Evidence map›Paper›PMID 38395969›Full record

Trial reportNature communications2024

Adjuvant dendritic cell therapy in stage IIIB/C melanoma: the MIND-DC randomized phase III trial.

Kalijn F Bol, Gerty Schreibelt, Martine Bloemendal, Wouter W van Willigen, Simone Hins-de Bree, Anna L de Goede, Annemiek J de Boer, Kevin J H Bos, Tjitske Duiveman-de Boer, Michel A M Olde Nordkamp and 34 more

Registry-linked trialOpen access · goldAbstract readRandomized Controlled TrialClinical Trial, Phase III
In one paragraph

Trial report in Nature communications, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02993315 (A Randomized, Double--blind, Placebo-controlled Phase III Study to Evaluate Active Immunization in Adjuvant Therapy of Patients with Stage IIIB and IIIC Melanoma with Natural Dendritic Cells Pulsed with Synthetic Peptides.), which is not on this map. Cited by 41 papers.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed
8.4field-weighted citation impact, top 2% 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.

NCT02993315 phase3completednot on this map

A Randomized, Double--blind, Placebo-controlled Phase III Study to Evaluate Active Immunization in Adjuvant Therapy of Patients with Stage IIIB and IIIC Melanoma with Natural Dendritic Cells Pulsed with Synthetic Peptides.

TypeinterventionalSponsorRadboud University Medical CenterRan2016 to 2024Enrolled148ConditionsMelanoma (Skin)ArmsnDC vaccination, placebo injection
3 · Its place in the literature

Who cites it

41 citing papers in PubMed, 35 citations in OpenAlex.

  1. Trial
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  7. Cellular immunotherapy in melanoma: the next frontier in cancer treatment.Journal of experimental & clinical cancer research : CR · 2026
    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

44 authors at 5 institutions in 2 countries.

