Evidence map›Paper›PMID 37463058›Full record

Trial reportClinical cancer research : an official journal of the American Association for Cancer Research2023

Randomized Phase II Trial of Dendritic Cell/Myeloma Fusion Vaccine with Lenalidomide Maintenance after Upfront Autologous Hematopoietic Cell Transplantation for Multiple Myeloma: BMT CTN 1401.

David J Chung, Nina Shah, Juan Wu, Brent Logan, Lina Bisharat, Natalie Callander, Giulia Cheloni, Kenneth Anderson, Thinle Chodon, Binod Dhakal and 29 more

Erratum issued Registry-linked trialOpen access · hybridAbstract readRandomized Controlled TrialClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Clinical cancer research : an official journal of the American Association for Cancer Research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT02728102 (Phase II Multicenter Trial of Single Autologous Hematopoietic Cell Transplant Followed by Lenalidomide Maintenance for Multiple Myeloma With or Without Vaccination With Dendritic Cell/Myeloma Fusions), which is not on this map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
6.2field-weighted citation impact, top 3% 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.

NCT02728102 phase2completednot on this map

Phase II Multicenter Trial of Single Autologous Hematopoietic Cell Transplant Followed by Lenalidomide Maintenance for Multiple Myeloma With or Without Vaccination With Dendritic Cell/Myeloma Fusions (BMT CTN 1401)

TypeinterventionalSponsorNational Heart, Lung, and Blood Institute (NHLBI)Ran2016 to 2022Enrolled203ConditionsMultiple MyelomaArmsTumor Cell Collection, Autologous Stem Cell Transplant, Melphalan, Leukapheresis, Myeloma vaccine
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 27 citations in OpenAlex.

  1. Review
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  7. Cryogel-Based Dendritic Cell Immunotherapy for Post-Surgical Breast Cancer Treatment.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025
    Article
  8. Review
  9. Article
  10. Review
  11. Review
  12. Review
  13. Article
  14. Review
  15. Article
  16. MYC Inhibition Potentiates CD8+ T Cells Against Multiple Myeloma and Overcomes Immunomodulatory Drug Resistance.Clinical cancer research : an official journal of the American Association for Cancer Research · 2024
    Article
  17. Review
  18. Review
  19. Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

39 authors at 19 institutions in 1 country.

David J Chung *Memorial Sloan Kettering Cancer Center, New York, New York.ORCID 0000-0003-0469-839X
Nina Shah *University of California San Francisco, San Francisco, California.ORCID 0000-0002-1971-8173
Juan WuEmmes Company, Rockville, Maryland.ORCID 0009-0009-1475-7470
Brent LoganMedical College of Wisconsin, Milwaukee, Wisconsin.ORCID 0000-0002-4473-4044
Lina BisharatBeth Israel Deaconess Medical Center, Boston, Massachusetts.ORCID 0009-0008-9292-1056
Natalie CallanderUniversity of Wisconsin, Madison, Wisconsin.ORCID 0000-0002-6975-1086
Giulia CheloniBeth Israel Deaconess Medical Center, Boston, Massachusetts.ORCID 0000-0002-7682-3826
Kenneth AndersonDana Farber Cancer Institute, Boston, Massachusetts.ORCID 0000-0002-6418-0886
Thinle ChodonRoswell Park Cancer Institute, Buffalo, New York.ORCID 0009-0000-2307-6209
Binod DhakalMedical College of Wisconsin, Milwaukee, Wisconsin.ORCID 0000-0002-4377-9742
Steve DevineNational Marrow Donor Program, Minneapolis, Minnesota.ORCID 0000-0001-7731-759X
Poorvi Somaiya DuttBeth Israel Deaconess Medical Center, Boston, Massachusetts.ORCID 0000-0002-2802-1300
Yvonne EfeberaOhioHealth, Columbus, Ohio.ORCID 0000-0002-4163-8823
Nancy GellerNational Lung, Heart and Blood Institute, Rockville, Maryland.ORCID 0000-0003-0500-7386
Haider GhiasuddinBeth Israel Deaconess Medical Center, Boston, Massachusetts.ORCID 0009-0008-9495-9429
Peiman HemattiUniversity of Wisconsin, Madison, Wisconsin.ORCID 0000-0001-5836-4497
Leona HolmbergFred Hutchinson Cancer Research Center, Seattle, Washington.ORCID 0000-0003-3277-1910
Alan HowardMedical College of Wisconsin, Milwaukee, Wisconsin.ORCID 0009-0003-7273-6906
Bryon JohnsonMedical College of Wisconsin, Milwaukee, Wisconsin.ORCID 0000-0001-7416-3396
Dimitra KaragkouniBeth Israel Deaconess Medical Center, Boston, Massachusetts.ORCID 0009-0007-3961-3399
Hillard M LazarusCase Western Reserve University, Cleveland, Ohio.ORCID 0000-0002-1159-5607
Ehsan MalekCase Western Reserve University, Cleveland, Ohio.ORCID 0000-0003-4719-4327
Philip McCarthyRoswell Park Cancer Institute, Buffalo, New York.ORCID 0000-0002-9577-3879
David McKennaUniversity of Minnesota, Minneapolis, Minnesota.ORCID 0000-0001-8734-0996
Adam MendizabalEmmes Company, Rockville, Maryland.ORCID 0009-0002-9742-0329
Ajay NookaEmory University, Atlanta, Georgia.ORCID 0000-0003-4165-6869
Nikhil MunshiDana Farber Cancer Institute, Boston, Massachusetts.ORCID 0000-0002-7344-9795
Lynn O'DonnellOhio State University, Columbus, Ohio.ORCID 0000-0002-8123-1884
Aaron P RapoportUniversity of Maryland, Baltimore, Maryland.ORCID 0000-0003-0043-3562
Jane ReeseCase Western Reserve University, Cleveland, Ohio.ORCID 0000-0002-0337-5372
Jacalyn RosenblattBeth Israel Deaconess Medical Center, Boston, Massachusetts.ORCID 0000-0001-5582-8161
Robert SoifferDana Farber Cancer Institute, Boston, Massachusetts.ORCID 0000-0002-5810-1192
Dina StroopinskyBeth Israel Deaconess Medical Center, Boston, Massachusetts.ORCID 0009-0006-7359-1560
Lynne UhlBeth Israel Deaconess Medical Center, Boston, Massachusetts.ORCID 0000-0002-8868-7198
Ioannis S VlachosBeth Israel Deaconess Medical Center, Boston, Massachusetts.ORCID 0000-0002-8849-808X
Edmund K WallerEmory University, Atlanta, Georgia.ORCID 0000-0003-0816-6729
James W YoungMemorial Sloan Kettering Cancer Center, New York, New York.ORCID 0000-0002-0032-6559
Marcelo C Pasquini *Medical College of Wisconsin, Milwaukee, Wisconsin.ORCID 0000-0003-1579-2293
David Avigan *Beth Israel Deaconess Medical Center, Boston, Massachusetts.ORCID 0000-0003-4624-6017
Beth Israel Deaconess Medical Center · USMedical College of Wisconsin · USDana-Farber Cancer Institute · USEmmes (United States) · USEmory University · USMemorial Sloan Kettering Cancer Center · USRoswell Park Comprehensive Cancer Center · USUniversity of Wisconsin–Madison · USCase Western Reserve University · USNational Heart Lung and Blood Institute · USNational Marrow Donor Program · USOhioHealth · USOhio University · USUniversity Hospitals Cleveland Medical Center · USUniversity Hospitals Seidman Cancer Center · USUniversity of California, San Francisco · USUniversity of Maryland, Baltimore · USUniversity of Minnesota · USUniversity of Washington · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
Blood and Marrow Transplant Clinical Trials Network DCC- The Medical College of Wisconsin, Inc.U24HL138660 · NHLBI · MEDICAL COLLEGE OF WISCONSIN · PI Steven M. DeVine, Mehdi Hussain Hamadani · 2017 to 2026
$71.4M
Easy-to-read Informed Consent for HCT Clinical TrialsU10HL069294 · NHLBI · MEDICAL COLLEGE OF WISCONSIN · PI HOROWITZ, MARY MARESCA · 2011 to 2016
$43.8M
BMT CTN Core - Fred Hutchinson Cancer CenterUG1HL069246 · NHLBI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI STEPHANIE J LEE · 2017 to 2026
$2.2M
BMT CTN Core - Dana-Farber Cancer Institute and MGH ConsortiumUG1HL069249 · NHLBI · DANA-FARBER CANCER INST · PI Mahasweta Gooptu · 2017 to 2026
$2.2M
NCI NIH HHS P30 CA008748NHLBI NIH HHS U10 HL069294NHLBI NIH HHS U24 HL138660NHLBI NIH HHS UG1 HL069246NHLBI NIH HHS UG1 HL069249
6 · The paper itself

