Evidence map›Paper›PMID 34850166›Full record

ArticleNeuro-oncology2022

Combined immunotherapy with controlled interleukin-12 gene therapy and immune checkpoint blockade in recurrent glioblastoma: An open-label, multi-institutional phase I trial.

E Antonio Chiocca, Arnold B Gelb, Clark C Chen, Ganesh Rao, David A Reardon, Patrick Y Wen, Wenya Linda Bi, Pierpaolo Peruzzi, Christina Amidei, Dan Triggs and 14 more

2 registry-linked trialsOpen access · bronzeAbstract readClinical Trial, Phase IMulticenter Study
In one paragraph

Article in Neuro-oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 72 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
72citing papers in PubMed, 4 pooled it
9.0field-weighted citation impact, top 1% 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.

NCT03636477 phase1completednot on this map

Protocol ATI001-102 Substudy: Evaluation of Ad-RTS-hIL-12 + Veledimex in Combination With Nivolumab in Subjects With Recurrent or Progressive Glioblastoma

TypeinterventionalSponsorAlaunos TherapeuticsRan2018 to 2021Enrolled21ConditionsGlioblastomaArmsAd-RTS-hIL-12, veledimex, Nivolumab
NCT04006119 phase2terminatednot on this map

A Phase II Study of Ad-RTS-hIL-12 + Veledimex in Combination With Cemiplimab-rwlc (Libtayo®) in Subjects With Recurrent or Progressive Glioblastoma

TypeinterventionalSponsorAlaunos TherapeuticsRan2019 to 2021Enrolled40ConditionsGlioblastomaArmsAd-RTS-hIL-12, Veledimex, Cemiplimab-Rwlc
3 · Its place in the literature

Who cites it

72 citing papers in PubMed, 4 syntheses or guidelines pooled it, 105 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Review
  6. Immunotherapy for Glioma: A compartmental framework for resistance and rational combination design.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2026
    Review
  7. Review
  8. Article
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  14. Review
  15. Review
  16. Intratumoral delivery of 4-1BBL boosts IL-12-triggered anti-glioma immunity.Molecular therapy : the journal of the American Society of Gene Therapy · 2025
    Article
  17. Article
  18. Immunotherapy in central nervous system tumors.International journal of surgery (London, England) · 2025
    Review
  19. Review
  20. Article

12 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

24 authors at 6 institutions in 1 country.

E Antonio ChioccaBrigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts, USA.
Arnold B GelbZiopharm Oncology, Inc., Boston, Massachusetts, USA.
Clark C ChenUniversity of Minnesota, Minneapolis, Minnesota, USA.ORCID 0000-0001-9544-2570
Ganesh RaoBaylor College of Medicine, Houston, Texas, USA.
David A ReardonDana-Farber Cancer Institute, Boston, Massachusetts, USA.
Patrick Y WenDana-Farber Cancer Institute, Boston, Massachusetts, USA.
Wenya Linda BiBrigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts, USA.
Pierpaolo PeruzziBrigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts, USA.
Christina AmideiNorthwestern Memorial Hospital, Chicago, Illinois, USA.
Dan TriggsBrigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts, USA.
Leah SeftenBrigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts, USA.
Grace ParkBrigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts, USA.
James GrantBrigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts, USA.
Kyla TrumanBrigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts, USA.
Jill Y BuckZiopharm Oncology, Inc., Boston, Massachusetts, USA.
Nira HadarZiopharm Oncology, Inc., Boston, Massachusetts, USA.
Nathan DemarsZiopharm Oncology, Inc., Boston, Massachusetts, USA.
John MiaoZiopharm Oncology, Inc., Boston, Massachusetts, USA.
Taylor EstupinanZiopharm Oncology, Inc., Boston, Massachusetts, USA.
John LoewyZiopharm Oncology, Inc., Boston, Massachusetts, USA.
Kamal ChadhaZiopharm Oncology, Inc., Boston, Massachusetts, USA.
Joseph TringaliZiopharm Oncology, Inc., Boston, Massachusetts, USA.
Laurence CooperZiopharm Oncology, Inc., Boston, Massachusetts, USA.
Rimas V LukasNorthwestern Memorial Hospital, Chicago, Illinois, USA.
Ziopharm Oncology (United States) · USBrigham and Women's Hospital · USDana-Farber Cancer Institute · USNorthwestern Memorial Hospital · USBaylor College of Medicine · USUniversity of Minnesota · US

