Evidence map›Paper›PMID 24297049›Full record

Trial reportMolecular therapy : the journal of the American Society of Gene Therapy2014

Adoptive T-cell transfer and chemotherapy in the first-line treatment of metastatic and/or locally recurrent nasopharyngeal carcinoma.

Whay-Kuang Chia, Marissa Teo, Who-Whong Wang, Bernett Lee, Soo-Fan Ang, Wai-Meng Tai, Chit-Lai Chee, Joanna Ng, Rebecca Kan, Wan-Teck Lim and 7 more

Abstract readClinical Trial, Phase II
In one paragraph

Trial report in Molecular therapy : the journal of the American Society of Gene Therapy, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 138 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
138citing papers in PubMed, 2 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.

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

138 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Epstein-Barr virus-targeted therapy in nasopharyngeal carcinoma.Journal of cancer research and clinical oncology · 2015
    Trial
  8. Trial
  9. Review
  10. Review
  11. Article
  12. Review
  13. Review
  14. Afatinib exerts an inhibitory effect on T cell-mediated cytotoxicity.Cancer immunology, immunotherapy : CII · 2026
    Article
  15. Review
  16. Adoptive T-cell therapy for virus-associated diseases.Clinical microbiology reviews · 2025
    Review
  17. Viral oncogenesis in cancer: from mechanisms to therapeutics.Signal transduction and targeted therapy · 2025
    Review
  18. Review
  19. Article
  20. Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors.

Whay-Kuang ChiaDivision of Medical Oncology, National Cancer Centre, Singapore.
Marissa TeoDivision of Medical Oncology, National Cancer Centre, Singapore.
Who-Whong WangDivision of Medical Oncology, National Cancer Centre, Singapore.
Bernett LeeSingapore Immunology Network, Agency for Science, Technology and Research, Singapore.
Soo-Fan AngDivision of Medical Oncology, National Cancer Centre, Singapore.
Wai-Meng TaiDivision of Medical Oncology, National Cancer Centre, Singapore.
Chit-Lai CheeDivision of Medical Oncology, National Cancer Centre, Singapore.
Joanna NgDivision of Medical Oncology, National Cancer Centre, Singapore.
Rebecca KanDivision of Medical Oncology, National Cancer Centre, Singapore.
Wan-Teck LimDivision of Medical Oncology, National Cancer Centre, Singapore.
Sze-Huey TanDivision of Clinical Trials and Epidemiological Research, National Cancer Centre, Singapore.
Whee-Sze OngDivision of Clinical Trials and Epidemiological Research, National Cancer Centre, Singapore.
Yin-Bun CheungDuke-NUS Graduate Medical School, Singapore.
Eng-Huat TanDivision of Medical Oncology, National Cancer Centre, Singapore.
John E ConnollySingapore Immunology Network, Agency for Science, Technology and Research, Singapore.
Stephen GottschalkCenter for Cell and Gene Therapy, Texas Children's Hospital, The Methodist Hospital, Baylor College of Medicine, Houston, Texas, USA.
Han-Chong TohDivision of Medical Oncology, National Cancer Centre, Singapore.

Funding

VECTOR PRODUCTIONP01CA094237 · NCI · BAYLOR COLLEGE OF MEDICINE · PI HESLOP, HELEN E, ROONEY, CLIONA M. · 2002 to 2017
$27.8M
NCI NIH HHS 2P01 CA94237NCI NIH HHS P01 CA094237
6 · The paper itself

Abstract

The outcomes for patients with metastatic or locally recurrent Epstein-Barr virus (EBV)-positive nasopharyngeal carcinoma (NPC) remain poor. Adoptive immunotherapy with EBV-specific cytotoxic T lymphocytes (EBV-CTLs) has proven clinical efficacy, but it has never been evaluated in the first-line treatment setting in combination with chemotherapy. To evaluate the safety and efficacy of a chemotherapy in combination with adoptive EBV-CTL transfer, we conducted a phase 2 clinical trial consisting of four cycles of gemcitabine and carboplatin (GC) followed by up to six doses of EBV-CTL. Thirty-eight patients were enrolled, and 35 received GC and EBV-CTL. GC-CTL therapy resulted in a response rate of 71.4% with 3 complete responses and 22 partial responses. With a median follow up of 29.9 months, the 2-year and 3-year overall survival (OS) rate was 62.9 and 37.1%, respectively. Five patients did not require further chemotherapy for more than 34 months since initiation of CTL. Infusion of CTL products containing T cells specific for LMP2 positively correlated with OS (hazard ratio: 0.35; 95% confidence interval: 0.14-0.84; P = 0.014). Our study achieved one of the best survival outcomes in patients with advanced NPC, setting the stage for a future randomized study of chemotherapy with and without EBV-CTL.

Indexed as

Immunotherapy, AdoptiveAdultAgedAntineoplastic Combined Chemotherapy ProtocolsCarcinomaCell Line, TumorEpstein-Barr Virus InfectionsFemaleHerpesvirus 4, HumanHumansMaleMiddle AgedNasopharyngeal CarcinomaNasopharyngeal NeoplasmsNeoplasm MetastasisNeoplasm Recurrence, LocalEBV-associated membrane antigen, Epstein-Barr virusViral Matrix Proteins

Identifiers

PMID24297049
PMCPMC3978790

What OpenQuestion holds

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LicenceCC BY-NC-SA
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.