Evidence map›Paper›PMID 42120910›Full record

ArticleNature cancer2026

Adjuvant personalized multivalent neoantigen DNA vaccination for MGMT unmethylated glioblastoma: a phase 1 trial.

Elizabeth A R Garfinkle, Renzo Perales-Linares, Ryan C Gimple, Alexandra J Livingstone, Kaleigh F Roberts, Omar H Butt, S Peter Goedegebuure, Michael D McLellan, Gue Su Chang, Jasreet Hundal and 26 more

Erratum issued Registry-linked trialAbstract readClinical Trial, Phase I
In one paragraph

Article in Nature cancer, 2026. 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 NCT04015700 (A Pilot Study to Assess the Safety, Feasibility, and Immunogenicity of a Neoantigen-based Personalized in Patients With Newly Diagnosed, Unmethylated Glioblastoma), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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.

NCT04015700 phase1active not recruitingnot on this map

A Pilot Study to Assess the Safety, Feasibility, and Immunogenicity of a Neoantigen-based Personalized in Patients With Newly Diagnosed, Unmethylated Glioblastoma

TypeinterventionalSponsorWashington University School of MedicineRan2020 to 2027Enrolled9ConditionsGlioblastomaArmsPersonalized neoantigen DNA vaccine supplied by Geneos Therapeutics, CELLECTRA®2000 EP Device supplied by Geneos Therapeutics, Plasmid encoded IL-12
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Automating neoantigen selection for personalized cancer vaccine design.medRxiv : the preprint server for health sciences · 2026
    Article
  2. Article
  3. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

36 authors.

Elizabeth A R GarfinkleThe Steve and Cindy Rasmussen Institute for Genomic Medicine, Nationwide Children's Hospital, Columbus, OH, USA.ORCID http://orcid.org/0000-0002-7292-4347
Renzo Perales-LinaresGeneos Therapeutics, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0001-5309-8249
Ryan C GimpleDepartment of Medicine, Washington University School of Medicine, St. Louis, MO, USA.
Alexandra J LivingstoneDivision of Medical Oncology, Washington University School of Medicine, St. Louis, MO, USA.
Kaleigh F RobertsDepartment of Pathology and Immunology, Washington University School of Medicine, St. Louis, MO, USA.ORCID http://orcid.org/0000-0001-6483-9153
Omar H ButtDivision of Medical Oncology, Washington University School of Medicine, St. Louis, MO, USA.
S Peter GoedegebuureThe Brain Tumor Center at Siteman Cancer Center, Washington University in St. Louis, St. Louis, MO, USA.
Michael D McLellanMcDonnell Genome Institute, Washington University School of Medicine, St. Louis, MO, USA.
Gue Su ChangMcDonnell Genome Institute, Washington University School of Medicine, St. Louis, MO, USA.
Jasreet HundalMcDonnell Genome Institute, Washington University School of Medicine, St. Louis, MO, USA.
Jian YanGeneos Therapeutics, Philadelphia, PA, USA.
Jaye B NavarroThe Steve and Cindy Rasmussen Institute for Genomic Medicine, Nationwide Children's Hospital, Columbus, OH, USA.ORCID http://orcid.org/0000-0001-8683-0192
Sophia A PaxtonThe Steve and Cindy Rasmussen Institute for Genomic Medicine, Nationwide Children's Hospital, Columbus, OH, USA.
Srestha ChattopadhyayThe Steve and Cindy Rasmussen Institute for Genomic Medicine, Nationwide Children's Hospital, Columbus, OH, USA.
Neil CoochGeneos Therapeutics, Philadelphia, PA, USA.
Alfredo Perales-PuchaltGeneos Therapeutics, Philadelphia, PA, USA.
Konstantina StavroulakiDepartment of Radiation Oncology, Washington University School of Medicine, St. Louis, MO, USA.
Sarah RochestieGeneos Therapeutics, Philadelphia, PA, USA.
Joann PetersGeneos Therapeutics, Philadelphia, PA, USA.
Beth JunkerBioProcess Advantage LLC, Westfield, NJ, USA.
Jian L CampianDepartment of Neurology, Mayo Clinic, Rochester, MN, USA.
Milan G ChhedaDepartment of Medicine, Washington University School of Medicine, St. Louis, MO, USA.
Michael R ChicoineDepartment of Neurosurgery, University of Missouri, Columbia, MO, USA.
Albert H KimThe Brain Tumor Center at Siteman Cancer Center, Washington University in St. Louis, St. Louis, MO, USA.
Jon T WillieDepartment of Neurosurgery, Washington University School of Medicine, St. Louis, MO, USA.
Gregory J ZipfelThe Brain Tumor Center at Siteman Cancer Center, Washington University in St. Louis, St. Louis, MO, USA.
Joshua L DowlingThe Brain Tumor Center at Siteman Cancer Center, Washington University in St. Louis, St. Louis, MO, USA.
Christopher A MillerDepartment of Medicine, Washington University School of Medicine, St. Louis, MO, USA.
Obi L GriffithDepartment of Medicine, Washington University School of Medicine, St. Louis, MO, USA.ORCID http://orcid.org/0000-0002-0843-4271
Malachi GriffithDepartment of Medicine, Washington University School of Medicine, St. Louis, MO, USA.ORCID http://orcid.org/0000-0002-6388-446X
William E GillandersDepartment of Surgery, Washington University School of Medicine, St. Louis, MO, USA.ORCID http://orcid.org/0000-0002-0465-3071
Katherine E MillerThe Steve and Cindy Rasmussen Institute for Genomic Medicine, Nationwide Children's Hospital, Columbus, OH, USA.ORCID http://orcid.org/0000-0003-1054-0476
Elaine R MardisThe Steve and Cindy Rasmussen Institute for Genomic Medicine, Nationwide Children's Hospital, Columbus, OH, USA.ORCID http://orcid.org/0000-0002-5892-1553
Niranjan Y SardesaiGeneos Therapeutics, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0001-6920-1167
Gavin P DunnDepartment of Neurosurgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Tanner M JohannsDivision of Medical Oncology, Washington University School of Medicine, St. Louis, MO, USA. tannerjohanns@wustl.edu.ORCID http://orcid.org/0000-0003-1094-1528

