Evidence map›Paper›PMID 32273276›Full record

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

Evaluation of Cyclophosphamide/GVAX Pancreas Followed by Listeria-Mesothelin (CRS-207) with or without Nivolumab in Patients with Pancreatic Cancer.

Takahiro Tsujikawa, Todd Crocenzi, Jennifer N Durham, Elizabeth A Sugar, Annie A Wu, Beth Onners, Julie M Nauroth, Robert A Anders, Elana J Fertig, Daniel A Laheru and 11 more

Open access · bronzeAbstract readClinical Trial, Phase IIComparative StudyMulticenter Study
In one paragraph

Trial report 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 115 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
115citing papers in PubMed, 5 pooled it
6.1field-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.

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

115 citing papers in PubMed, 5 syntheses or guidelines pooled it, 148 citations in OpenAlex.

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55 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 7 institutions in 1 country.

Takahiro TsujikawaOregon Health and Science University, Portland, Oregon.ORCID 0000-0003-1647-342X
Todd CrocenziProvidence Portland Medical Center, Portland, Oregon.
Jennifer N DurhamSidney Kimmel Comprehensive Cancer Center at Johns Hopkins, Baltimore, Maryland.ORCID 0000-0001-9097-9125
Elizabeth A SugarSidney Kimmel Comprehensive Cancer Center at Johns Hopkins, Baltimore, Maryland.
Annie A WuSidney Kimmel Comprehensive Cancer Center at Johns Hopkins, Baltimore, Maryland.ORCID 0000-0002-0730-298X
Beth OnnersSidney Kimmel Comprehensive Cancer Center at Johns Hopkins, Baltimore, Maryland.
Julie M NaurothSidney Kimmel Comprehensive Cancer Center at Johns Hopkins, Baltimore, Maryland.
Robert A AndersSidney Kimmel Comprehensive Cancer Center at Johns Hopkins, Baltimore, Maryland.ORCID 0000-0002-7252-954X
Elana J FertigSidney Kimmel Comprehensive Cancer Center at Johns Hopkins, Baltimore, Maryland.
Daniel A LaheruSidney Kimmel Comprehensive Cancer Center at Johns Hopkins, Baltimore, Maryland.ORCID 0000-0001-6646-0200
Kim ReissAbramson Cancer Center at the University of Pennsylvania, Philadelphia, Pennsylvania.
Robert H VonderheideAbramson Cancer Center at the University of Pennsylvania, Philadelphia, Pennsylvania.
Andrew H KoUniversity of California San Francisco, San Francisco, California.
Margaret A TemperoUniversity of California San Francisco, San Francisco, California.
George A FisherStanford University, Palo Alto, California.ORCID 0000-0002-6828-3938
Michael ConsidineSidney Kimmel Comprehensive Cancer Center at Johns Hopkins, Baltimore, Maryland.
Ludmila DanilovaSidney Kimmel Comprehensive Cancer Center at Johns Hopkins, Baltimore, Maryland.ORCID 0000-0003-2813-3094
Dirk G BrockstedtAduro Biotech Inc., Berkeley, California.
Lisa M CoussensOregon Health and Science University, Portland, Oregon.
Elizabeth M JaffeeSidney Kimmel Comprehensive Cancer Center at Johns Hopkins, Baltimore, Maryland.ORCID 0000-0003-3841-6549
Dung T LeSidney Kimmel Comprehensive Cancer Center at Johns Hopkins, Baltimore, Maryland. dle@jhmi.edu.
Sidney Kimmel Comprehensive Cancer Center · USOregon Health & Science University · USUniversity of California, San Francisco · USUniversity of Pennsylvania · US490 BioTech (United States) · USPalo Alto University · USProvidence Portland Medical Center · US

Funding

Translational Research Central ServicesP30CA006973 · NCI · JOHNS HOPKINS UNIVERSITY · PI WILLIAM George NELSON · 1985 to 2026
$208.6M
Tumor Antigens for Individual Signatures and TherapyP50CA062924 · NCI · JOHNS HOPKINS UNIVERSITY · PI JAFFEE, ELIZABETH M. · 1993 to 2022
$54.6M
Medical Scientist Training ProgramT32GM136577 · NIGMS · JOHNS HOPKINS UNIVERSITY · PI ANDREA L COX · 2020 to 2026
$13.4M
Targeting the Immunosuppressive Tumor Microenvironment of Pancreatic Cancer with a Neoadjuvant Platform Clinical TrialR01CA197296 · NCI · JOHNS HOPKINS UNIVERSITY · PI William Reece Burns, Eric Christenson · 2015 to 2026
$5.7M
Comparative analysis between patient-derived models of pancreatic ductal adenocarcinomas and matched tumor specimensU01CA224012 · NCI · OREGON HEALTH & SCIENCE UNIVERSITY · PI BRODY, JONATHAN, COUSSENS, LISA M. · 2019 to 2023
$2.9M
Comprehensive Analysis and Multi-Omics Data Integration for Cancer-Related StudiesR50CA243627 · NCI · JOHNS HOPKINS UNIVERSITY · PI Ludmila Danilova · 2019 to 2026
$975k
NCI NIH HHS P30 CA006973NCI NIH HHS P50 CA062924NCI NIH HHS R01 CA197296NCI NIH HHS R50 CA243627NCI NIH HHS U01 CA224012NIGMS NIH HHS T32 GM136577
6 · The paper itself

Abstract

purposeTwo studies in previously treated metastatic pancreatic cancer have been completed combining GVAX pancreas vaccine (GM-CSF-secreting allogeneic pancreatic tumor cells) with cyclophosphamide (Cy) and CRS-207 (live, attenuated PATIENTS AND

methodsPatients with pancreatic adenocarcinoma who received one prior therapy for metastatic disease and RECIST measurable disease were randomized 1:1 to receive treatment on Arm A or Arm B. The primary objective was to compare overall survival (OS) between the arms. Additional objectives included assessment of progression-free survival, safety, tumor responses, CA19-9 responses, and immunologic correlates.

resultsNinety-three patients were treated (Arm A, 51; Arm B, 42). The median OS in Arms A and B were 5.9 [95% confidence interval (CI), 4.7-8.6] and 6.1 (95% CI, 3.5-7.0) months, respectively, with an HR of 0.86 (95% CI, 0.55-1.34). Objective responses were seen in 3 patients using immune-related response criteria (4%, 2/51, Arm A; 2%, 1/42, Arm B). The grade ≥3 related adverse event rate, whereas higher in Arm A (35.3% vs. 11.9%) was manageable. Changes in the microenvironment, including increase in CD8

conclusionsAlthough the study did not meet its primary endpoint of improvement in OS of Arm A over Arm B, the OS was comparable with standard therapy. Objective responses and immunologic changes in the tumor microenvironment were evident.

Indexed as

Cancer VaccinesCyclophosphamideImmunotherapyNivolumabPancreatic NeoplasmsCombined Modality TherapyGPI-Linked ProteinsHumansKaplan-Meier EstimateListeria monocytogenesMesothelinPancreasProgression-Free SurvivalResponse Evaluation Criteria in Solid TumorsVaccines, AttenuatedCancer VaccinesCyclophosphamideGPI-Linked ProteinsGVAX vaccineMesothelinNivolumabVaccines, Attenuated

Identifiers

PMID32273276
PMCPMC7727397
OpenAlexW3015834769

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.