Funding

The role of microvesicles in giloma virotherapyP01CA069246 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI BREAKEFIELD, XANDRA OWENS · 1996 to 2021
$30.9M
The Tumor Microenvironmental Barrier to Effective Viral OncolysisP01CA163205 · NCI · OHIO STATE UNIVERSITY · PI MICHAEL A CALIGIURI · 2013 to 2026
$26.0M
Harnessing Artificial MicroRNA Clusters Against Glioblastoma Epigenetic Plasticity and Resistance to TherapyR01NS116144 · NINDS · BRIGHAM AND WOMEN'S HOSPITAL · PI PERUZZI, PIER PAOLO · 2020 to 2025
$2.1M
Characterization of a microRNA network regulating glioblastoma epigenetics, cell reprogramming and DNA repairK08NS101091 · NINDS · BRIGHAM AND WOMEN'S HOSPITAL · PI PERUZZI, PIER PAOLO · 2017 to 2021
$992k
NCI NIH HHS P01 CA069246NCI NIH HHS P01 CA163205NINDS NIH HHS K08 NS101091NINDS NIH HHS R01 NS116144
6 · The paper itself

Abstract

backgroundVeledimex (VDX)-regulatable interleukin-12 (IL-12) gene therapy in recurrent glioblastoma (rGBM) was reported to show tumor infiltration of CD8+ T cells, encouraging survival, but also up-regulation of immune checkpoint signaling, providing the rationale for a combination trial with immune checkpoint inhibition.

methodsAn open-label, multi-institutional, dose-escalation phase I trial in rGBM subjects (NCT03636477) accrued 21 subjects in 3 dose-escalating cohorts: (1) neoadjuvant then ongoing nivolumab (1mg/kg) and VDX (10 mg) (n = 3); (2) neoadjuvant then ongoing nivolumab (3 mg/kg) and VDX (10 mg) (n = 3); and (3) neoadjuvant then ongoing nivolumab (3 mg/kg) and VDX (20 mg) (n = 15). Nivolumab was administered 7 (±3) days before resection of the rGBM followed by peritumoral injection of IL-12 gene therapy. VDX was administered 3 hours before and then for 14 days after surgery. Nivolumab was administered every two weeks after surgery.

resultsToxicities of the combination were comparable to IL-12 gene monotherapy and were predictable, dose-related, and reversible upon withholding doses of VDX and/or nivolumab. VDX plasma pharmacokinetics demonstrate a dose-response relationship with effective brain tumor tissue VDX penetration and production of IL-12. IL-12 levels in serum peaked in all subjects at about Day 3 after surgery. Tumor IFNγ increased in post-treatment biopsies. Median overall survival (mOS) for VDX 10 mg with nivolumab was 16.9 months and for all subjects was 9.8 months.

conclusionThe safety of this combination immunotherapy was established and has led to an ongoing phase II clinical trial of immune checkpoint blockade with controlled IL-12 gene therapy (NCT04006119).

Indexed as

Antineoplastic Agents, ImmunologicalGlioblastomaAntineoplastic Combined Chemotherapy ProtocolsGenetic TherapyHumansImmune Checkpoint InhibitorsImmunotherapyInterleukin-12NivolumabAntineoplastic Agents, ImmunologicalImmune Checkpoint InhibitorsInterleukin-12Nivolumabclinical trialcontrolled gene expressiongene therapyglioblastomaimmunotherapy

Identifiers

PMID34850166
PMCPMC9159462
OpenAlexW3216638808

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.