Evidence map›Paper›PMID 25415285›Full record

Trial reportJournal of immunotherapy (Hagerstown, Md. : 1997)2015

Ex vivo-expanded natural killer cells demonstrate robust proliferation in vivo in high-risk relapsed multiple myeloma patients.

Susann Szmania, Natalia Lapteva, Tarun Garg, Amy Greenway, Joshuah Lingo, Bijay Nair, Katie Stone, Emily Woods, Junaid Khan, Justin Stivers and 12 more

Abstract readClinical Trial
In one paragraph

Trial report in Journal of immunotherapy (Hagerstown, Md. : 1997), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 121 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
121citing papers in PubMed, 1 pooled it
5.2field-weighted citation impact, top 4% 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

121 citing papers in PubMed, 1 synthesis or guideline pooled it, 179 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. 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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  14. Good manufacturing practice production of an off-the-shelf CD34Cellular and molecular life sciences : CMLS · 2025
    Article
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61 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

22 authors at 5 institutions in 2 countries.

Susann Szmania*Myeloma Institute for Research and Therapy §Department of Pathology, University of Arkansas for Medical Sciences, Little Rock, AR †Center for Cell and Gene Therapy, The Methodist Hospital, Texas Children's Hospital, Houston, TX ‡Department of Paediatrics, Yong Loo Lin School of Medicine, National University of Singapore, Singapore ∥Department of Pediatrics, Baylor College of Medicine, Houston, TX.
Natalia Lapteva
Tarun Garg
Amy Greenway
Joshuah Lingo
Bijay Nair
Katie Stone
Emily Woods
Junaid Khan
Justin Stivers
Susan Panozzo
Dario Campana
William T Bellamy
Molly Robbins
Joshua Epstein
Shmuel Yaccoby
Sarah Waheed
Adrian Gee
Michele Cottler-Fox
Cliona Rooney
Bart Barlogie
Frits van Rhee
University of Arkansas for Medical Sciences · USBaylor College of Medicine · USHouston Methodist · USMethodist Hospital · USNational University of Singapore · SG

Funding

Tumor Cell-Microenvironment Interactions in the Molecular Pathogenesis of MultiplP01CA055819 · NCI · UNIV OF ARKANSAS FOR MED SCIS · PI BELLAMY, WILLIAM T · 1993 to 2013
$49.7M
Arkansas Center for Clinical and Translational ResearchUL1TR000039 · NCATS · UNIV OF ARKANSAS FOR MED SCIS · PI BECK, CORNELIA MARIE, JAMES, LAURA P · 2012 to 2014
$10.0M
Potentiating Natural Killer Cell Anti-Myeloma EffectsR01CA134522 · NCI · UNIV OF ARKANSAS FOR MED SCIS · PI VAN RHEE, FRITS · 2008 to 2012
$1.8M
Arkansas Center for Clinical Translational ResearchKL2TR000063 · NCATS · UNIV OF ARKANSAS FOR MED SCIS · PI BECK, CORNELIA MARIE, JAMES, LAURA P · 2012 to 2014
$459k
NCATS NIH HHS KL2 TR000063NCATS NIH HHS KL2TR000063NCATS NIH HHS UL1 TR000039NCATS NIH HHS UL1TR000039NCI NIH HHS CA134522NCI NIH HHS CA55819NCI NIH HHS P01 CA055819NCI NIH HHS R01 CA134522NHLBI NIH HHS N01 HB037163NHLBI NIH HHS N01 HB37163
6 · The paper itself

Abstract

Highly activated/expanded natural killer (NK) cells can be generated by stimulation with the human leukocyte antigen-deficient cell line K562, genetically modified to express 41BB-ligand and membrane-bound interleukin (IL)15. We tested the safety, persistence, and activity of expanded NK cells generated from myeloma patients (auto-NK) or haploidentical family donors (allo-NK) in heavily pretreated patients with high-risk relapsing myeloma. The preparative regimen comprised bortezomib only or bortezomib and immunosuppression with cyclophosphamide, dexamethasone, and fludarabine. NK cells were shipped overnight either cryopreserved or fresh. In 8 patients, up to 1×10⁸ NK cells/kg were infused on day 0 and followed by daily administrations of IL2. Significant in vivo expansion was observed only in the 5 patients receiving fresh products, peaking at or near day 7, with the highest NK-cell counts in 2 subjects who received cells produced in a high concentration of IL2 (500 U/mL). Seven days after infusion, donor NK cells comprised >90% of circulating leukocytes in fresh allo-NK cell recipients, and cytolytic activity against allogeneic myeloma targets was retained in vitro. Among the 7 evaluable patients, there were no serious adverse events that could be related to NK-cell infusion. One patient had a partial response and in another the tempo of disease progression decreased; neither patient required further therapy for 6 months. In the 5 remaining patients, disease progression was not affected by NK-cell infusion. In conclusion, infusion of large numbers of expanded NK cells was feasible and safe; infusing fresh cells was critical to their expansion in vivo.

Indexed as

Cell ProliferationAgedBlotting, WesternEnzyme-Linked Immunosorbent AssayFemaleHumansImmunohistochemistryImmunotherapy, AdoptiveKiller Cells, NaturalMaleMiddle AgedMultiple MyelomaNeoplasm Recurrence, LocalRisk Factors

Identifiers

PMID25415285
PMCPMC4352951
OpenAlexW1998007325

What OpenQuestion holds

Textmetadata
LicenceTDM
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.