Evidence map›Paper›PMID 30753611›Full record

Trial reportNeuro-oncology2019

Phase I/II trial testing safety and immunogenicity of the multipeptide IMA950/poly-ICLC vaccine in newly diagnosed adult malignant astrocytoma patients.

Denis Migliorini, Valérie Dutoit, Mathilde Allard, Nicole Grandjean Hallez, Eliana Marinari, Valérie Widmer, Géraldine Philippin, Francesca Corlazzoli, Robin Gustave, Mario Kreutzfeldt and 11 more

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

Trial report in Neuro-oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01920191 (Phase I/II Study of Intradermal IMA950 Peptide-based Vaccine Adjuvanted With Intra Muscular Poly-ICLC in Combination With Temozolomide in Newly Diagnosed HLA-A2 Glioblastoma Patients), which is not on this map. Cited by 85 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
85citing papers in PubMed, 4 pooled it
5.6field-weighted citation impact, top 3% 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.

NCT01920191 phase1 / phase2completednot on this map

Phase I/II Study of Intradermal IMA950 Peptide-based Vaccine Adjuvanted With Intra Muscular Poly-ICLC in Combination With Temozolomide in Newly Diagnosed HLA-A2 Glioblastoma Patients

TypeinterventionalSponsorUniversity Hospital, GenevaRan2013 to 2016Enrolled19ConditionsCNS Tumor, AdultArmsIMA 950, Poly ICLC, Immunomonitoring
3 · Its place in the literature

Who cites it

85 citing papers in PubMed, 4 syntheses or guidelines pooled it, 143 citations in OpenAlex.

  1. A systematic review of immunotherapy in high-grade glioma: learning from the past to shape future perspectives.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024
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  6. Immunotherapy for Glioma: A compartmental framework for resistance and rational combination design.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2026
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  9. Current Status and Evolution of Immunotherapy in Glioma Management.International journal of medical sciences · 2026
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25 more citing papers are in PubMed but not listed here.

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

21 authors at 2 institutions in 1 country.

Denis MiglioriniDepartment of Oncology, Clinical Research Unit, Dr Dubois Ferrière Dinu Lipatti Research Foundation, Geneva University Hospital, Geneva, Switzerland.
Valérie DutoitLaboratory of Tumor Immunology and Department of Oncology, Geneva University Hospital, Geneva, Switzerland.
Mathilde AllardLaboratory of Tumor Immunology and Department of Oncology, Geneva University Hospital, Geneva, Switzerland.
Nicole Grandjean HallezDepartment of Oncology, Clinical Research Unit, Dr Dubois Ferrière Dinu Lipatti Research Foundation, Geneva University Hospital, Geneva, Switzerland.
Eliana MarinariLaboratory of Tumor Immunology and Department of Oncology, Geneva University Hospital, Geneva, Switzerland.
Valérie WidmerLaboratory of Tumor Immunology and Department of Oncology, Geneva University Hospital, Geneva, Switzerland.
Géraldine PhilippinLaboratory of Tumor Immunology and Department of Oncology, Geneva University Hospital, Geneva, Switzerland.
Francesca CorlazzoliLaboratory of Tumor Immunology and Department of Oncology, Geneva University Hospital, Geneva, Switzerland.
Robin GustaveLaboratory of Tumor Immunology and Department of Oncology, Geneva University Hospital, Geneva, Switzerland.
Mario KreutzfeldtNeuropathology Division, Department of Pathology, Geneva University Hospital, Geneva, Switzerland.
Nathalie BlazekDepartment of Oncology, Clinical Research Unit, Dr Dubois Ferrière Dinu Lipatti Research Foundation, Geneva University Hospital, Geneva, Switzerland.
Joëlle WasemDepartment of Oncology, Clinical Research Unit, Dr Dubois Ferrière Dinu Lipatti Research Foundation, Geneva University Hospital, Geneva, Switzerland.
Andreas HottingerDepartment of Oncology, Clinical Research Unit, Dr Dubois Ferrière Dinu Lipatti Research Foundation, Geneva University Hospital, Geneva, Switzerland.
Avinash KokaNeurosurgery Division, Department of Neurosciences, Geneva University Hospital, Geneva, Switzerland.
Shahan MomjianNeurosurgery Division, Department of Neurosciences, Geneva University Hospital, Geneva, Switzerland.
Alexander LobrinusNeuropathology Division, Department of Pathology, Geneva University Hospital, Geneva, Switzerland.
Doron Merkler
Maria-Isabel VargasDepartment of Imaging and Medical information Sciences, Neuroradiology Division, Geneva University Hospital, Geneva, Switzerland.
Paul R WalkerLaboratory of Tumor Immunology, Translational Research Center for Oncohematology, Department of Internal Medicine Specialties, University of Geneva, and Division of Oncology, Geneva University Hospitals, Geneva, Switzerland.
Anna PatrikidouDepartment of Oncology, Clinical Research Unit, Dr Dubois Ferrière Dinu Lipatti Research Foundation, Geneva University Hospital, Geneva, Switzerland.
Pierre-Yves DietrichDepartment of Oncology, Clinical Research Unit, Dr Dubois Ferrière Dinu Lipatti Research Foundation, Geneva University Hospital, Geneva, Switzerland.
University of Geneva · CHUniversity Hospital of Geneva · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPeptide vaccines offer the opportunity to elicit glioma-specific T cells with tumor killing ability. Using antigens eluted from the surface of glioblastoma samples, we designed a phase I/II study to test safety and immunogenicity of the IMA950 multipeptide vaccine adjuvanted with poly-ICLC (polyinosinic-polycytidylic acid stabilized with polylysine and carboxymethylcellulose) in human leukocyte antigen A2+ glioma patients.

