Evidence map›Paper›PMID 22738379›Full record

ArticleTransfusion2013

Autologous stem cell transplant recipients tolerate haploidentical related-donor natural killer cell-enriched infusions.

Hans Klingemann, Carrie Grodman, Elliott Cutler, Marvin Duque, Diane Kadidlo, Andreas K Klein, Kellie A Sprague, Kenneth B Miller, Raymond L Comenzo, Tarun Kewalramani and 3 more

Abstract readClinical Trial, Phase I
In one paragraph

Article in Transfusion, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing 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

25 citing papers in PubMed.

  1. Haploidentical Natural Killer Cells Infused before Allogeneic Stem Cell Transplantation for Myeloid Malignancies: A Phase I Trial.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2016
    Trial
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  8. Immunomodulation as a Therapy forJournal of fungi (Basel, Switzerland) · 2018
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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

13 authors.

Hans KlingemannDivision of Hematology/Oncology, Tufts Medical Center, Boston, Massachusetts 02111, USA. hklingemann@tuftsmedicalcenter.org
Carrie Grodman
Elliott Cutler
Marvin Duque
Diane Kadidlo
Andreas K Klein
Kellie A Sprague
Kenneth B Miller
Raymond L Comenzo
Tarun Kewalramani
Neng Yu
Richard A Van Etten
David H McKenna

Funding

Novel Cellular Therapies for Ph+ leukemiaR01HL093981 · NHLBI · TUFTS MEDICAL CENTER · PI KLINGEMANN, HANS, VAN ETTEN, RICHARD A. · 2009 to 2010
$1.4M
NHLBI NIH HHS N01 HB037166NHLBI NIH HHS R01 HL093981
6 · The paper itself

Abstract

backgroundIn the setting of allogeneic stem cell transplantation (SCT), infusing natural killer (NK) cells from a major histocompatibility complex (MHC)-mismatched donor can mediate an antileukemic effect. The graft-versus-tumor effect after autologous stem cell transplantation (ASCT) may result in less disease relapse. STUDY DESIGN AND

methodsWe performed a Phase I clinical trial to assess the safety and feasibility of infusing distantly processed donor NK-enriched mononuclear cell (NK-MNC) infusions from a MHC haplotype-mismatched (haploidentical) donor to patients who recently underwent ASCT for a hematologic malignancy. On Day 1, peripheral blood MNCs were obtained by steady-state leukapheresis and sent from Boston to the Production Assistance for Cellular Therapies (PACT) facility at the University of Minnesota, where immunomagnetic depletion of CD3 cells was performed on Day 2. NK-MNC products were then returned to Boston on Day 2 for infusion on Day 3. Toxicity, cellular product characteristics, and logistic events were monitored.

resultsAt a median of 90 days (range, 49-191 days) after ASCT, 13 patients were treated with escalating doses of NK-MNCs per kilogram from 10(5) to 2 × 10(7) . Adverse effects included Grade 2 rigors and muscle aches, but no Grade 3 or 4 events and no graft-versus-host disease or marrow suppression. One air courier delay occurred. NK-MNC products were viable with cytotoxic activity after transport.

conclusionCD3-depleted, MHC-mismatched allogeneic NK-MNC infusions can be safely and feasibly administered to patients after ASCT after distant processing and transport, justifying further development of this approach.

Indexed as

Blood DonorsAdultAgedFamilyFeasibility StudiesFemaleHaplotypesHematologic NeoplasmsHematopoietic Stem Cell TransplantationHumansImmune ToleranceInfusions, IntravenousKiller Cells, NaturalLeukapheresisMaleMiddle Aged

Identifiers

PMID22738379
PMCPMC3549470

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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.