Evidence map›Paper›PMID 40499144›Full record

Trial reportClinical cancer research : an official journal of the American Association for Cancer Research2025

Addition of Dendritic Cell Vaccination to Conditioning Cyclophosphamide and Chemoembolization in Patients with Hepatocellular Carcinoma: The ImmunoTACE Trial.

Yuk Ting Ma, Jianmin Zuo, Amanda Kirkham, Stuart Curbishley, Miroslava Blahova, Anna L Rowe, Camilla Bathurst, Homoyoon Mehrzad, Salil Karkhanis, Pankaj Punia and 11 more

Abstract 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, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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

6 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Review
  5. Article
  6. 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

21 authors.

Yuk Ting Ma *Institute of Immunology and Immunotherapy, University of Birmingham, Birmingham, United Kingdom.ORCID 0000-0001-7830-6091
Jianmin Zuo *Institute of Immunology and Immunotherapy, University of Birmingham, Birmingham, United Kingdom.ORCID 0000-0002-8341-465X
Amanda KirkhamCancer Research UK Clinical Trials Unit, University of Birmingham, Birmingham, United Kingdom.ORCID 0000-0002-2593-7970
Stuart CurbishleyInstitute of Immunology and Immunotherapy, University of Birmingham, Birmingham, United Kingdom.ORCID 0000-0001-6464-0873
Miroslava BlahovaInstitute of Immunology and Immunotherapy, University of Birmingham, Birmingham, United Kingdom.ORCID 0000-0003-4048-6714
Anna L RoweCancer Research UK Clinical Trials Unit, University of Birmingham, Birmingham, United Kingdom.ORCID 0000-0002-4145-301X
Camilla BathurstCancer Research UK Clinical Trials Unit, University of Birmingham, Birmingham, United Kingdom.ORCID 0000-0003-1438-5960
Homoyoon MehrzadUniversity Hospitals Birmingham NHS Foundation Trust, Birmingham, United Kingdom.ORCID 0000-0001-5413-2074
Salil KarkhanisUniversity Hospitals Birmingham NHS Foundation Trust, Birmingham, United Kingdom.ORCID 0000-0003-2119-8530
Pankaj PuniaUniversity Hospitals Birmingham NHS Foundation Trust, Birmingham, United Kingdom.ORCID 0009-0008-7467-5111
Martin W JamesNIHR Nottingham Biomedical Research Centre, Nottingham University Hospitals NHS Trust and the University of Nottingham, Nottingham, United Kingdom.ORCID 0000-0002-6438-8484
Nick SternAintree University Hospital, Liverpool, United Kingdom.ORCID 0000-0001-7606-2847
Ankit RaoNIHR Nottingham Biomedical Research Centre, Nottingham University Hospitals NHS Trust and the University of Nottingham, Nottingham, United Kingdom.ORCID 0000-0003-2403-3264
Diana HullUniversity Hospitals Birmingham NHS Foundation Trust, Birmingham, United Kingdom.ORCID 0000-0002-0425-541X
Faye LoweCancer Research UK Clinical Trials Unit, University of Birmingham, Birmingham, United Kingdom.ORCID 0000-0001-9833-1497
Panagiota SyllaInstitute of Immunology and Immunotherapy, University of Birmingham, Birmingham, United Kingdom.ORCID 0009-0003-6269-3017
Luke WebsterInstitute of Immunology and Immunotherapy, University of Birmingham, Birmingham, United Kingdom.ORCID 0009-0004-5872-7154
Syed HussainUniversity of Sheffield & Sheffield Teaching Hospitals, Sheffield, United Kingdom.ORCID 0000-0003-1552-511X
Christina YapCancer Research UK Clinical Trials Unit, University of Birmingham, Birmingham, United Kingdom.ORCID 0000-0002-6715-2514
Daniel PalmerExperimental Cancer Medicine Centre, University of Liverpool and Clatterbridge Cancer Centre, Liverpool, United Kingdom.ORCID 0000-0002-7147-5703
David H AdamsInstitute of Immunology and Immunotherapy, University of Birmingham, Birmingham, United Kingdom.ORCID 0000-0001-6776-0336

Funding

Efficacy and Mechanism Evaluation Programme (EME) 09/160/24
6 · The paper itself

Abstract

purposeA previous study by our group using dendritic cells (DC) pulsed ex vivo with the lysate of the HepG2 cell line showed evidence of antigen-specific T-cell responses in some patients with advanced hepatocellular carcinoma. The ImmunoTACE trial evaluated the preliminary activity of this vaccine in combination with transarterial chemoembolization (TACE) in patients with intermediate-stage hepatocellular carcinoma. PATIENTS AND

methodsA randomized phase II trial was conducted in three tertiary referral centers in the United Kingdom. Eligible patients were randomly assigned in a 1:1 ratio to TACE + preconditioning cyclophosphamide or to TACE + preconditioning cyclophosphamide + DC infusions. The primary endpoint was progression-free survival time using RECIST v1.1 criteria. Additional endpoints included safety and immune responses.

resultsBetween March 2016 and October 2019, 55 patients were randomized, of whom 48 were evaluable (24 in each group). The median progression-free survival time using RECIST criteria was 18.6 months in patients treated with chemoembolization + preconditioning cyclophosphamide + DC infusions compared with 10.4 months in those treated with chemoembolization + preconditioning cyclophosphamide alone (HR = 0.43; upper value of one-sided 80% confidence interval, 0.57; P = 0.016). The addition of DC infusions did not significantly increase the incidence or severity of adverse events. An enhanced antigen (α-fetoprotein)-specific immune response was observed in patients treated with DC vaccination.

conclusionsThe addition of DC infusions to TACE and preconditioning cyclophosphamide has shown promising preliminary activity and merits further investigation in a larger randomized trial.

Indexed as

Cancer VaccinesCarcinoma, HepatocellularChemoembolization, TherapeuticCyclophosphamideDendritic CellsLiver NeoplasmsAdultAgedCombined Modality TherapyFemaleHumansMaleMiddle AgedVaccinationCancer VaccinesCyclophosphamide

Identifiers

PMID40499144
PMCPMC12351282

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.