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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
5
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pubmed:dateCreated |
1992-3-25
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pubmed:abstractText |
The authors investigated whether there was a relationship between the induction of a delayed-type hypersensitivity (DTH) response to melanoma vaccine immunization and disease recurrence. They studied prospectively 94 evaluable patients with surgically resected Stage II malignant melanoma who were immunized to a partially purified, polyvalent, melanoma antigen vaccine. The DTH response to skin tests to the vaccine was measured before treatment and at the fourth vaccine immunization. Vaccine treatment induced a strong DTH response in 29 (31%) patients, an intermediate response in 24 (25%), and no response in 41 (44%). The median disease-free survival (DFS) of patients with a strong, intermediate, and no DTH response to vaccine immunization was more than 72 months, 24 months, and 15 months, respectively. The relationship between an increase in the DTH response and a prolonged DFS was statistically significant (P = 0.02); clinically meaningful (the median DFS of patients with a strong DTH response was 4.7 years longer than that of nonresponders); and, by multivariate analysis, independent of disease severity or overall immune competence. These findings suggest, but do not prove, that vaccine treatment can slow the progression of melanoma in some patients.
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pubmed:grant | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:status |
MEDLINE
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pubmed:month |
Mar
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pubmed:issn |
0008-543X
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:day |
1
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pubmed:volume |
69
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1157-64
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pubmed:dateRevised |
2007-11-14
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pubmed:meshHeading |
pubmed-meshheading:1739915-Adult,
pubmed-meshheading:1739915-Female,
pubmed-meshheading:1739915-Follow-Up Studies,
pubmed-meshheading:1739915-Humans,
pubmed-meshheading:1739915-Hypersensitivity, Delayed,
pubmed-meshheading:1739915-Immunotherapy,
pubmed-meshheading:1739915-Male,
pubmed-meshheading:1739915-Melanoma,
pubmed-meshheading:1739915-Middle Aged,
pubmed-meshheading:1739915-Neoplasm Recurrence, Local,
pubmed-meshheading:1739915-Neoplasm Staging,
pubmed-meshheading:1739915-Prospective Studies,
pubmed-meshheading:1739915-Skin Neoplasms,
pubmed-meshheading:1739915-Skin Tests,
pubmed-meshheading:1739915-Survival Rate,
pubmed-meshheading:1739915-Treatment Outcome
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pubmed:year |
1992
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pubmed:articleTitle |
Relationship between immune response to melanoma vaccine immunization and clinical outcome in stage II malignant melanoma.
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pubmed:affiliation |
Department of Dermatology, New York University School of Medicine, NY 10016.
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pubmed:publicationType |
Journal Article,
Research Support, U.S. Gov't, P.H.S.,
Research Support, Non-U.S. Gov't
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