Evidence map›Paper›PMID 24719405›Full record

Trial reportBlood2014

Clearance of acute myeloid leukemia by haploidentical natural killer cells is improved using IL-2 diphtheria toxin fusion protein.

Veronika Bachanova, Sarah Cooley, Todd E Defor, Michael R Verneris, Bin Zhang, David H McKenna, Julie Curtsinger, Angela Panoskaltsis-Mortari, Dixie Lewis, Keli Hippen and 4 more

3 registry-linked trialsAbstract readClinical Trial
In one paragraph

Trial report in Blood, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 274 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
274citing papers in PubMed, 4 pooled it
15.7field-weighted citation impact, top 1% 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.

NCT00274846 phase2completednot on this map

Allogeneic Natural Killer Cells in Patients With Relapsed Acute Myelogenous Leukemia

TypeinterventionalSponsorMasonic Cancer Center, University of MinnesotaRan2005 to 2008Enrolled21ConditionsLeukemiaArmsaldesleukin, therapeutic allogeneic lymphocytes, cyclophosphamide, fludarabine phosphate, in vitro treated peripheral blood stem cell transplantation
NCT01106950 phase2terminatednot on this map

Adoptive Transfer of Haploidentical Natural Killer Cells to Treat Refractory or Relapsed AML MT2010-02

TypeinterventionalSponsorMasonic Cancer Center, University of MinnesotaRan2010 to 2012Enrolled15ConditionsLeukemia, Myelogenous, AcuteArmsNatural Killer Cells, Fludarabine, Cyclophosphamide, Denileukin diftitox, Donor lymphapheresis
NCT05333705 phase1unknown statusnot on this mapstarted 2021, after this paper: background citation

Trial of Donor Immune Cell Therapy for Acute Myeloid Leukemia.

TypeinterventionalSponsorFirst Affiliated Hospital Xi'an Jiaotong UniversityRan2021 to 2024Enrolled15ConditionsAcute Myeloid LeukemiaArmsinfusion of natural killer cells
3 · Its place in the literature

Who cites it

274 citing papers in PubMed, 4 syntheses or guidelines pooled it, 425 citations in OpenAlex.

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 2 institutions in 1 country.

Veronika BachanovaDepartment of Medicine.
Sarah CooleyDepartment of Medicine.
Todd E DeforDepartment of Pediatrics.
Michael R VernerisLaboratory Medicine and Pathology.
Bin ZhangDepartment of Medicine.
David H McKennaMasonic Cancer Center, and Blood and Marrow Transplant Program, University of Minnesota, Minneapolis, MN.
Julie CurtsingerMasonic Cancer Center, and Blood and Marrow Transplant Program, University of Minnesota, Minneapolis, MN.
Angela Panoskaltsis-MortariLaboratory Medicine and Pathology.
Dixie LewisDepartment of Pediatrics.
Keli HippenLaboratory Medicine and Pathology.
Philip McGlaveDepartment of Medicine.
Daniel J WeisdorfDepartment of Medicine.
Bruce R BlazarLaboratory Medicine and Pathology.
Jeffrey S MillerDepartment of Medicine.
University of Minnesota · USPediatrics and Genetics · US

