Evidence map›Paper›PMID 34785763›Full record

Trial reportCancer gene therapy2022

Network based analysis identifies TP53m-BRCA1/2wt-homologous recombination proficient (HRP) population with enhanced susceptibility to Vigil immunotherapy.

Elyssa Sliheet, Molly Robinson, Susan Morand, Khalil Choucair, David Willoughby, Laura Stanbery, Phylicia Aaron, Ernest Bognar, John Nemunaitis

Open access · hybridAbstract readRandomized Controlled Trial
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. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.5field-weighted citation impact, top 31% 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

6 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Review
  5. Article
  6. 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

9 authors at 4 institutions in 1 country.

Elyssa SliheetSouthern Methodist University, Department of Mathematics, Dallas, TX, USA.
Molly RobinsonSouthern Methodist University, Department of Mathematics, Dallas, TX, USA.
Susan MorandUniversity of Toledo, Department of Medicine, Toledo, OH, USA.
Khalil ChoucairUniversity of Kansas School of Medicine, Wichita, KS, USA.ORCID http://orcid.org/0000-0001-8145-3754
David WilloughbyOcean Ridge Biosciences, Deerfield, FL, USA.
Laura StanberyGradalis, Inc, Carrollton, TX, USA.
Phylicia AaronGradalis, Inc, Carrollton, TX, USA.ORCID http://orcid.org/0000-0001-7663-6468
Ernest BognarGradalis, Inc, Carrollton, TX, USA.
John NemunaitisGradalis, Inc, Carrollton, TX, USA. jnemunaitis@gradalisinc.com.ORCID http://orcid.org/0000-0002-2234-2381
Gradalis (United States) · USSouthern Methodist University · USUniversity of Kansas · USUniversity of Toledo · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Thus far immunotherapy has had limited impact on ovarian cancer. Vigil (a novel DNA-based multifunctional immune-therapeutic) has shown clinical benefit to prolong relapse-free survival (RFS) and overall survival (OS) in the BRCA wild type and HRP populations. We further analyzed molecular signals related to sensitivity of Vigil treatment. Tissue from patients enrolled in the randomized double-blind trial of Vigil vs. placebo as maintenance in frontline management of advanced resectable ovarian cancer underwent DNA polymorphism analysis. Data was generated from a 981 gene panel to determine the tumor mutation burden and classify variants using Ingenuity Variant Analysis software (Qiagen) or NIH ClinVar. Only variants classified as pathogenic or likely pathogenic were included. STRING application (version 1.5.1) was used to create a protein-protein interaction network. Topological distance and probability of co-mutation were used to calculated the C-score and cumulative C-score (cumC-score). Kaplan-Meier analysis was used to determine the relationship between gene pairs with a high cumC-score and clinical parameters. Improved relapse free survival in Vigil treated patients was found for the TP53m-BRCAwt-HRP group compared to placebo (21.1 months versus 5.6 months p = 0.0013). Analysis of tumor mutation burden did not reveal statistical benefit in patients receiving Vigil versus placebo. Results suggest a subset of ovarian cancer patients with enhanced susceptibility to Vigil immunotherapy. The hypothesis-generating data presented invites a validation study of Vigil in target identified populations, and supports clinical consideration of STRING-generated network application to biomarker characterization with other cancer patients targeted with Vigil.

Indexed as

ImmunotherapyModafinilOvarian NeoplasmsBRCA1 ProteinFemaleHomologous RecombinationHumansNeoplasm Recurrence, LocalBRCA1 ProteinBRCA1 protein, humanModafinil

Identifiers

PMID34785763
PMCPMC9293751
OpenAlexW3214407069

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.