Evidence map›Paper›PMID 30804020›Full record

ArticleClinical cancer research : an official journal of the American Association for Cancer Research2019

Phase I Immunotherapy Trial with Two Chimeric HER-2 B-Cell Peptide Vaccines Emulsified in Montanide ISA 720VG and Nor-MDP Adjuvant in Patients with Advanced Solid Tumors.

Tanios Bekaii-Saab, Robert Wesolowski, Daniel H Ahn, Christina Wu, Amir Mortazavi, Maryam Lustberg, Bhuvaneswari Ramaswamy, Jeffrey Fowler, Lai Wei, Jay Overholser and 1 more

2 registry-linked trialsOpen access · greenAbstract readClinical Trial, Phase I
In one paragraph

Article in Clinical cancer research : an official journal of the American Association for Cancer Research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 43 papers.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed
3.0field-weighted citation impact, top 8% 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.

NCT01376505 phase1completednot on this map

Phase I Active Immunotherapy Trial With a Combination of Two Chimeric (Trastuzumab-like and Pertuzumab-like)Human Epidermal Growth Factor Receptor 2 (HER-2) B Cell Peptide Vaccine Emulsified in ISA 720 and Nor-MDP Adjuvant in Patients With Advanced Solid Tumors

TypeinterventionalSponsorRobert WesolowskiRan2011 to 2022Enrolled65ConditionsMalignant Solid Tumour, Breast Cancer, Malignant Tumor of Colon, GISTArmsHER-2 vaccine, Extension HER-2 vaccine trial at OBD
NCT01417546 phase1completednot on this map

First In-Human Phase I Trial of NHS-IL12 in Patients With Metastatic Solid Tumors

TypeinterventionalSponsorNational Cancer Institute (NCI)Ran2011 to 2021Enrolled72ConditionsEpithelial Neoplasms, Malignant, Epithelial Tumors, Malignant, Malignant Mesenchymal TumorArmsNHS-IL-12
3 · Its place in the literature

Who cites it

43 citing papers in PubMed, 65 citations in OpenAlex.

  1. Trial
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  3. B cells in cancer: functions, mechanisms and therapeutic advances.Signal transduction and targeted therapy · 2026
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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

11 authors at 4 institutions in 1 country.

Tanios Bekaii-SaabDepartment of Internal Medicine, Mayo Clinic, Phoenix, Arizona.
Robert WesolowskiDepartment of Internal Medicine, Division of Medical Oncology, The Ohio State University, Columbus, Ohio.
Daniel H AhnDepartment of Internal Medicine, Mayo Clinic, Phoenix, Arizona.
Christina WuDepartment of Hematology and Medical Oncology, Emory University School of Medicine, Atlanta, Georgia.
Amir MortazaviDepartment of Internal Medicine, Division of Medical Oncology, The Ohio State University, Columbus, Ohio.
Maryam LustbergDepartment of Internal Medicine, Division of Medical Oncology, The Ohio State University, Columbus, Ohio.
Bhuvaneswari RamaswamyDepartment of Internal Medicine, Division of Medical Oncology, The Ohio State University, Columbus, Ohio.
Jeffrey FowlerDepartment of Obstetrics and Gynecology, The Ohio State University, Columbus, Ohio.
Lai WeiArthur G. James Cancer Hospital/Comprehensive Cancer Center, Columbus, Ohio.
Jay OverholserArthur G. James Cancer Hospital/Comprehensive Cancer Center, Columbus, Ohio.
Pravin T P KaumayaArthur G. James Cancer Hospital/Comprehensive Cancer Center, Columbus, Ohio. pravin.kaumaya@osumc.edu.
The Ohio State University Comprehensive Cancer Center – Arthur G. James Cancer Hospital and Richard J. Solove Research Institute · USMayo Clinic in Arizona · USEmory University · USThe Ohio State University · US

Funding

Translational Therapeutics Research Program (TT)P30CA016058 · NCI · OHIO STATE UNIVERSITY · PI Tasleem J Padamsee · 1985 to 2026
$132.3M
YOGA, IMMUNE FUNCTION, AND HEALTHM01RR000034 · NCRR · OHIO STATE UNIVERSITY · PI PESAVENTO, TODD · 1985 to 2008
$22.7M
CHIMERIC AND MULTIVALENT HER 2 CANCER VACCINE STRATEGIESR01CA084356 · NCI · OHIO STATE UNIVERSITY · PI KAUMAYA, PRAVIN T.P · 2000 to 2003
$920k
NCI NIH HHS P30 CA016058NCI NIH HHS R01 CA084356NCRR NIH HHS M01 RR000034
6 · The paper itself

Abstract

purposeThis first-in-human phase I study (NCT01417546) evaluated the safety profile, optimal immunologic/biological dose (OID/OBD), and immunogenicity of the combination of two peptide B-cell epitope vaccines engineered to represent the trastuzumab- and pertuzumab-binding sites. Although trastuzumab and pertuzumab have been approved for clinical use, patients often develop resistance to these therapies. We have advanced a new paradigm in immunotherapy that focuses on humoral responses based on conformational B-cell epitope vaccines. PATIENTS AND

methodsThe vaccine is comprised of two chimeric HER-2 B-cell peptide vaccines incorporating a "promiscuous T-cell epitope." Patients were immunized with the vaccine constructs emulsified with nor-muramyl-dipeptide adjuvant in a water-in-oil Montanide ISA 720VG vehicle. Eligible patients with metastatic and/or recurrent solid tumors received three inoculations every 3 weeks.

resultsForty-nine patients with a median of 4 prior lines of chemotherapy received at least 1 vaccination. Twenty-eight patients completed the 3 vaccination regimens. Six patients received 1 six-month boost after the regimen, and one patient received 7 six-month boosts. No serious adverse reactions or dose-limiting toxicities were observed. The vaccine was well tolerated with dose level 2 as the recommended phase II dose. The most common related toxicity in all patients was injection-site reactions (24%). Two patients had a partial response, 14 had stable disease, and 19 had progressive disease.

conclusionsThe study vaccine is safe, exhibits antitumor activity, and shows preliminary indication that peptide vaccination may avoid therapeutic resistance and offer a promising alternative to monoclonal antibody therapies.

Indexed as

Adjuvants, ImmunologicAdultAgedAged, 80 and overB-LymphocytesCell ProliferationCohort StudiesEpitopes, B-LymphocyteErb-b2 Receptor Tyrosine KinasesFemaleHumansImmunizationMaleMannitolMaximum Tolerated DoseMiddle AgedAdjuvants, ImmunologicEpitopes, B-LymphocyteERBB2 protein, humanErb-b2 Receptor Tyrosine Kinasesmannide monooleateMannitolOleic AcidsVaccines, Subunit

Identifiers

PMID30804020
PMCPMC7159438
OpenAlexW2916135210

What OpenQuestion holds

Textmetadata
LicenceTDM
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.