Evidence map›Paper›PMID 33318679›Full record

ArticleCancer gene therapy2021

Intratumoral immunostimulatory AdCD40L gene therapy in patients with advanced solid tumors.

Sandra Irenaeus, Vivan Hellström, Jessica Wenthe, Johan Krause, Anders Sundin, Håkan Ahlström, Gunnar Tufveson, Thomas H Tötterman, Angelica Loskog, Gustav J Ullenhag

Abstract readCase Reports
PubMed Publisher
In one paragraph

Article in Cancer gene therapy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.2field-weighted citation impact, top 46% 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

5 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Facts and Hopes of CD40 Agonists in Cancer Immunotherapy.Clinical cancer research : an official journal of the American Association for Cancer Research · 2025
    Review
  3. Review
  4. Article
  5. Review
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

10 authors at 2 institutions in 1 country.

Sandra IrenaeusDepartment of Immunology, Genetics and Pathology, Science of Life Laboratory, Uppsala University, Dag Hammarskjolds vag 20, 751 85, Uppsala, Sweden.
Vivan HellströmDepartment of Surgical Sciences, Uppsala University, 751 85, Uppsala, Sweden.ORCID http://orcid.org/0000-0003-4949-3267
Jessica WentheDepartment of Immunology, Genetics and Pathology, Science of Life Laboratory, Uppsala University, Dag Hammarskjolds vag 20, 751 85, Uppsala, Sweden.ORCID http://orcid.org/0000-0003-4385-7568
Johan KrauseDepartment of Surgical Sciences, Uppsala University, 751 85, Uppsala, Sweden.
Anders SundinDepartment of Surgical Sciences, Uppsala University, 751 85, Uppsala, Sweden.
Håkan AhlströmDepartment of Surgical Sciences, Uppsala University, 751 85, Uppsala, Sweden.
Gunnar TufvesonDepartment of Surgical Sciences, Uppsala University, 751 85, Uppsala, Sweden.
Thomas H TöttermanDepartment of Immunology, Genetics and Pathology, Science of Life Laboratory, Uppsala University, Dag Hammarskjolds vag 20, 751 85, Uppsala, Sweden.
Angelica LoskogDepartment of Immunology, Genetics and Pathology, Science of Life Laboratory, Uppsala University, Dag Hammarskjolds vag 20, 751 85, Uppsala, Sweden.ORCID http://orcid.org/0000-0001-8583-6138
Gustav J UllenhagDepartment of Immunology, Genetics and Pathology, Science of Life Laboratory, Uppsala University, Dag Hammarskjolds vag 20, 751 85, Uppsala, Sweden. gustav.ullenhag@igp.uu.se.
Uppsala University · SEUppsala University Hospital · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

AdCD40L is a replication-deficient virus carrying the gene for CD40 ligand which has previously been evaluated in patients with urothelial cancer and malignant melanoma. Herein, we present the results of repeated intratumoral injections of AdCD40L in seven patients with metastatic solid cancer. One patient who developed urothelial cancer derived from a renal transplant was treated with repeated injections of AdCD40L alone. The remaining patients suffered from cholangiocarcinoma, kidney, breast, rectal, or ovarian cancer and received AdCD40L repeatedly (4x) in combination with cyclophosphamide. The treatment was safe and generally well-tolerated. Two patients had clinical benefit of the treatment and one of them was accepted for re-treatment. Circulating proinflammatory cytokines were commonly increased after treatment, but save for TNFα, significances were not reached which could be due to the low number of patients. Similar to earlier findings in AdCD40L-treated melanoma patients, IL8 plasma levels were high in the present study. In conclusion, gene therapy by repeated intratumoral AdCD40L injections alone, or in combination with cyclophosphamide, is feasible and safe in patients with solid cancers. The potential of intratumoral CD40L gene transfer as treatment of cancer was illustrated by the clinical improvement in two out of seven patients.

Indexed as

AnimalsFemaleGenetic TherapyHumansImmunizationMaleMiddle AgedNeoplasmsSurvival Analysis

Identifiers

PMID33318679
OpenAlexW3111331044

What OpenQuestion holds

Textmetadata
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.