Funding

Washington University Paul Calabresi K12 Career Development Award for Clinical OncologyK12CA167540 · NCI · WASHINGTON UNIVERSITY · PI John F. Dipersio, Ramaswamy Govindan · 2012 to 2026
$11.7M
Targeting Neoantigens in GlioblastomaR01NS112712 · NINDS · WASHINGTON UNIVERSITY · PI DUNN, GAVIN PETER · 2019 to 2024
$2.3M
Leveraging Zika virus and the immune system to treat glioblastomaR01NS117149 · NINDS · WASHINGTON UNIVERSITY · PI CHHEDA, MILAN GIRISH · 2021 to 2025
$2.1M
Understanding how ZFHX4 drives the glioblastoma tumor propagating cell stateR01NS107833 · NINDS · WASHINGTON UNIVERSITY · PI CHHEDA, MILAN GIRISH · 2018 to 2022
$1.7M
NCI NIH HHS K12 CA167540NINDS NIH HHS R01 NS107833NINDS NIH HHS R01 NS112712NINDS NIH HHS R01 NS117149
6 · The paper itself

Abstract

Glioblastoma is a fatal disease with a median prognosis of 12-18 months. Recent studies have shown encouraging results using neoantigen-based vaccines to stimulate glioblastoma-directed immune responses, but overall immunogenicity has been low. Here, we report the results of an open-label, single-arm, phase 1 clinical trial (GT-20) to evaluate the safety and feasibility (primary endpoints) as well as immunogenicity and preliminary clinical activity (secondary endpoints) of GNOS-PV01 monotherapy, a DNA-based personalized therapeutic cancer vaccine administered following surgical resection and radiation for patients with MGMT unmethylated glioblastoma. The GT-20 study vaccinated nine patients, using up to 40 neoantigens per patient (range, 17-40) without causing any serious adverse events, unexpected toxicities or dose-limiting toxicities. The vaccine induced activation and expansion of circulating peripheral T cells in all evaluated patients, except one who was being treated with dexamethasone. The secondary endpoint was to evaluate 6 month progression-free survival and 12 month overall survival; each observed in 66.7% of patients. Median progression-free survival was 8.5 months, median overall survival was 16.3 months and survival at 24 months was 33%, including one long-term survivor still alive 4 years from the time of initial surgery. This study met the pre-specified endpoints and supports the use of GNOS-PV01 as a potentially impactful component of glioblastoma immunotherapy. ClinicalTrials.gov: NCT04015700 .

Indexed as

Antigens, NeoplasmBrain NeoplasmsCancer VaccinesDNA Modification MethylasesDNA Repair EnzymesGlioblastomaTumor Suppressor ProteinsVaccines, DNAAdjuvants, ImmunologicAdultAgedDNA MethylationFemaleHumansMaleMiddle AgedAdjuvants, ImmunologicAntigens, NeoplasmCancer VaccinesDNA Modification MethylasesDNA Repair EnzymesMGMT protein, humanTumor Suppressor ProteinsVaccines, DNA

Identifiers

PMID42120910
PMCPMC13400305

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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.