Evidence map›Paper›PMID 31413142›Full record

ArticleScience translational medicine2019

Regulatable interleukin-12 gene therapy in patients with recurrent high-grade glioma: Results of a phase 1 trial.

E Antonio Chiocca, John S Yu, Rimas V Lukas, Isaac H Solomon, Keith L Ligon, Hiroshi Nakashima, Daniel A Triggs, David A Reardon, Patrick Wen, Brittany M Stopa and 12 more

Registry-linked trialOpen access · greenAbstract readClinical Trial, Phase IMulticenter Study
In one paragraph

Article in Science translational medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02026271 (A Phase I Study of Ad-RTS-hIL-12, an Inducible Adenoviral Vector Engineered to Express hIL-12 in the Presence of the Activator Ligand Veledimex in Subjects With Recurrent or Progressive Glioblastoma or Grade III Malignant Glioma), which is not on this map. Cited by 180 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
180citing papers in PubMed, 2 pooled it
19.4field-weighted citation impact, top 1% 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.

NCT02026271 phase1completednot on this map

A Phase I Study of Ad-RTS-hIL-12, an Inducible Adenoviral Vector Engineered to Express hIL-12 in the Presence of the Activator Ligand Veledimex in Subjects With Recurrent or Progressive Glioblastoma or Grade III Malignant Glioma

TypeinterventionalSponsorAlaunos TherapeuticsRan2015 to 2019Enrolled40ConditionsGlioblastoma Multiforme, Anaplastic OligoastrocytomaArmsAd-RTS-hIL-12, veledimex
3 · Its place in the literature

Who cites it

180 citing papers in PubMed, 2 syntheses or guidelines pooled it, 257 citations in OpenAlex.

  1. Pooled it
  2. A systematic review of ongoing clinical trials in optic pathway gliomas.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2020
    Pooled it
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  13. Targeting myeloid cell polarization to prevent GBM recurrence.Molecular therapy : the journal of the American Society of Gene Therapy · 2026
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120 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

22 authors at 7 institutions in 1 country.

E Antonio ChioccaDepartment of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA. eachiocca@bwh.harvard.edu.ORCID 0000-0001-5183-1670
John S YuDepartment of Neurosurgery, Cedars-Sinai Medical Center, Los Angeles, CA 90048, USA.ORCID 0000-0001-9024-2182
Rimas V LukasKen and Ruth Davee Department of Neurology, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA.
Isaac H SolomonDivision of Neuropathology, Department of Pathology, Brigham and Women's Hospital, Boston, MA 02115, USA.
Keith L LigonDivision of Neuropathology, Department of Pathology, Brigham and Women's Hospital, Boston, MA 02115, USA.ORCID 0000-0002-7733-600X
Hiroshi NakashimaDepartment of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA.
Daniel A TriggsDepartment of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA.
David A ReardonCenter for Neuro-Oncology, Dana-Farber Cancer Institute, Boston, MA 02115, USA.ORCID 0000-0001-6674-0157
Patrick WenCenter for Neuro-Oncology, Dana-Farber Cancer Institute, Boston, MA 02115, USA.
Brittany M StopaDepartment of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA.ORCID 0000-0003-2511-5931
Ajay NaikDepartment of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA.
Jeremy RudnickDepartment of Neurosurgery, Cedars-Sinai Medical Center, Los Angeles, CA 90048, USA.
Jethro L HuDepartment of Neurosurgery, Cedars-Sinai Medical Center, Los Angeles, CA 90048, USA.ORCID 0000-0002-5450-7988
Priya KumthekarKen and Ruth Davee Department of Neurology, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA.
Bakhtiar YaminiUniversity of Chicago, Chicago, IL 60637, USA.ORCID 0000-0002-4840-5926
Jill Y BuckZiopharm Oncology, Inc., One First Avenue, Parris Building 34, Navy Yard Plaza, Charlestown, Boston, MA 02129, USA.ORCID 0000-0003-4129-3092
Nathan DemarsZiopharm Oncology, Inc., One First Avenue, Parris Building 34, Navy Yard Plaza, Charlestown, Boston, MA 02129, USA.ORCID 0000-0002-8166-6968
John A BarrettZiopharm Oncology, Inc., One First Avenue, Parris Building 34, Navy Yard Plaza, Charlestown, Boston, MA 02129, USA.
Arnold B GelbZiopharm Oncology, Inc., One First Avenue, Parris Building 34, Navy Yard Plaza, Charlestown, Boston, MA 02129, USA.ORCID 0000-0003-2520-0968
John ZhouZiopharm Oncology, Inc., One First Avenue, Parris Building 34, Navy Yard Plaza, Charlestown, Boston, MA 02129, USA.
Francois LebelZiopharm Oncology, Inc., One First Avenue, Parris Building 34, Navy Yard Plaza, Charlestown, Boston, MA 02129, USA.ORCID 0000-0002-1216-6185
Laurence J N CooperZiopharm Oncology, Inc., One First Avenue, Parris Building 34, Navy Yard Plaza, Charlestown, Boston, MA 02129, USA.ORCID 0000-0003-1460-3905
Brigham and Women's Hospital · USZiopharm Oncology (United States) · USCedars-Sinai Medical Center · USCenter for Neuro-Oncology · USNorthwestern University · USThe University of Texas MD Anderson Cancer Center · USUniversity of Chicago · US

