Evidence map›Paper›PMID 33753870›Full record

Trial reportCancer gene therapy2022

Proof of principle study of sequential combination atezolizumab and Vigil in relapsed ovarian cancer.

Rodney P Rocconi, Erin E Stevens, Justin N Bottsford-Miller, Sharad A Ghamande, Jeffrey Elder, Leslie L DeMars, Adnan Munkarah, Phylicia Aaron, Laura Stanbery, Gladice Wallraven and 10 more

Registry-linked trialAbstract readClinical Trial, Phase IRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Cancer gene therapy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03073525 (A Randomized, Intra-patient Crossover, Safety, Biomarker and Anti-Tumor Activity Assessment of the Combination of Atezolizumab and Vigil in Patients With Advanced Gynecological Cancers), which is not on this map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
1.9field-weighted citation impact, top 11% 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.

NCT03073525 phase2completednot on this map

A Randomized, Intra-patient Crossover, Safety, Biomarker and Anti-Tumor Activity Assessment of the Combination of Atezolizumab and Vigil in Patients With Advanced Gynecological Cancers (A Companion Study to CL-PTL-119)

TypeinterventionalSponsorGradalis, Inc.Ran2017 to 2022Enrolled25ConditionsAdvanced Gynecological Cancers, Ovarian Cancer, Cervical Cancer, Uterine CancerArmsVigil, Atezolizumab
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 23 citations in OpenAlex.

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  4. Development and Prospects of Furin Inhibitors for Therapeutic Applications.International journal of molecular sciences · 2024
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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

20 authors at 10 institutions in 1 country.

Rodney P RocconiUniversity of South Alabama - Mitchell Cancer Institute, Mobile, AL, USA.
Erin E StevensBillings Clinic, Billings, MT, USA.
Justin N Bottsford-MillerBillings Clinic, Billings, MT, USA.
Sharad A GhamandeAugusta University, Augusta, GA, USA.
Jeffrey ElderGreenville Health System, Greenville, SC, USA.
Leslie L DeMarsDartmouth-Hitchcock Medical Center, Lebanon, NH, USA.
Adnan MunkarahJosephine Ford Cancer Institute, Detroit, MI, USA.
Phylicia AaronGradalis, Inc., Dallas, TX, USA.ORCID http://orcid.org/0000-0001-7663-6468
Laura StanberyGradalis, Inc., Dallas, TX, USA.
Gladice WallravenGradalis, Inc., Dallas, TX, USA.
Ernest BognarGradalis, Inc., Dallas, TX, USA.
Meghan ManleyGradalis, Inc., Dallas, TX, USA.
Staci HorvathGradalis, Inc., Dallas, TX, USA.
Luisa ManningGradalis, Inc., Dallas, TX, USA.
Adam WalterProMedica, Toledo, OH, USA.
Evanthia GalanisMayo Clinic, Rochester, MN, USA.
Thomas HerzogUniversity of Cincinnati Cancer Center, Cincinnati, OH, USA.
Bradley J MonkArizona Oncology, Phoenix, AZ, USA.
Robert L ColemanMD Anderson Cancer Center, Houston, TX, USA.
John NemunaitisGradalis, Inc., Dallas, TX, USA. jnemunaitis@gradalisinc.com.ORCID http://orcid.org/0000-0002-2234-2381
Gradalis (United States) · USBillings Clinic · USArizona Oncology · USAugusta University · USDartmouth–Hitchcock Medical Center · USMayo Clinic in Arizona · USPrisma Health · USThe University of Texas MD Anderson Cancer Center · USUniversity of Cincinnati · USUSA Mitchell Cancer Institute · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Vigil® is a personalized vaccine that enhances tumor neoantigen expression. We investigated for the first time safety and efficacy of Vigil in combination with atezolizumab in relapsed ovarian cancer (OC) patients. This is a randomized, Phase 1 study of Vigil, an autologous tumor tissue transfected vaccine encoding for GMCSF and bi-shRNA-furin thereby creating enhanced immune activation and TGFβ expression control. Part 1 is a safety assessment of Vigil (1 × 10e7 cells/mL/21 days) plus atezolizumab (1200 mg/21 days). Part 2 is a randomized study of Vigil first (Vigil-1st) or atezolizumab first (Atezo-1st) for two cycles followed by the combination of both agents. The primary endpoint of the study was the determination of safety. Twenty-four patients were enrolled in the study; three patients to Part 1 and 21 to Part 2. Patients in Part 1 completed combination therapy without dose-limiting toxicity justifying expansion to Part 2. Twenty-one patients were randomized (1:1) to Part 2 to Vigil-1st (n = 11) or Atezo-1st (n = 10). Grade 3/4 treatment-related adverse events of Atezo-1st vs. Vigil-1st were 17.2% vs. 5.1%. Median overall survival (OS) was not reached (NR) (Vigil-1st) vs. 10.8 months (Atezo-1st) (hazard ratio [HR] 0.33). The exploratory subset analysis of BRCA

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsOvarian NeoplasmsAntibodies, Monoclonal, HumanizedCarcinoma, Ovarian EpithelialFemaleHumansModafinilNeoplasm Recurrence, LocalAntibodies, Monoclonal, HumanizedatezolizumabModafinil

Identifiers

PMID33753870
OpenAlexW3138826727

What OpenQuestion holds

Textmetadata
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.