Evidence map›Paper›PMID 30700328›Full record

Trial reportJournal for immunotherapy of cancer2019

FLT PET/CT imaging of metastatic prostate cancer patients treated with pTVG-HP DNA vaccine and pembrolizumab.

Matthew Scarpelli, Christopher Zahm, Scott Perlman, Douglas G McNeel, Robert Jeraj, Glenn Liu

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

Trial report in Journal for immunotherapy of cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02499835 (Pilot Trial of pTVG-HP DNA Vaccine and Pembrolizumab in Patients With Castration-Resistant, Metastatic Prostate Cancer), which is not on this map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.9field-weighted citation impact, top 12% 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.

NCT02499835 phase1 / phase2completednot on this map

Pilot Trial of pTVG-HP DNA Vaccine and Pembrolizumab in Patients With Castration-Resistant, Metastatic Prostate Cancer

TypeinterventionalSponsorUniversity of Wisconsin, MadisonRan2015 to 2023Enrolled66ConditionsHormone-Resistant Prostate Cancer, Metastatic Malignant Neoplasm in the Bone, Metastatic Malignant Neoplasm in the Soft Tissues, Metastatic Prostate CarcinomaArmsPembrolizumab, pTVG-HP Plasmid DNA Vaccine
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 28 citations in OpenAlex.

  1. Trial
  2. 3'-deoxy-3'-EJNMMI research · 2025
    Article
  3. Article
  4. Review
  5. Review
  6. Synthesis and Biological Evaluation of 5'-Molecules (Basel, Switzerland) · 2022
    Article
  7. Review
  8. CD8-Targeted PET Imaging of Tumor-Infiltrating T Cells in Patients with Cancer: A Phase I First-in-Humans Study ofJournal of nuclear medicine : official publication, Society of Nuclear Medicine · 2022
    Article
  9. Predictive value of 3'-deoxy-3'-Journal for immunotherapy of cancer · 2021
    Article
  10. Immunotherapy in Head and Neck Cancer-Ready for Prime Time or More Research Needed?International journal of radiation oncology, biology, physics · 2021
    Article
  11. Review
  12. Review
  13. 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

6 authors at 2 institutions in 1 country.

Matthew ScarpelliDepartment of Medical Physics, University of Wisconsin, 1111 Highland Ave, Madison, WI, 53792, USA.
Christopher ZahmUniversity of Wisconsin Carbone Cancer Center, 1111 Highland Ave, Madison, WI, 53792, USA.
Scott PerlmanUniversity of Wisconsin Carbone Cancer Center, 1111 Highland Ave, Madison, WI, 53792, USA.
Douglas G McNeelUniversity of Wisconsin Carbone Cancer Center, 1111 Highland Ave, Madison, WI, 53792, USA.
Robert JerajDepartment of Medical Physics, University of Wisconsin, 1111 Highland Ave, Madison, WI, 53792, USA.
Glenn LiuUniversity of Wisconsin Carbone Cancer Center, 1111 Highland Ave, Madison, WI, 53792, USA. gxl@medicine.wisc.edu.ORCID 0000-0002-9819-1911
University of Wisconsin–Madison · USUniversity of Wisconsin Carbone Cancer Center · US

Funding

UW COMPREHENSIVE CANCER CENTER SUPPORTP30CA014520 · NCI · UNIVERSITY OF WISCONSIN-MADISON · PI Christian Capitini · 1985 to 2026
$142.6M
Effective Anti-Tumor Vaccination - Targeting Checkpoint Regulation at the Time of T-cell ActivationR01CA219154 · NCI · UNIVERSITY OF WISCONSIN-MADISON · PI MCNEEL, DOUGLAS G. · 2017 to 2021
$1.7M
NCI NIH HHS R01 CA219154NIH HHS P30 CA014520
6 · The paper itself

Abstract

backgroundImmunotherapy has demonstrated remarkable success in treating different cancers. Nonetheless, a large number of patients do not respond, many respond without immediate changes detectable with conventional imaging, and many have unusual immune-related adverse events that cannot be predicted in advance. In this exploratory study, we investigate how 3'-Deoxy-3'-

methodsSeventeen patients with metastatic castrate resistant prostate cancer were treated with combination pTVG-HP DNA vaccine and pembrolizumab. Patients underwent baseline and 12-week FLT PET/CT scans. FLT PET standardized uptake values (SUVs) were extracted from tumors, non-metastatic lymph nodes, spleen, bone marrow, pancreas, and thyroid to quantify cell proliferation in these tissues. Regional immune cell responses to pTVG-HP DNA vaccine were assessed by comparing FLT uptake changes in vaccine draining and non-draining lymph nodes. Cox proportional hazards regression was utilized to relate FLT uptake and other clinical markers (PSA and tumor size) to progression-free survival. Area under receiver operating characteristic (AUC) curves and concordance indices were used to assess the predictive capabilities of FLT uptake.

resultsChanges in FLT uptake in vaccine draining lymph nodes were significantly greater than changes in non-draining lymph nodes (P = 0.02), suggesting a regional immune response to vaccination. However, the changes in FLT uptake in lymph nodes were not significantly predictive of progression-free survival. Increases in tumor FLT uptake were significantly predictive of shorter progression-free survival (concordance index = 0.83, P < 0.01). Baseline FLT uptake in the thyroid was significantly predictive of whether or not a patient would subsequently experience a thyroid-related adverse event (AUC = 0.97, P < 0.01).

conclusionsFLT PET uptake was significantly predictive of progression-free survival and the occurrence of adverse events relating to thyroid function. The results suggest FLT PET imaging has potential as a biomarker in immunotherapy, providing a marker of tumor and immune responses, and as a possible means of anticipating specific immune-related adverse events.

trial registrationNCT02499835 .

Indexed as

Antibodies, Monoclonal, HumanizedAntineoplastic Agents, ImmunologicalDideoxynucleosidesHumansMalePositron Emission Tomography Computed TomographyProstatic Neoplasms, Castration-ResistantVaccines, DNAalovudineAntibodies, Monoclonal, HumanizedAntineoplastic Agents, ImmunologicalDideoxynucleosidespembrolizumabVaccines, DNAAdverse eventsCell proliferationClinical trialDNA vaccineFLT PETImagingPembrolizumabProstate cancerResponse assessment

Identifiers

PMID30700328
PMCPMC6354338
OpenAlexW2925312734

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.