Evidence map›Paper›PMID 25452614›Full record

Trial reportBlood2015

Acute GVHD in patients receiving IL-15/4-1BBL activated NK cells following T-cell-depleted stem cell transplantation.

Nirali N Shah, Kristin Baird, Cynthia P Delbrook, Thomas A Fleisher, Mark E Kohler, Shakuntala Rampertaap, Kimberly Lemberg, Carolyn K Hurley, David E Kleiner, Melinda S Merchant and 7 more

Registry-linked trialOpen access · bronzeAbstract readClinical Trial
In one paragraph

Trial report in Blood, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01287104 (A Phase I Study of NK Cell Infusion Following Allogeneic Peripheral Blood Stem Cell Transplantation From Related or Matched Unrelated Donors in Pediatric Patients With Hematologic Malignancies), which is not on this map. Cited by 144 papers.

0numbers the graph read from it
0cells of the map it votes in
144citing papers in PubMed
9.2field-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.

NCT01287104 phase1completednot on this map

A Phase I Study of NK Cell Infusion Following Allogeneic Peripheral Blood Stem Cell Transplantation From Related or Matched Unrelated Donors in Pediatric Patients With Hematologic Malignancies

TypeinterventionalSponsorNational Cancer Institute (NCI)Ran2011 to 2018Enrolled34ConditionsLeukemia, LymphomaArmsNatural Killer (NK) Cell Infusion, Stem Cell Infusion
3 · Its place in the literature

Who cites it

144 citing papers in PubMed, 233 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Trial
  5. 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
  6. Phase II Study of Haploidentical Natural Killer Cell Infusion for Treatment of Relapsed or Persistent Myeloid Malignancies Following Allogeneic Hematopoietic Cell Transplantation.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2016
    Trial
  7. Article
  8. Article
  9. Article
  10. A novel cultivation strategy to recover NK cell cytotoxicity.Frontiers in bioengineering and biotechnology · 2026
    Article
  11. Review
  12. Review
  13. Article
  14. Review
  15. Quality standards for NK cell immunotherapies.Frontiers in bioengineering and biotechnology · 2025
    Article
  16. Review
  17. Review
  18. Review
  19. Review
  20. Review

84 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 at 6 institutions in 1 country.

Nirali N ShahPediatric Oncology Branch, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, MD;
Kristin BairdPediatric Oncology Branch, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, MD;
Cynthia P DelbrookPediatric Oncology Branch, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, MD;
Thomas A FleisherDepartment of Laboratory Medicine, National Institutes of Health Clinical Center, National Institutes of Health, Bethesda, MD;
Mark E KohlerPediatric Oncology Branch, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, MD; Department of Pediatrics, Johns Hopkins Hospital, Baltimore, MD;
Shakuntala RampertaapDepartment of Laboratory Medicine, National Institutes of Health Clinical Center, National Institutes of Health, Bethesda, MD;
Kimberly LembergDepartment of Laboratory Medicine, National Institutes of Health Clinical Center, National Institutes of Health, Bethesda, MD;
Carolyn K HurleyDepartment of Oncology, Georgetown University Medical Center, Washington, DC;
David E KleinerDepartment of Pathology, Center for Cancer Research, National Institutes of Health, Bethesda, MD;
Melinda S MerchantPediatric Oncology Branch, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, MD;
Stefania PittalugaDepartment of Pathology, Center for Cancer Research, National Institutes of Health, Bethesda, MD;
Marianna SabatinoDepartment of Transfusion Medicine, National Institutes of Health Clinical Center, National Institutes of Health, Bethesda, MD; and.
David F StroncekDepartment of Transfusion Medicine, National Institutes of Health Clinical Center, National Institutes of Health, Bethesda, MD; and.
Alan S WayneChildren's Center for Cancer and Blood Diseases, Children's Hospital Los Angeles, Keck School of Medicine, University of Southern California, Los Angeles, CA.
Hua ZhangPediatric Oncology Branch, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, MD;
Terry J FryPediatric Oncology Branch, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, MD;
Crystal L MackallPediatric Oncology Branch, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, MD;
National Cancer Institute · USNational Institutes of Health Clinical Center · USCenter for Cancer Research · USGeorgetown University Medical Center · USNational Institutes of Health · USUniversity of Southern California · US

Funding

Tissue Culture Shared ResourceP30CA051008 · NCI · GEORGETOWN UNIVERSITY · PI STEPHEN W BYERS · 1990 to 2026
$71.5M
Adoptive T cell Therapy for Pediatric LeukemiaZIABC011565 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI FRY, TERRY · 2014 to 2018
$5.2M
Development of novel cell and gene therapiesZIACL002120 · CLC · CLINICAL CENTER · PI STRONCEK, DAVID · 2009 to 2025
$0k
NCI NIH HHS P30 CA051008
6 · The paper itself

Abstract

Natural killer (NK) cells can enhance engraftment and mediate graft-versus-leukemia following allogeneic hematopoietic stem cell transplantation (HSCT), but the potency of graft-versus-leukemia mediated by naturally reconstituting NK cells following HSCT is limited. Preclinical studies demonstrate that activation of NK cells using interleukin-15 (IL-15) plus 4-1BBL upregulates activating receptor expression and augments killing capacity. In an effort to amplify the beneficial effects of NK cells post-HSCT, we conducted a first-in-human trial of adoptive transfer of donor-derived IL-15/4-1BBL-activated NK cells (aNK-DLI) following HLA-matched, T-cell-depleted (1-2 × 10(4) T cells/kg) nonmyeloablative peripheral blood stem cell transplantation in children and young adults with ultra-high-risk solid tumors. aNK-DLI were CD3(+)-depleted, CD56(+)-selected lymphocytes, cultured for 9 to 11 days with recombinant human IL-15 plus 4-1BBL(+)IL-15Rα(+) artificial antigen-presenting cells. aNK-DLI demonstrated potent killing capacity and displayed high levels of activating receptor expression. Five of 9 transplant recipients experienced acute graft-versus-host disease (GVHD) following aNK-DLI, with grade 4 GVHD observed in 3 subjects. GVHD was more common in matched unrelated donor vs matched sibling donor recipients and was associated with higher donor CD3 chimerism. Given that the T-cell dose was below the threshold required for GVHD in this setting, we conclude that aNK-DLI contributed to the acute GVHD observed, likely by augmenting underlying T-cell alloreactivity. This trial was registered at www.clinicaltrials.gov as #NCT01287104.

Indexed as

4-1BB LigandAcute DiseaseAdolescentAdoptive TransferAdultCells, CulturedFemaleGastrointestinal NeoplasmsGraft vs Host DiseaseGraft vs Leukemia EffectHistocompatibility TestingHumansInterleukin-15Killer Cells, NaturalLymphocyte ActivationLymphocyte Depletion4-1BB LigandIL15 protein, humanInterleukin-15

Identifiers

PMID25452614
PMCPMC4311226
OpenAlexW2057776379

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.