Evidence map›Paper›PMID 23100308›Full record

Trial reportBlood2013

Clinical regressions and broad immune activation following combination therapy targeting human NKT cells in myeloma.

Joshua Richter, Natalia Neparidze, Lin Zhang, Shiny Nair, Tamara Monesmith, Ranjini Sundaram, Fred Miesowicz, Kavita M Dhodapkar, Madhav V Dhodapkar

Open access · bronzeAbstract readClinical Trial
In one paragraph

Trial report in Blood, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 109 papers.

0numbers the graph read from it
0cells of the map it votes in
109citing papers in PubMed
6.8field-weighted citation impact, top 2% of its field
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

109 citing papers in PubMed, 164 citations in OpenAlex.

  1. Trial
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  5. Checkpoint Inhibition of KIR2D with the Monoclonal Antibody IPH2101 Induces Contraction and Hyporesponsiveness of NK Cells in Patients with Myeloma.Clinical cancer research : an official journal of the American Association for Cancer Research · 2016
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  6. Trial
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  10. Article
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  12. Facts and Hopes of Chimeric Antigen Receptor-Redirected NK T Cells.Clinical cancer research : an official journal of the American Association for Cancer Research · 2025
    Review
  13. Review
  14. Review
  15. Review
  16. Review
  17. Article
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49 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Joshua RichterDepartment of Medicine, Yale University School of Medicine, New Haven, CT 06510, USA.
Natalia Neparidze
Lin Zhang
Shiny Nair
Tamara Monesmith
Ranjini Sundaram
Fred Miesowicz
Kavita M Dhodapkar
Madhav V Dhodapkar
Yale University · USArgos Therapeutics (United States) · US

Funding

Anti-Tumor immunity in myelomaR01CA106802 · NCI · YALE UNIVERSITY · PI DHODAPKAR, MADHAV V · 2004 to 2016
$3.3M
Targeting myeloma via dendritic cellsR01CA109465 · NCI · YALE UNIVERSITY · PI DHODAPKAR, MADHAV V · 2005 to 2009
$1.6M
Immunity to stem cell antigens in preneoplastic gammopathyR01CA135110 · NCI · YALE UNIVERSITY · PI DHODAPKAR, MADHAV V · 2008 to 2013
$1.6M
NCI NIH HHS R01 CA106802NCI NIH HHS R01 CA109465NCI NIH HHS R01 CA135110
6 · The paper itself

Abstract

Natural killer T (iNKT) cells can help mediate immune surveillance against tumors in mice. Prior studies targeting human iNKT cells were limited to therapy of advanced cancer and led to only modest activation of innate immunity. Clinical myeloma is preceded by an asymptomatic precursor phase. Lenalidomide was shown to mediate antigen-specific costimulation of human iNKT cells. We treated 6 patients with asymptomatic myeloma with 3 cycles of combination of α-galactosylceramide-loaded monocyte-derived dendritic cells and low-dose lenalidomide. Therapy was well tolerated and led to reduction in tumor-associated monoclonal immunoglobulin in 3 of 4 patients with measurable disease. Combination therapy led to activation-induced decline in measurable iNKT cells and activation of NK cells with an increase in NKG2D and CD56 expression. Treatment also led to activation of monocytes with an increase in CD16 expression. Each cycle of therapy was associated with induction of eosinophilia as well as an increase in serum soluble IL2 receptor. Clinical responses correlated with pre-existing or treatment-induced antitumor T-cell immunity. These data demonstrate synergistic activation of several innate immune cells by this combination and the capacity to mediate tumor regression. Combination therapies targeting iNKT cells may be of benefit toward prevention of cancer in humans.

Indexed as

AgedAntineoplastic AgentsCombined Modality TherapyDendritic CellsDrug SynergismFemaleGalactosylceramidesHumansKiller Cells, NaturalLenalidomideLymphocyte ActivationMaleMiddle AgedMonocytesMultiple MyelomaThalidomideAntineoplastic AgentsGalactosylceramidesKRN 7000LenalidomideThalidomide

Identifiers

PMID23100308
PMCPMC3548165
OpenAlexW2059229059

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.