Evidence map›Paper›PMID 37828833›Full record

Trial reportTechnology in cancer research & treatment

Influence of Humoral Response Against GnRH, Generated by Immunization with a Therapeutic Vaccine Candidate on the Evolution of Patients with Castration-Sensitive Prostate Adenocarcinoma.

Ana Cristina Campal-Espinosa, Jesús Arturo Junco-Barranco, Franklin Fuentes-Aguilar, Lesvia Calzada-Aguilera, Annia Rivacoba-Betancourt, Ranfis Humberto Rodríguez-Bueno, Ana Claudia Bover-Campal, Eddy Emilio Bover-Fuentes, Lourdes González, Lourdes de Quesada and 2 more

Open access · goldAbstract readRandomized Controlled TrialClinical Trial, Phase I
In one paragraph

Trial report in Technology in cancer research & treatment. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 18% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. 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

12 authors at 2 institutions in 1 country.

Ana Cristina Campal-EspinosaVaccine Research Group, Research Department, Center of Genetic Engineering and Biotechnology, Camagüey, Cuba.ORCID 0000-0001-5488-3767
Jesús Arturo Junco-BarrancoVaccine Research Group, Research Department, Center of Genetic Engineering and Biotechnology, Camagüey, Cuba.
Franklin Fuentes-AguilarVaccine Research Group, Research Department, Center of Genetic Engineering and Biotechnology, Camagüey, Cuba.
Lesvia Calzada-AguileraVaccine Research Group, Research Department, Center of Genetic Engineering and Biotechnology, Camagüey, Cuba.
Annia Rivacoba-BetancourtDepartment of Urology, Oncological Hospital Camagüey, Camagüey, Cuba.
Ranfis Humberto Rodríguez-BuenoDepartment of Urology, National Institute of Oncology, Havana, Cuba.
Ana Claudia Bover-CampalDepartment of Immunology, Eduardo Agramonte Piña Pediatric Hospital Camagüey, Camagüey, Cuba.
Eddy Emilio Bover-FuentesVaccine Research Group, Research Department, Center of Genetic Engineering and Biotechnology, Camagüey, Cuba.
Lourdes GonzálezDepartment of Urology, Oncological Hospital Camagüey, Camagüey, Cuba.
Lourdes de QuesadaDepartment of Urology, Oncological Hospital Camagüey, Camagüey, Cuba.
Allelin AlvarezDepartment of Urology, Oncological Hospital Camagüey, Camagüey, Cuba.
Hilda Elisa Garay-PérezDepartment of Immunology, Eduardo Agramonte Piña Pediatric Hospital Camagüey, Camagüey, Cuba.
University of Camagüey · CUCentro de Ingeniería Genética y Biotecnología · CU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsA gonadotropin-releasing hormone (GnRH)-based therapeutic vaccine candidate against hormone-sensitive prostate cancer has demonstrated its safety and signs of efficacy in phase I/II trials. In this study, we characterized the isotype/subclass profiles of the anti-GnRH humoral response generated by the vaccination and analyzed its association with patients' clinical outcomes.

methodsThe immunoglobulin isotypes and IgG subclasses of the antibody responses of 34 patients included in a randomized, open, prospective phase I/II clinical trial were characterized. Every patient included in the study had a diagnosis of locally advanced prostate adenocarcinoma at stages 3 and 4 and received immunization with the vaccine candidate. Additionally, serum testosterone and prostate specific antigen (PSA) concentrations, serving as indicators of tumor response, were determined. The type of anti-GnRH antibody response was correlated to the time elapsed until the first biochemical recurrence in patients and the outcome of the disease.

resultsAll patients developed strong and prolonged anti-GnRH antibody responses, resulting in a short- to mid-term decrease in serum testosterone and PSA levels. Following immunizations, anti-GnRH antibodies of the IgM/IgG and IgG1/IgG3 subclasses were observed. Following radiotherapy, the humoral response switched to IgG (IgG1/IgG4). Patients who experienced a short-term biochemical relapse were characterized by significantly higher levels of anti-GnRH IgG titers, particularly IgG1 and IgG4 subclasses. These characteristics, along with a high response of specific IgM antibodies at the end of immunizations and the development of anti-GnRH IgA antibody responses following radiotherapy, were observed in patients whose disease progressed, compared to those with controlled disease.

conclusionThe nature of the humoral response against anti-GnRH, induced by vaccination may play a key role in activating additional immunological mechanisms. Collectively, these mechanisms could contribute significantly to the regulation of tumor growth.

Indexed as

AdenocarcinomaProstatic NeoplasmsVaccinesCastrationGonadotropin-Releasing HormoneHumansImmunizationImmunoglobulin GImmunoglobulin MMaleNeoplasm Recurrence, LocalProspective StudiesProstateProstate-Specific AntigenTestosteroneVaccinationGonadotropin-Releasing HormoneImmunoglobulin GImmunoglobulin MProstate-Specific AntigenTestosteroneVaccinesanti-GnRH responsecastration-sensitive prostate cancerGnRH-based vaccineimmunoglobulin isotypestherapeutic vaccine

Identifiers

PMID37828833
PMCPMC10576932
OpenAlexW4387598048

What OpenQuestion holds

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LicenceCC BY-NC
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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.