Evidence map›Paper›PMID 19952961›Full record

ArticleJournal of immunotherapy (Hagerstown, Md. : 1997)2010

Increased intensity lymphodepletion enhances tumor treatment efficacy of adoptively transferred tumor-specific T cells.

Claudia Wrzesinski, Chrystal M Paulos, Andrew Kaiser, Pawel Muranski, Douglas C Palmer, Luca Gattinoni, Zhiya Yu, Steven A Rosenberg, Nicholas P Restifo

2 registry-linked trialsAbstract read
In one paragraph

Article in Journal of immunotherapy (Hagerstown, Md. : 1997), 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 172 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
172citing papers in PubMed, 1 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.

NCT01513109 phase1 / phase2unknown statusnot on this mapstarted 2011, after this paper: background citation

A Phase I/II Study to Assess the Safety and Immunogenicity of WT1-A10 + AS01B Antigen-Specific Cancer Immunotherapeutic (ASCI) Combined With Infusions of ex Vivo Regulatory T Cells Depleted T Lymphocytes in in Vivo Regulatory T Cells Depleted Patients as Post-consolidation Therapy for Adult Patients With WT1-positive Acute Myeloid Leukemia (AML) in CR1 (for High Risk Patients) or in CR2 or CR3 Who Are Not Eligible for Allogeneic Stem Cell Transplantation (SCT).

TypeinterventionalSponsorJules Bordet InstituteRan2011 to 2014Enrolled20ConditionsAcute Myelogenous Leukemia, Myeloid Leukemia in Remission, Effects of ImmunotherapyArmsRecombinant WT1 Antigen-Specific Cancer Immunotherapeutic (ASCI)
NCT02771197 phase2completednot on this mapstarted 2016, after this paper: background citation

Phase II Trial of Lymphodepletion and Anti-PD-1 Blockade to Reduce Relapse in High Risk AML Patients Who Are Not Eligible for Allogeneic Stem Cell Transplantation

TypeinterventionalSponsorNorthside Hospital, Inc.Ran2016 to 2023Enrolled20ConditionsAcute Myeloid LeukemiaArmsFludarabine, Melphalan, Pembrolizumab
3 · Its place in the literature

Who cites it

172 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Durable complete responses in heavily pretreated patients with metastatic melanoma using T-cell transfer immunotherapy.Clinical cancer research : an official journal of the American Association for Cancer Research · 2011
    Trial
  7. CD8+ enriched "young" tumor infiltrating lymphocytes can mediate regression of metastatic melanoma.Clinical cancer research : an official journal of the American Association for Cancer Research · 2010
    Trial
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Review
  14. Review
  15. Imaging the efficacy and side effects of CAR T-cell therapy in children and young adults.Cancer imaging : the official publication of the International Cancer Imaging Society · 2026
    Review
  16. Article
  17. Article
  18. Review
  19. Review
  20. Review

112 more citing papers are in PubMed but not listed here.

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

9 authors.

Claudia WrzesinskiSurgery Branch, National Cancer Institute, National Institute of Health, Bethesda, MD 20892, USA.
Chrystal M Paulos
Andrew Kaiser
Pawel Muranski
Douglas C Palmer
Luca Gattinoni
Zhiya Yu
Steven A Rosenberg
Nicholas P Restifo

Funding

Adoptive Cell Transfer Immunotherapy of CancerZIABC010984 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI ROSENBERG, STEVEN · 2009 to 2025
$56.8M
Gene therapy of cancerZIABC010985 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI ROSENBERG, STEVEN · 2009 to 2025
$56.8M
Building on the success of the adoptive immunotherapy of cancerZIABC010763 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI ROSENBERG, STEVEN · 2009 to 2020
$25.0M
Developing new immunotherapies based of CD4+ T cellsZIABC011037 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI RESTIFO, NICHOLAS · 2009 to 2014
$4.4M
Intramural NIH HHS Z99 CA999999Intramural NIH HHS ZIA BC010763Intramural NIH HHS ZIA BC011037NCI NIH HHS Y99 CA999999
6 · The paper itself

Abstract

Lymphodepletion before adoptive cell transfer (ACT)-based immunotherapies can enhance anti-tumor responses by augmenting innate immunity, by increasing access to homeostatic cytokines, and by depressing the numbers of regulatory T cells and myeloid-derived suppressor cells. Although it is clear that high-dose total body irradiation given together with hematopoietic stem cell (HSC) transplantation effectively enhances ACT, the relationship between the intensity of lymphodepletion and tumor treatment efficacy has not been systematically studied. Using the pmel-1 mouse model of self/tumor-reactive CD8 T cells, we observed a strong correlation between the intensity of the conditioning regimen and the efficacy of ACT-based treatments using linear regression analysis. This was the case for preparative total body irradiation administered either as a single dose (R=0.97, P<0.001) or in fractionated doses (R=0.94, P<0.001). Increased amounts of preparative total body irradiation were directly correlated with progressively more favorable ratios of transferred tumor-reactive CD8 T cells toward endogenous cells with the potential for inhibitory activity including: CD4 cells (potentially T regulatory cells); Gr1 cells (which are capable of functioning as myeloid-derived suppressor cells); and endogenous CD8 and natural killer 1.1 cells (that can act as "sinks" for homeostatic cytokines in the postablative setting). With increasing ablation, we also observed elevated lipopolysaccharide levels in the sera and heightened levels of systemic inflammatory cytokines. Thus, increased intensity lymphodepletion triggers enhanced tumor treatment efficacy and the benefits of high-dose total body irradiation must be titrated against its risks.

Indexed as

Adoptive TransferAnimalsCell SeparationFlow CytometryImmunotherapyLymphocyte DepletionMiceMice, TransgenicNeoplasmsT-LymphocytesT-Lymphocyte SubsetsWhole-Body Irradiation

Identifiers

PMID19952961
PMCPMC3247626

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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.