Evidence map›Paper›PMID 34599031›Full record

ArticleJournal for immunotherapy of cancer2021

Multicenter, double-blind, placebo-controlled trial of seviprotimut-L polyvalent melanoma vaccine in patients with post-resection melanoma at high risk of recurrence.

Craig L Slingluff, Karl D Lewis, Robert Andtbacka, John Hyngstrom, Mohammed Milhem, Svetomir N Markovic, Tawnya Bowles, Omid Hamid, Leonel Hernandez-Aya, Joel Claveau and 35 more

Registry-linked trialOpen access · goldAbstract readMulticenter Study
In one paragraph

Article in Journal for immunotherapy of cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01546571 (A Multicenter, Double-blind, Placebo-controlled, Adaptive Phase 3 Trial of POL-103A Polyvalent Melanoma Vaccine in Post-resection Melanoma Patients With a High Risk of Recurrence), which is not on this map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
0.9field-weighted citation impact, top 28% 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.

NCT01546571 phase3terminatednot on this map

A Multicenter, Double-blind, Placebo-controlled, Adaptive Phase 3 Trial of POL-103A Polyvalent Melanoma Vaccine in Post-resection Melanoma Patients With a High Risk of Recurrence

TypeinterventionalSponsorPolynoma LLCRan2012 to 2021Enrolled504ConditionsMelanomaArmsPOL-103A, POL-103A without API
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Review
  5. Reduction of solid tumors by senescent cell immunization.Journal of translational medicine · 2025
    Article
  6. Review
  7. Review
  8. Review
  9. Immunotherapy and delivery systems for melanoma.Human vaccines & immunotherapeutics · 2024
    Review
  10. Article
  11. Review
  12. Article
  13. Review
  14. Review
  15. 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

45 authors at 20 institutions in 2 countries.

Craig L SlingluffDepartment of Surgery, University of Virginia School of Medicine, Charlottesville, Virginia, USA cls8h@virginia.edu.ORCID 0000-0002-6664-4373
Karl D LewisUniversity of Colorado - Anschutz Medical Campus, Aurora, Colorado, USA.
Robert AndtbackaHuntsman Cancer Institute Cancer Hospital, Salt Lake City, Utah, USA.
John HyngstromHuntsman Cancer Institute Cancer Hospital, Salt Lake City, Utah, USA.
Mohammed MilhemThe University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA.
Svetomir N MarkovicMayo Clinic Rochester, Rochester, Minnesota, USA.
Tawnya BowlesIntermountain Medical Center, Murray, Utah, USA.
Omid HamidCedars-Sinai Medical Center Angeles Clinic and Research Institute, Santa Monica, California, USA.
Leonel Hernandez-AyaDepartment of Medicine, Washington University School of Medicine in Saint Louis, Saint Louis, Missouri, USA.
Joel ClaveauCHU de Quebec-Universite Laval, Quebec, Québec, Canada.
Sekwon JangDepartment of Medical Oncology, Inova Health System, Falls Church, Virginia, USA.
Prejesh PhilipsUniversity of Louisville, Louisville, Kentucky, USA.
Shernan G HoltanUniversity of Minnesota Academic Health Center, Minneapolis, Minnesota, USA.
Montaser F ShaheenUniversity of Arizona Medical Center - University Campus, Tucson, Arizona, USA.
Brendan CurtiEarle A Chiles Research Institute, Providence Portland Medical Center, Portland, Oregon, USA.ORCID 0000-0003-3948-2708
William SchmidtBend Memorial Clinic, Bend, Oregon, USA.
Marcus O ButlerPrincess Margaret Hospital Cancer Centre, Toronto, Ontario, Canada.
Juan ParamoMount Sinai Medical Center, Miami Beach, Florida, USA.
Jose LutzkyDepartment of Oncology, Sylvester Comprehensive Cancer Center, Miami, Florida, USA.ORCID 0000-0002-9503-2130
Arvinda PadmanabhanBaptist Health Lexington, Lexington, Kentucky, USA.
Sajeve ThomasMD Anderson Cancer Center Orlando, Orlando, Florida, USA.
Daniel MiltonInvestigative Clinical Research of Indiana, Indianapolis, Indiana, USA.
Andrew PecoraDepartment of Oncology, John Theurer Cancer Center, Hackensack, New Jersey, USA.
Takami SatoDepartment of Medical Oncology, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
Eddy HsuehSt. Louis University Hospital, St. Louis, Missouri, USA.
Suprith BadarinathCancer Specialists of North Florida, Jacksonville, Florida, USA.
John KeechMulticare Institute for Research and Innovation, Tacoma, Washington, USA.
Sujith KalmadiIronwood Cancer and Research Centers, Chandler, Arizona, USA.
Pallavi KumarHarry and Jeanette Weinberg Cancer Institute at Franklin Square, Baltimore, Maryland, USA.
Robert WeberSt. Mary's Hospital and Medical Center, San Francisco, California, USA.
Edward LevineWake Forest School of Medicine, Winston-Salem, North Carolina, USA.
Adam BergerRutgers Cancer Institute of New Jersey, New Brunswick, New Jersey, USA.
Anna BarOregon Health & Science University, Portland, Oregon, USA.
J Thaddeus BeckDepartment of Medical Oncology, Highlands Oncology Group, Fayetteville, Arkansas, USA.
Jeffrey B TraversPremier Health Partners Inc, Dayton, Ohio, USA.
Catalin MihalcioiuRoyal Victoria Hospital, Montreal, Québec, Canada.
Brian GastmanDepartment of Plastic Surgery, Cleveland Clinic, Cleveland, Ohio, USA.
Peter BeitschCancer Solutions, Dallas, Texas, USA.
Suthee RapisuwonDepartment of Oncology, Georgetown University Medical Center, Washington, District of Columbia, USA.ORCID 0000-0002-1389-925X
John GlaspyUniversity of California Los Angeles, Los Angeles, California, USA.
Edward C McCarronMedStar Franklin Square Medical Center, Baltimore, Maryland, USA.
Vinay GuptaMedStar Franklin Square Medical Center, Baltimore, Maryland, USA.
Deepti BehlSutter Institute for Medical Research, Sacramento, California, USA.
Brent BlumensteinTrial Architecture Consulting, Chevy Chase, Maryland, USA.
Joanna J PeterkinPolynoma, San Diego, California, USA.
Huntsman Cancer Institute · USMedStar Franklin Square Medical Center · USBanner - University Medical Center Tucson · USCedars-Sinai Medical Center · USCentral Baptist Hospital · USCleveland Clinic · USFlorida Cancer Specialists & Research Institute · USHackensack University Medical Center · USHarry and Jeanette Weinberg Foundation · USHealthPartners · USHighlands Oncology Group · USInova Health System · USIntermountain Medical Center · USIronwood Pharmaceuticals (United States) · USMayo Clinic · USMedStar Washington Hospital Center · USMount Sinai Medical Center · USMultiCare Health System · USOregon Health & Science University · USOrlando Health · US