Funding

The role of microvesicles in giloma virotherapyP01CA069246 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI CHAREST, ALAIN · 1996 to 2021
$30.9M
The Tumor Microenvironmental Barrier to Effective Viral OncolysisP01CA163205 · NCI · OHIO STATE UNIVERSITY · PI MICHAEL A CALIGIURI · 2013 to 2026
$26.0M
STINGing GBM: A First-in- Man Clinical Trial in Surgical Resectable Recurrent GBMP50CA221747 · NCI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI Pouya Jamshidi · 2018 to 2026
$21.4M
Oncolytic Virus Therapeutic Responses Occur from Changes in the Glioblastoma Immune MicroenvironmentR01NS110942 · NINDS · BRIGHAM AND WOMEN'S HOSPITAL · PI E. Antonio Chiocca, Hiroshi Nakashima · 2019 to 2026
$3.4M
NF-kB1-p50 in the Response to DNA Alkylation DamageR01CA136937 · NCI · UNIVERSITY OF CHICAGO · PI YAMINI, BAKHTIAR · 2009 to 2019
$3.2M
NCI NIH HHS P01 CA069246NCI NIH HHS P01 CA163205NCI NIH HHS P50 CA221747NCI NIH HHS R01 CA136937NINDS NIH HHS R01 NS110942
6 · The paper itself

Abstract

Human interleukin-12 (hIL-12) is a cytokine with anticancer activity, but its systemic application is limited by toxic inflammatory responses. We assessed the safety and biological effects of an hIL-12 gene, transcriptionally regulated by an oral activator. A multicenter phase 1 dose-escalation trial (NCT02026271) treated 31 patients undergoing resection of recurrent high-grade glioma. Resection cavity walls were injected (day 0) with a fixed dose of the hIL-12 vector (Ad-RTS-hIL-12). The oral activator for hIL-12, veledimex (VDX), was administered preoperatively (assaying blood-brain barrier penetration) and postoperatively (measuring hIL-12 transcriptional regulation). Cohorts received 10 to 40 mg of VDX before and after Ad-RTS-hIL-12. Dose-related increases in VDX, IL-12, and interferon-γ (IFN-γ) were observed in peripheral blood, with about 40% VDX tumor penetration. Frequency and severity of adverse events, including cytokine release syndrome, correlated with VDX dose, reversing promptly upon discontinuation. VDX (20 mg) had superior drug compliance and 12.7 months median overall survival (mOS) at mean follow-up of 13.1 months. Concurrent corticosteroids negatively affected survival: In patients cumulatively receiving >20 mg versus ≤20 mg of dexamethasone (days 0 to 14), mOS was 6.4 and 16.7 months, respectively, in all patients and 6.4 and 17.8 months, respectively, in the 20-mg VDX cohort. Re-resection in five of five patients with suspected recurrence after Ad-RTS-hIL-12 revealed mostly pseudoprogression with increased tumor-infiltrating lymphocytes producing IFN-γ and programmed cell death protein 1 (PD-1). These inflammatory infiltrates support an immunological antitumor effect of hIL-12. This phase 1 trial showed acceptable tolerability of regulated hIL-12 with encouraging preliminary results.

Indexed as

Adrenal Cortex HormonesAdultAgedDexamethasoneFemaleGene Expression RegulationGenetic TherapyGliomaHeterocyclic Compounds, 4 or More RingsHumansInterferon-gammaInterleukin-12Kaplan-Meier EstimateMaleMiddle AgedNeoplasm Recurrence, LocalAdrenal Cortex HormonesDexamethasoneHeterocyclic Compounds, 4 or More RingsInterferon-gammaInterleukin-12veledimex

Identifiers

PMID31413142
PMCPMC7286430
OpenAlexW2968965260

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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.