Abstract

purposeVaccination with dendritic cell (DC)/multiple myeloma (MM) fusions has been shown to induce the expansion of circulating multiple myeloma-reactive lymphocytes and consolidation of clinical response following autologous hematopoietic cell transplant (auto-HCT). PATIENTS AND

methodsIn this randomized phase II trial (NCT02728102), we assessed the effect of DC/MM fusion vaccination, GM-CSF, and lenalidomide maintenance as compared with control arms of GM-CSF and lenalidomide or lenalidomide maintenance alone on clinical response rates and induction of multiple myeloma-specific immunity at 1-year posttransplant.

resultsThe study enrolled 203 patients, with 140 randomized posttransplantation. Vaccine production was successful in 63 of 68 patients. At 1 year, rates of CR were 52.9% (vaccine) and 50% (control; P = 0.37, 80% CI 44.5%, 61.3%, and 41.6%, 58.4%, respectively), and rates of VGPR or better were 85.3% (vaccine) and 77.8% (control; P = 0.2). Conversion to CR at 1 year was 34.8% (vaccine) and 27.3% (control; P = 0.4). Vaccination induced a statistically significant expansion of multiple myeloma-reactive T cells at 1 year compared with before vaccination (P = 0.024) and in contrast to the nonvaccine arm (P = 0.026). Single-cell transcriptomics revealed clonotypic expansion of activated CD8 cells and shared dominant clonotypes between patients at 1-year posttransplant.

conclusionsDC/MM fusion vaccination with lenalidomide did not result in a statistically significant increase in CR rates at 1 year posttransplant but was associated with a significant increase in circulating multiple myeloma-reactive lymphocytes indicative of tumor-specific immunity. Site-specific production of a personalized cell therapy with centralized product characterization was effectively accomplished in the context of a multicenter cooperative group study. See related commentary by Qazilbash and Kwak, p. 4703.

Indexed as

Hematopoietic Stem Cell TransplantationMultiple MyelomaAntineoplastic Combined Chemotherapy ProtocolsDendritic CellsDexamethasoneGranulocyte-Macrophage Colony-Stimulating FactorHumansLenalidomideTransplantation, AutologousDexamethasoneGranulocyte-Macrophage Colony-Stimulating FactorLenalidomide

Identifiers

PMID37463058
PMCPMC10690096
OpenAlexW4384664745

What OpenQuestion holds

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LicenceCC BY-NC-ND
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.