methodsAdult patients with newly diagnosed glioblastoma (n = 16) and grade III astrocytoma (n = 3) were treated with radiochemotherapy followed by IMA950/poly-ICLC vaccination. The first 6 patients received IMA950 (9 major histocompatibility complex [MHC] class I and 2 MHC class II peptides) intradermally and poly-ICLC intramuscularly (i.m.). After protocol amendment, IMA950 and poly-ICLC were mixed and injected subcutaneously (n = 7) or i.m. (n = 6). Primary endpoints were safety and immunogenicity. Secondary endpoints were overall survival, progression-free survival at 6 and 9 months, and vaccine-specific peripheral cluster of differentiation (CD)4 and CD8 T-cell responses.

resultsThe IMA950/poly-ICLC vaccine was safe and well tolerated. Four patients presented cerebral edema with rapid recovery. For the first 6 patients, vaccine-induced CD8 T-cell responses were restricted to a single peptide and CD4 responses were absent. After optimization of vaccine formulation, we observed multipeptide CD8 and sustained T helper 1 CD4 T-cell responses. For the entire cohort, CD8 T-cell responses to a single or multiple peptides were observed in 63.2% and 36.8% of patients, respectively. Median overall survival was 19 months for glioblastoma patients.

conclusionWe provide, in a clinical trial, using cell surface-presented antigens, insights into optimization of vaccines generating effector T cells for glioma patients.

trial registrationClinicaltrials.gov NCT01920191.

Indexed as

AdultAgedAstrocytomaCancer VaccinesCarboxymethylcellulose SodiumCD8-Positive T-LymphocytesChemoradiotherapyCombined Modality TherapyFemaleFollow-Up StudiesGlioblastomaHumansMaleMiddle AgedPeptidesPoly I-CCancer VaccinesCarboxymethylcellulose SodiumIMA950PeptidesPoly I-Cpoly ICLCPolylysineVaccines, SubunitgliomaIMA950immune responsepeptide vaccinepoly-ICLC

Identifiers

PMID30753611
PMCPMC6620642
OpenAlexW2914631114

What OpenQuestion holds

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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.