Funding

Women's CancerP30CA077598 · NCI · UNIVERSITY OF MINNESOTA TWIN CITIES · PI Douglas Yee · 1998 to 2026
$100.4M
Trial Design and Biostatistical Support CoreP01CA065493 · NCI · UNIVERSITY OF MINNESOTA TWIN CITIES · PI John E. Wagner · 1995 to 2026
$48.2M
Therapeutic Potential of Adaptive NK Cells in Cancer and TransplantationP01CA111412 · NCI · UNIVERSITY OF MINNESOTA TWIN CITIES · PI MILLER, JEFFREY S. · 2005 to 2025
$38.2M
University of Minnesota Clinical and Translational Science Institute (UMN CTSI)UL1TR000114 · NCATS · UNIVERSITY OF MINNESOTA · PI BLAZAR, BRUCE R · 2012 to 2015
$35.0M
Project 3: Humoral Targets and B Cell Biology in Chronic Graft-vs.-Host DiseaseP01CA142106 · NCI · DANA-FARBER CANCER INST · PI CUTLER, COREY S · 2009 to 2019
$17.5M
Enhancing Treg Therapeutic Efficacy in GVHDR01HL118979 · NHLBI · UNIVERSITY OF MINNESOTA · PI BLAZAR, BRUCE R, HIPPEN, KELI L · 2014 to 2025
$6.7M
IN VIVO PREVENTION OF MURINE GVHDR01AI034495 · NIAID · UNIVERSITY OF MINNESOTA TWIN CITIES · PI BLAZAR, BRUCE R · 1993 to 2016
$6.2M
University of Minnesota Clinical and Translational Science Institute (UMN CTSI)KL2TR000113 · NCATS · UNIVERSITY OF MINNESOTA · PI BLAZAR, BRUCE R · 2012 to 2015
$5.4M
T-CELL TARGETING FOR GVHDR01HL056067 · NHLBI · UNIVERSITY OF MINNESOTA TWIN CITIES · PI BLAZAR, BRUCE R · 1995 to 2022
$5.4M
GVL TO REDUCE AML RELAPSE AFTER MURINE ALLOGENEIC BMTR01CA072669 · NCI · UNIVERSITY OF MINNESOTA TWIN CITIES · PI BLAZAR, BRUCE R · 1997 to 2017
$4.9M
Inducible Regulatory T Cells for the Prevention and Treatment of Acute GVHDR01HL114512 · NHLBI · UNIVERSITY OF MINNESOTA · PI MACMILLAN, MARGARET L · 2012 to 2016
$3.0M
Lymphoid Tissue Inducer/NK22 Cells and Post-transplant Immune RecoveryR01AI100879 · NIAID · UNIVERSITY OF MINNESOTA · PI VERNERIS, MICHAEL R. · 2013 to 2017
$1.9M
NCATS NIH HHS KL2 TR000113NCATS NIH HHS UL1 TR000114NCATS NIH HHS UL1TR000114NCI NIH HHS P01 CA065493NCI NIH HHS P01 CA111412NCI NIH HHS P01 CA142106NCI NIH HHS P01 CA65493NCI NIH HHS P30 CA077598NCI NIH HHS R01 CA072669NCI NIH HHS R01 CA72669NHLBI NIH HHS R01 HL056067NHLBI NIH HHS R01 HL114512NHLBI NIH HHS R01 HL118979NIAID NIH HHS R01 AI034495NIAID NIH HHS R01 AI100879
6 · The paper itself

Abstract

Haploidentical natural killer (NK) cell infusions can induce remissions in some patients with acute myeloid leukemia (AML) but regulatory T-cell (Treg) suppression may reduce efficacy. We treated 57 refractory AML patients with lymphodepleting cyclophosphamide and fludarabine followed by NK cell infusion and interleukin (IL)-2 administration. In 42 patients, donor NK cell expansion was detected in 10%, whereas in 15 patients receiving host Treg depletion with the IL-2-diphtheria fusion protein (IL2DT), the rate was 27%, with a median absolute count of 1000 NK cells/μL blood. IL2DT was associated with improved complete remission rates at day 28 (53% vs 21%; P = .02) and disease-free survival at 6 months (33% vs 5%; P < .01). In the IL2DT cohort, NK cell expansion correlated with higher postchemotherapy serum IL-15 levels (P = .002), effective peripheral blood Treg depletion (<5%) at day 7 (P < .01), and decreased IL-35 levels at day 14 (P = .02). In vitro assays demonstrated that Tregs cocultured with NK cells inhibit their proliferation by competition for IL-2 but not for IL-15. Together with our clinical observations, this supports the need to optimize the in vivo cytokine milieu where adoptively transferred NK cells compete with other lymphocytes to improve clinical efficacy in patients with refractory AML. This study is registered at clinicaltrials.gov, identifiers: NCT00274846 and NCT01106950.

Indexed as

Acute DiseaseAdolescentAdultAgedAntineoplastic Combined Chemotherapy ProtocolsCell ProliferationChildChild, PreschoolCoculture TechniquesCombined Modality TherapyCyclophosphamideDiphtheria ToxinFemaleHumansInterleukin-2K562 CellsCyclophosphamideDiphtheria ToxinfludarabineInterleukin-2interleukin 2-diphtheria toxinRecombinant Fusion ProteinsVidarabine

Identifiers

PMID24719405
PMCPMC4064329
OpenAlexW1981137720

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.