Evidence map›Paper›PMID 38950309›Full record

Trial reportJournal of clinical oncology : official journal of the American Society of Clinical Oncology2024

Dendritic Cell-Based Immunotherapy in Patients With Resected Pancreatic Cancer.

Freek R van 't Land, Marcella Willemsen, Koen Bezemer, Sjoerd H van der Burg, Thierry P P van den Bosch, Michail Doukas, Amine Fellah, P Martijn Kolijn, Anton W Langerak, Miranda Moskie and 5 more

Abstract readClinical Trial, Phase IClinical Trial, Phase II
In one paragraph

Trial report in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

32 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  18. Macrophage-derived dendritic cells enhance antitumor immunity in a mouse model of head and neck squamous cell carcinoma.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors.

Freek R van 't LandDepartment of Surgery, Erasmus MC Cancer Institute, Rotterdam, the Netherlands.ORCID 0009-0009-1990-9672
Marcella WillemsenDepartment of Pulmonary Medicine, Erasmus MC Cancer Institute, Rotterdam, the Netherlands.
Koen BezemerDepartment of Pulmonary Medicine, Erasmus MC Cancer Institute, Rotterdam, the Netherlands.ORCID 0009-0007-3452-6771
Sjoerd H van der BurgDepartment of Medical Oncology, Oncode Institute, Leiden University Medical Center, Leiden, the Netherlands.
Thierry P P van den BoschDepartment of Pathology, Erasmus University Medical Center, Rotterdam, the Netherlands.ORCID 0000-0002-7223-4565
Michail DoukasDepartment of Pathology, Erasmus University Medical Center, Rotterdam, the Netherlands.
Amine FellahDepartment of Surgery, Erasmus MC Cancer Institute, Rotterdam, the Netherlands.
P Martijn KolijnDepartment of Immunology, Erasmus University Medical Center, Rotterdam, the Netherlands.ORCID 0000-0002-2139-637X
Anton W LangerakDepartment of Immunology, Erasmus University Medical Center, Rotterdam, the Netherlands.ORCID 0000-0002-2078-3220
Miranda MoskieDepartment of Surgery, Erasmus MC Cancer Institute, Rotterdam, the Netherlands.ORCID 0000-0001-9354-3407
Elise van der OostDepartment of Surgery, Erasmus MC Cancer Institute, Rotterdam, the Netherlands.ORCID 0009-0000-0097-9587
Nina E M RozendaalDepartment of Pulmonary Medicine, Erasmus MC Cancer Institute, Rotterdam, the Netherlands.
Sara J BaartDepartment of Pulmonary Medicine, Erasmus MC Cancer Institute, Rotterdam, the Netherlands.ORCID 0000-0002-1427-901X
Joachim G J V AertsDepartment of Pulmonary Medicine, Erasmus MC Cancer Institute, Rotterdam, the Netherlands.ORCID 0000-0001-6662-2951
Casper H J van EijckDepartment of Surgery, Erasmus MC Cancer Institute, Rotterdam, the Netherlands.ORCID 0000-0002-9511-2157

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeImmunotherapies have shown limited responses in patients with advanced pancreatic cancer. Recently, we reported that dendritic cell (DC)-based immunotherapy induced T-cell responses against pancreatic cancer antigens. The primary objective of this study was to determine the efficacy of DC-based immunotherapy to prevent recurrence of disease.

methodsThis was a single-center, open-label, single-arm, combined phase I/II trial. The primary end point was the 2-year recurrence-free survival (RFS) rate. A 2-year RFS rate of ≥60% was defined as a clinically meaningful improvement. We included patients with pancreatic cancer after resection and completion of standard-of-care (SOC) treatment without recurrent disease on cross-sectional imaging. Patients were treated with autologous DCs pulsed with an allogeneic mesothelioma tumor cell lysate, comprising antigens also expressed in pancreatic ductal adenocarcinoma.

resultsThirty-eight patients were included in the analysis of the primary end point (47% male, 53% female). The median age was 62 years (IQR, 55-68). Twenty-eight patients (74%) received five DC vaccinations and completed the study protocol. Three patients (8%) received four vaccinations, and seven patients (16%) received three vaccinations. After a median follow-up of 25.5 months, 26 patients (68%) had not developed recurrence of disease. The estimated 2-year RFS was 64%. Vaccination led to the enrichment of circulating activated CD4+ T cells and the detection of treatment-induced immune responses in vitro. T-cell receptor-sequencing analyses of a resected solitary lung metastasis showed influx of vaccine-specific T cells.

conclusionThis study reached its primary end point of a 2-year RFS rate of ≥60% following pancreatectomy after SOC treatment and adjuvant DC-based immunotherapy in patients with pancreatic cancer. These results warrant a future randomized trial.

Indexed as

Dendritic CellsPancreatic NeoplasmsAgedCancer VaccinesCarcinoma, Pancreatic DuctalFemaleHumansImmunotherapyMaleMiddle AgedNeoplasm Recurrence, LocalCancer Vaccines

Identifiers

PMID38950309
PMCPMC11379361

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Registered trials

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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.