Funding

Women's Cancer ProgramP30CA015083 · NCI · MAYO CLINIC ROCHESTER · PI AKHILESH PANDEY · 1985 to 2026
$151.3M
NCI NIH HHS P30 CA015083
6 · The paper itself

Abstract

backgroundMost patients with advanced melanomas relapse after checkpoint blockade therapy. Thus, immunotherapies are needed that can be applied safely early, in the adjuvant setting. Seviprotimut-L is a vaccine containing human melanoma antigens, plus alum. To assess the efficacy of seviprotimut-L, the Melanoma Antigen Vaccine Immunotherapy Study (MAVIS) was initiated as a three-part multicenter, double-blind, placebo-controlled phase III trial. Results from part B1 are reported here.

methodsPatients with AJCC V.7 stage IIB-III cutaneous melanoma after resection were randomized 2:1, with stage stratification (IIB/C, IIIA, IIIB/C), to seviprotimut-L 40 mcg or placebo. Recurrence-free survival (RFS) was the primary endpoint. For an hypothesized HR of 0.625, one-sided alpha of 0.10, and power 80%, target enrollment was 325 patients.

resultsFor randomized patients (n=347), arms were well-balanced, and treatment-emergent adverse events were similar for seviprotimut-L and placebo. For the primary intent-to-treat endpoint of RFS, the estimated HR was 0.881 (95% CI: 0.629 to 1.233), with stratified logrank p=0.46. However, estimated HRs were not uniform over the stage randomized strata, with HRs (95% CIs) for stages IIB/IIC, IIIA, IIIB/IIIC of 0.67 (95% CI: 0.37 to 1.19), 0.72 (95% CI: 0.35 to 1.50), and 1.19 (95% CI: 0.72 to 1.97), respectively. In the stage IIB/IIC stratum, the effect on RFS was greatest for patients <60 years old (HR=0.324 (95% CI: 0.121 to 0.864)) and those with ulcerated primary melanomas (HR=0.493 (95% CI: 0.255 to 0.952)).

conclusionsSeviprotimut-L is very well tolerated. Exploratory efficacy model estimation supports further study in stage IIB/IIC patients, especially younger patients and those with ulcerated melanomas. TRIAL REGISTRATION NUMBER: NCT01546571.

Indexed as

AdolescentAdultAgedAged, 80 and overCancer VaccinesDouble-Blind MethodFemaleHumansMaleMelanomaMiddle AgedNeoplasm Recurrence, LocalVaccines, CombinedYoung AdultCancer Vaccinespolyvalent melanoma cell vaccineVaccines, Combinedactiveimmunotherapymelanomavaccination

Identifiers

PMID34599031
PMCPMC8488725
OpenAlexW3202631322

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.