Evidence map›Paper›PMID 29712574›Full record

ArticleJournal for immunotherapy of cancer2018

Durable regression of Medulloblastoma after regional and intravenous delivery of anti-HER2 chimeric antigen receptor T cells.

Anandani Nellan, Christopher Rota, Robbie Majzner, Cynthia M Lester-McCully, Andrea M Griesinger, Jean M Mulcahy Levy, Nicholas K Foreman, Katherine E Warren, Daniel W Lee

Open access · goldAbstract read
In one paragraph

Article in Journal for immunotherapy of cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 96 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
96citing papers in PubMed, 1 pooled it
5.6field-weighted citation impact, top 3% 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

96 citing papers in PubMed, 1 synthesis or guideline pooled it, 134 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. From developmental origins to relapse: molecular and therapeutic insights in medulloblastoma.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026
    Review
  5. Article
  6. Review
  7. Article
  8. CAR-T cell immunotherapy in rhabdomyosarcoma.Journal of translational medicine · 2026
    Review
  9. Review
  10. Review
  11. CAR-T Cell Therapy for Central Nervous System Tumors.Methods in molecular biology (Clifton, N.J.) · 2026
    Review
  12. Review
  13. Article
  14. In vivo tracking of ex-vivo-generatedMolecular therapy : the journal of the American Society of Gene Therapy · 2025
    Article
  15. Medulloblastoma: biology and immunotherapy.Frontiers in immunology · 2025
    Review
  16. Article
  17. Review
  18. Review
  19. Review
  20. Review

36 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

9 authors at 8 institutions in 1 country.

Anandani NellanDepartment of Pediatrics, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Christopher RotaDivision of Medical Sciences, Harvard Medical School, Harvard University, Boston, MA, USA.
Robbie MajznerDivision of Pediatric Hematology and Oncology, Department of Pediatrics, Stanford University, Stanford, CA, USA.
Cynthia M Lester-McCullyPediatric Oncology Branch, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, MD, USA.
Andrea M GriesingerDepartment of Pediatrics, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Jean M Mulcahy LevyDepartment of Pediatrics, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Nicholas K ForemanDepartment of Pediatrics, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Katherine E WarrenPediatric Oncology Branch, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, MD, USA.
Daniel W LeeDivision of Pediatric Hematology and Oncology, Department of Pediatrics, University of Virginia, PO Box 800386, Charlottesville, VA, 22908, USA. dwl4q@hscmail.mcc.virginia.edu.
Morgan Adams Foundation · USCenter for Cancer Research · USChildren's Hospital Colorado · USHarvard University · USNational Cancer Institute · USStanford University · USUniversity of Colorado Anschutz Medical Campus · USUniversity of Virginia · US

Funding

University of Colorado Cancer Center Support Grant - Lung Cancer Patient-Derived Xenografts with Autologous Human Immune SystemsP30CA046934 · NCI · UNIVERSITY OF COLORADO DENVER · PI James V Degregori · 1988 to 2026
$117.0M
Preclinical evaluation of novel therapeutics for CNS tumor therapyZIABC011340 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI WARREN, KATHERINE E · 2010 to 2019
$4.1M
Early Clinical Trials for Children with CNS TumorsZIABC011447 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI WARREN, KATHERINE E · 2012 to 2019
$2.1M
The Interaction of Autophagy and BRAF Mutations in Brain TumorsK08CA193982 · NCI · UNIVERSITY OF COLORADO DENVER · PI MULCAHY LEVY, JEAN MARIE · 2015 to 2019
$822k
NCI NIH HHS K08 CA193982NCI NIH HHS P30 CA046934
6 · The paper itself

Abstract

backgroundStandard-of-care therapies for treating pediatric medulloblastoma have long-term side effects, even in children who are cured. One emerging modality of cancer therapy that could be equally effective without such side effects would be chimeric antigen receptor (CAR) T cells. Knowing that human epidermal growth factor receptor 2 (HER2) is overexpressed in many medulloblastomas and has been used as a CAR T target before, we sought to evaluate the efficacy of more sophisticated anti-HER2 CAR T cells, as well as the feasibility and efficacy of different routes of delivering these cells, for the treatment of pediatric medulloblastoma.

methodsDaoy, D283 and D425 medulloblastoma cell lines were characterized by flow cytometry to evaluate HER2 expression. Anti-tumor efficacy of HER2-BBz-CAR T cells in vitro was performed using cytokine release and immune cytotoxicity assays compared to control CD19 CAR T cells. In vivo, Daoy and D283 tumor cells were orthotopically implanted in the posterior fossa of NOD.Cg-Prkdc

resultsHER2-BBz-CAR T cells effectively clear medulloblastoma orthotopically implanted in the posterior fossa of NSG mice via both regional and intravenous delivery in xenograft models. Intravenous delivery requires a log higher dose compared to regional delivery. NHPs tolerated intraventricular delivery of autologous cells bearing extracellular HER2 followed by HER2-BBz-CAR T cells without experiencing any systemic toxicity.

conclusionsHER2-BBz-CAR T cells show excellent pre-clinical efficacy in vitro and in mouse medulloblastoma models, and their intraventricular delivery is feasible and safe in NHPs. A clinical trial of HER2-BBz-CAR T cells directly delivered into cerebrospinal fluid should be designed for patients with relapsed medulloblastoma.

Indexed as

Immunotherapy, AdoptiveAdministration, IntravenousAnimalsCell Line, TumorCerebellar NeoplasmsErb-b2 Receptor Tyrosine KinasesFemaleHumansInjections, IntraventricularMacaca mulattaMaleMedulloblastomaMice, TransgenicReceptors, Chimeric AntigenErb-b2 Receptor Tyrosine KinasesReceptors, Chimeric AntigenChimeric antigen receptor T cellHER2MedulloblastomaNonhuman primate

Identifiers

PMID29712574
PMCPMC5925833
OpenAlexW2803147243

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.