumor sensitive for immunotherapy such as checkpoint blockade antibodies. Still, most patients with late stage disease do not respond, and the side effects can be severe. Stimulation of the CD40 pathway to initiate anti-tumor immunity is a promising alternative. Herein, we demonstrate immune profiling data from melanoma patients treated with an adenovirus-based CD40 ligand gene therapy (AdCD40L).

methodsPeripheral blood mononuclear cells and plasma were collected from malignant melanoma patients (n = 15) enrolled in a phase I/IIa study investigating intratumoral delivery of AdCD40L with or without low dose cyclophosphamide. Cells were analyzed by flow cytometry while plasma samples were analyzed by a multi-array proteomics.

resultsAll patients had an increased Teffector/Tregulatory cell ratio post therapy. Simultaneously, the death receptors TNFR1 and TRAIL-R2 were significantly up-regulated post treatment. Stem cell factor (SCF), E-selectin, and CD6 correlated to enhanced overall survival while a high level of granulocytic myeloid-derived suppressor cells (gMDSCs), IL8, IL10, TGFb1, CCL4, PlGF and Fl3t ligand was highest in patients with short survival.

conclusionsAdCD40L intratumoral injection induced desirable systemic immune effects that correlated to prolonged survival. Further studies using CD40 stimulation in malignant melanoma are warranted. Trial registration The 002:CD40L trial "Phase I/IIa AdCD40L Immunogene Therapy for Malignant Melanoma and Other Solid Tumors" (clinicalTrials.gov identifier: NCT01455259) was registered at September 2011.

Indexed as

Gene Transfer TechniquesUp-RegulationAdenoviridaeAntigens, CDAntigens, Differentiation, T-LymphocyteCD40 LigandHumansLymphocyte CountMelanomaMyeloid-Derived Suppressor CellsProteomicsReceptors, Death DomainStem Cell FactorSurvival AnalysisT-Lymphocytes, RegulatoryAntigens, CDAntigens, Differentiation, T-LymphocyteCD40 LigandCD6 antigenReceptors, Death DomainStem Cell FactorAdCD40LImmunotherapyMalignant melanomaMyeloid-derived suppressor cellsProteomicsT regulatory cells

Identifiers

PMID28427434
PMCPMC5399418
OpenAlexW2606213698

What OpenQuestion holds

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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.