Evidence map›Paper›PMID 26785755›Full record

Trial reportmAbs2016

Pharmacokinetics and pharmacodynamics of ch14.18/CHO in relapsed/refractory high-risk neuroblastoma patients treated by long-term infusion in combination with IL-2.

Nikolai Siebert, Christin Eger, Diana Seidel, Madlen Jüttner, Maxi Zumpe, Danilo Wegner, Silke Kietz, Karoline Ehlert, Gareth J Veal, Werner Siegmund and 4 more

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

Trial report in mAbs, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02914405 (A Phase I Study of 131-1 mIBG Followed by Nivolumab and Dinutuximab Beta in Children With Relapsed/Refractory Neuroblastoma), which is not on this map. Cited by 40 papers.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed
5.2field-weighted citation impact, top 5% 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.

NCT02914405 phase1active not recruitingnot on this mapstarted 2018, after this paper: background citation

A Phase I Study of 131-1 mIBG Followed by Nivolumab and Dinutuximab Beta in Children With Relapsed/Refractory Neuroblastoma

TypeinterventionalSponsorUniversity Hospital Southampton NHS Foundation TrustRan2018 to 2026Enrolled44ConditionsNeuroblastomaArmsNivolumab, Ch14.18/CHO
3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 56 citations in OpenAlex.

  1. Trial
  2. Trial
  3. A Phase II Trial of Naxitamab plus Stepped-up Dosing of GM-CSF for Patients with High-Risk Neuroblastoma in First Complete Remission.Clinical cancer research : an official journal of the American Association for Cancer Research · 2025
    Trial
  4. Trial
  5. Long-Term Follow-up of a Phase III Study of ch14.18 (Dinutuximab) + Cytokine Immunotherapy in Children with High-Risk Neuroblastoma: COG Study ANBL0032.Clinical cancer research : an official journal of the American Association for Cancer Research · 2021
    Trial
  6. Trial
  7. Article
  8. Article
  9. Neuroblastoma: an ongoing cold front for cancer immunotherapy.Journal for immunotherapy of cancer · 2023
    Review
  10. Article
  11. Article
  12. Review
  13. Safety and efficacy of dinutuximab in the treatment of neuroblastoma: A review.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2023
    Review
  14. Article
  15. Article
  16. Review
  17. Article
  18. Review
  19. Review
  20. Review
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

14 authors at 5 institutions in 3 countries.

Nikolai Sieberta Department of Pediatric Oncology and Hematology , University Medicine Greifswald , Greifswald , Germany.
Christin Egera Department of Pediatric Oncology and Hematology , University Medicine Greifswald , Greifswald , Germany.
Diana Seidela Department of Pediatric Oncology and Hematology , University Medicine Greifswald , Greifswald , Germany.
Madlen Jüttnera Department of Pediatric Oncology and Hematology , University Medicine Greifswald , Greifswald , Germany.
Maxi Zumpea Department of Pediatric Oncology and Hematology , University Medicine Greifswald , Greifswald , Germany.
Danilo Wegnerb Department of Clinical Pharmacology of the Center of Drug Absorption and Transport , University Medicine Greifswald , Greifswald , Germany.
Silke Kietza Department of Pediatric Oncology and Hematology , University Medicine Greifswald , Greifswald , Germany.
Karoline Ehlerta Department of Pediatric Oncology and Hematology , University Medicine Greifswald , Greifswald , Germany.
Gareth J Vealc Northern Institute for Cancer Research, Newcastle University, Newcastle upon Tyne , UK.
Werner Siegmundb Department of Clinical Pharmacology of the Center of Drug Absorption and Transport , University Medicine Greifswald , Greifswald , Germany.
Michael Weissd Department of Pharmacology , Martin Luther University , Halle , Germany.
Hans Loibnere Apeiron Biologics , Vienna , Austria.
Ruth Ladensteinf Children's Cancer Research Institute , Vienna , Austria.
Holger N Lodea Department of Pediatric Oncology and Hematology , University Medicine Greifswald , Greifswald , Germany.
Universitätsmedizin Greifswald · DEApeiron Biologics (Austria) · ATMartin Luther University Halle-Wittenberg · DENewcastle University · GBSt Anna Children's Hospital · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ch14.18 manufactured in Chinese hamster ovary (CHO) cells is currently being evaluated in clinical trials. Short-term infusion (STI) (8-20 h/day; 4-5 days) of 100 mg/m2 ch14.18/CHO (dinutiximab β) per cycle in combination with cytokines is standard treatment of neuroblastoma (NB) patients. As pain is a limiting factor, we investigated a novel delivery method by continuous long-term infusion (LTI) of 100 mg/m2 over 10 days. 53 NB patients were treated with 5-6 cycles of 6 × 106 IU/m2 subcutaneous interleukin-2 (d 1-5, 8-12), LTI of 100 mg/m2 ch14.18/CHO (d 8-18) and 160 mg/m2 oral 13-cis-retinoic acid (d 22-35). Human anti-chimeric antibody (HACA), antibody-dependent cell-mediated cytotoxicity and complement-dependent cytotoxicity were determined. With LTI, we observed a maximum concentration of ch14.18/CHO (Cmax) of 12.56 ± 0.68 µg/ml and a terminal half-life time (t1/2 β) of 32.7 ± 16.2 d. The clearance values for LTI and STI of 0.54 ± 0.13 and 0.41 ± 0.29 L/d m2 and area under the serum concentration-time curve (AUC) values of 189.6 ± 41.4 and 284.8 ± 156.8 µg×d/ml, respectively, were not significantly different. Importantly, we detected ch14.18/CHO trough concentration of ≥ 1 µg/ml at time points preceding subsequent antibody infusions after cycle 1, allowing a persistent activation of antibody effector mechanisms over the entire treatment period of 6 months. HACA responses were observed in 10/53 (19%) patients, similar to STI (21%), indicating LTI had no effect on the immunogenicity of ch14.18/CHO. In conclusion, LTI of ch14.18/CHO induced effector mechanisms over the entire treatment period, and may therefore emerge as the preferred delivery method of anti-GD2 immunotherapy to NB patients.

Indexed as

NeuroblastomaAdolescentAdultAnimalsAntibodies, MonoclonalChildChild, PreschoolCHO CellsCricetinaeCricetulusFemaleHumansInfantInterleukin-2IsotretinoinMaleAntibodies, MonoclonaldinutuximabIL2 protein, humanInterleukin-2IsotretinoinCh14.18/CHOHACAimmunotherapyneuroblastomapharmacokinetics

Identifiers

PMID26785755
PMCPMC4966854
OpenAlexW2331868380

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.