Evidence map›Paper›PMID 31757875›Full record

ArticleClinical cancer research : an official journal of the American Association for Cancer Research2020

Rapid Generation of Sustainable HER2-specific T-cell Immunity in Patients with HER2 Breast Cancer using a Degenerate HLA Class II Epitope Vaccine.

Keith L Knutson, Matthew S Block, Nadine Norton, Courtney L Erskine, Timothy J Hobday, Allan B Dietz, Douglas Padley, Michael P Gustafson, Danell Puglisi-Knutson, Toni Kay Mangskau and 5 more

Abstract readClinical Trial, Phase I
In one paragraph

Article in Clinical cancer research : an official journal of the American Association for Cancer Research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Novel classes of immunotherapy for breast cancer.Breast cancer research and treatment · 2022
    Review
  5. Article
  6. Review
  7. 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

15 authors.

Keith L KnutsonDepartment of Immunology, Mayo Clinic, Jacksonville, Florida. knutson.keith@mayo.edu degnim.amy@mayo.edu.
Matthew S BlockDepartment of Oncology, Mayo Clinic, Rochester, Minnesota.
Nadine NortonDepartment of Cancer Biology, Mayo Clinic, Jacksonville, Florida.
Courtney L ErskineDepartment of Immunology, Mayo Clinic, Rochester, Minnesota.
Timothy J HobdayDepartment of Oncology, Mayo Clinic, Rochester, Minnesota.
Allan B DietzDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota.
Douglas PadleyDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota.
Michael P GustafsonDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota.ORCID 0000-0002-5514-7072
Danell Puglisi-KnutsonDepartment of Immunology, Mayo Clinic, Rochester, Minnesota.
Toni Kay MangskauMayo Clinic Cancer Education Program, Mayo Clinic, Rochester, Minnesota.
Saranya ChumsriDepartment of Oncology, Mayo Clinic, Jacksonville, Florida.
Amylou C DueckDepartment of Health Sciences Research, Mayo Clinic, Scottsdale, Arizona.ORCID 0000-0002-2303-4946
Lavakumar KaryampudiDepartment of Immunology, Mayo Clinic, Rochester, Minnesota.
Glynn WilsonMarker Therapeutics, Inc., Houston, Texas.
Amy C DegnimDepartment of Surgery, Mayo Clinic, Rochester, Minnesota. knutson.keith@mayo.edu degnim.amy@mayo.edu.

Funding

Women's Cancer ProgramP30CA015083 · NCI · MAYO CLINIC ROCHESTER · PI Felicity Enders · 1985 to 2026
$151.3M
The Role of CHFR in Tumorigenesis and Paclitaxel-Sensitivity in Breast CancerP50CA116201 · NCI · MAYO CLINIC ROCHESTER · PI PETER C LUCAS · 2005 to 2026
$49.9M
NCI NIH HHS P30 CA015083NCI NIH HHS P50 CA116201
6 · The paper itself

Abstract

purposePatients with HER2 PATIENTS AND

methodsWe developed a degenerate HER2 epitope-based vaccine consisting of four HLA class II-restricted epitopes mixed with GM-CSF that should immunize most (≥84%) patients. The vaccine was tested in a phase I trial. Eligible women had resectable HER2

resultsTwenty-two subjects were enrolled and 20 completed all six vaccines. The vaccine was well tolerated. All patients were alive at analysis with a median follow-up of 2.3 years and only two experienced disease recurrence. The percent of patients that responded with augmented T-cell immunity was high for each peptide ranging from 68% to 88%, which led to 90% of the patients generating T cells that recognized naturally processed HER2 antigen. The vaccine also augmented HER2-specific antibody. Immunity was sustained in patients with little sign of diminishing at 2 years following the vaccination.

conclusionsDegenerate HLA-DR-based HER2 vaccines induce sustainable HER2-specific T cells and antibodies. Future studies, could evaluate whether vaccination during adjuvant treatment with trastuzumab-containing regimens improves patient outcomes.

Indexed as

AdultAntineoplastic Agents, ImmunologicalBreast NeoplasmsCancer VaccinesEpitopesErb-b2 Receptor Tyrosine KinasesFemaleHistocompatibility Antigens Class IIHumansMiddle AgedPatient SafetyPeptidesT-LymphocytesTrastuzumabTreatment OutcomeAntineoplastic Agents, ImmunologicalCancer VaccinesEpitopesERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesHistocompatibility Antigens Class IIPeptidesTrastuzumab

Identifiers

PMID31757875
PMCPMC7056565

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Registered trials

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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.