Kalijn F BolMedical Biosciences, Radboud Institute for Medical Innovation, Radboud university medical center, Nijmegen, The Netherlands.
Gerty Schreibelt *Medical Biosciences, Radboud Institute for Medical Innovation, Radboud university medical center, Nijmegen, The Netherlands.ORCID 0000-0002-0156-8365
Martine Bloemendal *Medical Biosciences, Radboud Institute for Medical Innovation, Radboud university medical center, Nijmegen, The Netherlands.
Wouter W van Willigen *Medical Biosciences, Radboud Institute for Medical Innovation, Radboud university medical center, Nijmegen, The Netherlands.
Simone Hins-de BreeMedical Biosciences, Radboud Institute for Medical Innovation, Radboud university medical center, Nijmegen, The Netherlands.
Anna L de GoedeDepartment of Pharmacy, Radboud university medical center, Nijmegen, The Netherlands.
Annemiek J de BoerMedical Biosciences, Radboud Institute for Medical Innovation, Radboud university medical center, Nijmegen, The Netherlands.
Kevin J H BosMedical Biosciences, Radboud Institute for Medical Innovation, Radboud university medical center, Nijmegen, The Netherlands.
Tjitske Duiveman-de BoerMedical Biosciences, Radboud Institute for Medical Innovation, Radboud university medical center, Nijmegen, The Netherlands.
Michel A M Olde NordkampMedical Biosciences, Radboud Institute for Medical Innovation, Radboud university medical center, Nijmegen, The Netherlands.
Tom G M van OorschotMedical Biosciences, Radboud Institute for Medical Innovation, Radboud university medical center, Nijmegen, The Netherlands.
Carlijn J PopelierMedical Biosciences, Radboud Institute for Medical Innovation, Radboud university medical center, Nijmegen, The Netherlands.
Jeanne M PotsMedical Biosciences, Radboud Institute for Medical Innovation, Radboud university medical center, Nijmegen, The Netherlands.
Nicole M ScharenborgMedical Biosciences, Radboud Institute for Medical Innovation, Radboud university medical center, Nijmegen, The Netherlands.
Mandy W M M van de RaktMedical Biosciences, Radboud Institute for Medical Innovation, Radboud university medical center, Nijmegen, The Netherlands.
Valeska de RuiterMedical Biosciences, Radboud Institute for Medical Innovation, Radboud university medical center, Nijmegen, The Netherlands.
Wilmy S van MeeterenDepartment of Dermatology, Radboud university medical center, Nijmegen, The Netherlands.
Michelle M van RossumDepartment of Dermatology, Radboud university medical center, Nijmegen, The Netherlands.
Sandra J CroockewitDepartment of Hematology, Radboud university medical center, Nijmegen, The Netherlands.
Bouke J KoenemanMedical Biosciences, Radboud Institute for Medical Innovation, Radboud university medical center, Nijmegen, The Netherlands.ORCID 0000-0002-7224-1036
Jeroen H A CreemersMedical Biosciences, Radboud Institute for Medical Innovation, Radboud university medical center, Nijmegen, The Netherlands.ORCID 0000-0003-0371-8416
Inge M N WortelMedical Biosciences, Radboud Institute for Medical Innovation, Radboud university medical center, Nijmegen, The Netherlands.ORCID 0000-0003-3362-5229
Caroline AngererMiltenyi Biotec, Bergisch Gladbach, Germany.
Mareke BrüningMiltenyi Biotec, Bergisch Gladbach, Germany.
Katja PetryMiltenyi Biotec, Bergisch Gladbach, Germany.
Andrzej DzionekMiltenyi Biotec, Bergisch Gladbach, Germany.
Astrid A van der VeldtDepartments of Medical Oncology and Radiology & Nuclear Medicine, Erasmus Medical Center Cancer Institute, Rotterdam, The Netherlands.
Dirk J van GrünhagenDepartment Surgical Oncology, Erasmus Medical Center Cancer Institute, Rotterdam, The Netherlands.ORCID 0000-0001-8293-6002
Johanna E M WernerDepartment Surgical Oncology, Radboud university medical center, Nijmegen, The Netherlands.
Johannes J BonenkampDepartment Surgical Oncology, Radboud university medical center, Nijmegen, The Netherlands.
John B A G HaanenDepartment of Medical Oncology, The Netherlands Cancer Institute, Amsterdam, The Netherlands.ORCID 0000-0001-5884-7704
Marye J Boers-SonderenDepartment of Medical Oncology, Radboud university medical center, Nijmegen, The Netherlands.
Rutger H T KoornstraDepartment of Medical Oncology, Radboud university medical center, Nijmegen, The Netherlands.
Martijn F BoomsmaDepartment of Radiology, Isala Oncology Center, Zwolle, The Netherlands.
Erik H J AarntzenDepartment of Medical Imaging, Radboud university medical center, Nijmegen, The Netherlands.
Martin GotthardtDepartment of Medical Imaging, Radboud university medical center, Nijmegen, The Netherlands.
James NagarajahDepartment of Medical Imaging, Radboud university medical center, Nijmegen, The Netherlands.
Theo J M de WitteMedical Biosciences, Radboud Institute for Medical Innovation, Radboud university medical center, Nijmegen, The Netherlands.ORCID 0000-0001-5897-4287
Carl G FigdorMedical Biosciences, Radboud Institute for Medical Innovation, Radboud university medical center, Nijmegen, The Netherlands.ORCID 0000-0002-2366-9212
Johannes H W de WiltDepartment Surgical Oncology, Radboud university medical center, Nijmegen, The Netherlands.ORCID 0000-0001-6773-9668
Johannes TextorMedical Biosciences, Radboud Institute for Medical Innovation, Radboud university medical center, Nijmegen, The Netherlands.ORCID 0000-0002-0459-9458
Jan Willem B de GrootDepartment of Medical Oncology, Isala Oncology Center, Zwolle, The Netherlands.
Winald R GerritsenDepartment of Medical Oncology, Radboud university medical center, Nijmegen, The Netherlands.ORCID 0000-0003-1110-9119
I Jolanda M de VriesMedical Biosciences, Radboud Institute for Medical Innovation, Radboud university medical center, Nijmegen, The Netherlands. Jolanda.deVries@radboudumc.nl.ORCID 0000-0002-8653-4040
Radboud University Nijmegen · NLMiltenyi Biotec (Germany) · DEErasmus MC Cancer Institute · NLIsala · NLThe Netherlands Cancer Institute · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Autologous natural dendritic cells (nDCs) treatment can induce tumor-specific immune responses and clinical responses in cancer patients. In this phase III clinical trial (NCT02993315), 148 patients with resected stage IIIB/C melanoma were randomized to adjuvant treatment with nDCs (n = 99) or placebo (n = 49). Active treatment consisted of intranodally injected autologous CD1c+ conventional and plasmacytoid DCs loaded with tumor antigens. The primary endpoint was the 2-year recurrence-free survival (RFS) rate, whereas the secondary endpoints included median RFS, 2-year and median overall survival, adverse event profile, and immunological response The 2-year RFS rate was 36.8% in the nDC treatment group and 46.9% in the control group (p = 0.31). Median RFS was 12.7 months vs 19.9 months, respectively (hazard ratio 1.25; 90% CI: 0.88-1.79; p = 0.29). Median overall survival was not reached in both treatment groups (hazard ratio 1.32; 90% CI: 0.73-2.38; p = 0.44). Grade 3-4 study-related adverse events occurred in 5% and 6% of patients. Functional antigen-specific T cell responses could be detected in 67.1% of patients tested in the nDC treatment group vs 3.8% of patients tested in the control group (p < 0.001). In conclusion, while adjuvant nDC treatment in stage IIIB/C melanoma patients generated specific immune responses and was well tolerated, no benefit in RFS was observed.

Indexed as

MelanomaSkin NeoplasmsAdjuvants, ImmunologicDendritic CellsDisease-Free SurvivalHumansNeoplasm StagingAdjuvants, Immunologic

Identifiers

PMID38395969
PMCPMC10891118
OpenAlexW4392104059

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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.