Evidence map›Paper›PMID 35638086›Full record

ArticleEuropean urology open science2022

Ilixadencel, a Cell-based Immune Primer, plus Sunitinib Versus Sunitinib Alone in Metastatic Renal Cell Carcinoma: A Randomized Phase 2 Study.

Magnus Lindskog, Anna Laurell, Anders Kjellman, Bohuslav Melichar, Pablo Maroto Rey, Henryk Zieliński, Felipe Villacampa, Pierre Bigot, Bajory Zoltan, Omi Parikh and 9 more

Open access · goldAbstract read
In one paragraph

Article in European urology open science, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.4field-weighted citation impact, top 19% 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

11 citing papers in PubMed, 12 citations in OpenAlex.

  1. Review
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  9. New approaches to first-line treatment of advanced renal cell carcinoma.Therapeutic advances in medical oncology · 2021
    Review
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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

19 authors at 18 institutions in 7 countries.

Magnus LindskogDepartment of Immunology, Genetics and Pathology, Uppsala University Hospital, Uppsala University, Uppsala, Sweden.
Anna LaurellDepartment of Oncology, Akademiska University Hospital, Uppsala, Sweden.
Anders KjellmanDepartment of Urology, CLINTEC, Karolinska University Hospital, Karolinska Institutet, Stockholm, Sweden.
Bohuslav MelicharDepartment of Urology and Urological Oncology, Wojewodzki Szpital Specjalistyczny im. Stefana Kardynała Wyszyńskiego, Lublin, Poland.
Pablo Maroto ReyHospital de la Santa Creu i Sant Pau, Barcelona, Spain.
Henryk ZielińskiClinical Urology, Military Institute of Medicine, Warsaw, Poland.
Felipe VillacampaUrology Service, Hospital Unversitario 12 Octubre, Madrid, Spain.
Pierre BigotDepartment of Urology, Centre Hospitalier Universitaire d'Angers, Angers Cedex, France.
Bajory ZoltanSzent-Györgyi Albert Klinikai Központ, Szegedi Tudomanyegyetem Altalanos Ovostudomanyi Kar Urologiai Klinika, Szeged, Hungary.
Omi ParikhRosemere Cancer Centre, Royal Preston Hospital, Preston, UK.
David Vazquez AlbaServicio de Urología, Hospital Universitario Puerta de Hierro Majadahonda, Madrid, Spain.
Åsa JellvertDepartment of Oncology, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Tibor FlaskóDepartment of Urology, Medical School, University of Debrecen, Debrecen, Hungary.
Enrique GallardoOncology Department, Parc Taulí Hospital Universitari, Institut d'Investigació i Innovació Parc Taulí I3PT, Universitat Autònoma de Barcelona, Sabadell, Spain.
Maria José Ribal CaparrósDepartment of Urology, Hospital Clínic Barcelona, Barcelona, Spain.
Gunta PurkalneOncology Clinic, Pauls Stradins Clinical University Hospital, Rīga, Latvia.
Peter SuenaertImmunicum AB, Stockholm, Sweden.
Alex Karlsson-ParraImmunicum AB, Stockholm, Sweden.
Börje LjungbergDepartment of Surgical and Perioperative Sciences, Urology and Andrology, Umeå University, Umeå, Sweden.
Uppsala University Hospital · SECentre Hospitalier Universitaire d'Angers · FRHospital Clínic de Barcelona · ESHospital de Sant Pau · ESHospital Universitario 12 De Octubre · ESHospital Universitario Puerta de Hierro Majadahonda · ESImmunicum (Sweden) · SEKarolinska University Hospital · SEPauls Stradiņš Clinical University Hospital · LVRoyal Preston Hospital · GBUmeå University · SEUniversitat Autònoma de Barcelona · ESUniversity of Debrecen · HUUniversity of Gothenburg · SEUniversity of Szeged · HUUppsala University · SEWojewódzki Szpital Specjalistyczny we Wrocławiu · PLWojskowy Instytut Medycyny Lotniczej · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The prognosis of patients with synchronous metastatic renal cell carcinoma (mRCC) is poor. Whereas single-agent tyrosine kinase inhibition (TKI) is clearly insufficient, the effects can be enhanced by combinations with immune checkpoint inhibitors. Innovative treatment options combining TKI and other immune-stimulating agents could prove beneficial. Objective: To evaluate the clinical effects on metastatic disease when two doses of allogeneic monocyte-derived dendritic cells (ilixadencel) are administrated intratumorally followed by nephrectomy and treatment with sunitinib compared with nephrectomy and sunitinib monotherapy, in patients with synchronous mRCC. Design setting and participants: A randomized (2:1) phase 2 multicenter trial enrolled 88 patients with newly diagnosed mRCC to treatment with the combination ilixadencel/sunitinib (ILIXA/SUN; 58 patients) or sunitinib alone (SUN; 30 patients). Outcome measurements and statistical analysis: The primary endpoints were 18-mo survival rate and overall survival (OS). A secondary endpoint was objective response rate (ORR) assessed up to 18 mo after enrollment. Statistic evaluations included Kaplan-Meier estimates, log-rank tests, Cox regression, and stratified Cochran-Mantel-Haenszel tests. Results and limitations: The median OS was 35.6 mo in the ILIXA/SUN arm versus 25.3 mo in the SUN arm (hazard ratio 0.73, 95% confidence interval 0.42-1.27; Conclusions: The study failed to meet its primary endpoints. However, ilixadencel in combination with sunitinib was associated with a numerically higher, nonsignificant, confirmed response rate, including complete responses, compared with sunitinib monotherapy. Patient summary: We studied the effects of intratumoral vaccination with ilixadencel followed by sunitinib versus sunitinib only in a randomized phase 2 study. The combination treatment showed numerically higher numbers of confirmed responses, suggesting an immunologic effect.

Indexed as

Allogeneic dendritic cellsIlixadencelIntratumoral administrationMetastatic renal cell carcinomaOff the shelfPhase 2 trialRandomizedSunitinib

Identifiers

PMID35638086
PMCPMC9142735
OpenAlexW4224917273

What OpenQuestion holds

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LicenceCC BY
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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.