Evidence map›Paper›PMID 29967609›Full record

ArticleFrontiers in immunology2018

A Comprehensive Safety Trial of Chimeric Antibody 14.18 With GM-CSF, IL-2, and Isotretinoin in High-Risk Neuroblastoma Patients Following Myeloablative Therapy: Children's Oncology Group Study ANBL0931.

M Fevzi Ozkaynak, Andrew L Gilman, Wendy B London, Arlene Naranjo, Mitchell B Diccianni, Sheena C Tenney, Malcolm Smith, Karen S Messer, Robert Seeger, C Patrick Reynolds and 7 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Frontiers in immunology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 52 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 3 pooled it
8.7field-weighted citation impact, top 2% 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

52 citing papers in PubMed, 3 syntheses or guidelines pooled it, 88 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Commonly Reported Adverse Events Associated With Pediatric Immunotherapy: A Systematic Review From the Children's Oncology GroupJournal of pediatric oncology nursing : official journal of the Association of Pediatric Oncology Nurses
    Pooled it
  4. Trial
  5. Trial
  6. 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
  7. Trial
  8. A Phase II Trial of Hu14.18K322A in Combination with Induction Chemotherapy in Children with Newly Diagnosed High-Risk Neuroblastoma.Clinical cancer research : an official journal of the American Association for Cancer Research · 2019
    Trial
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  11. Article
  12. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 16 institutions in 2 countries.

M Fevzi OzkaynakNew York Medical College, Valhalla, NY, United States.
Andrew L GilmanLevine Children's Hospital, Charlotte, NC, United States.
Wendy B LondonDana Farber Cancer Institute and Boston Children's Hospital, Harvard Medical School, Boston, MA, United States.
Arlene NaranjoChildren's Oncology Group Statistics and Data Center, University of Florida, Gainesville, FL, United States.
Mitchell B DiccianniMoores Cancer Center, University of California, San Diego, La Jolla, CA, United States.
Sheena C TenneyChildren's Oncology Group Statistics and Data Center, University of Florida, Gainesville, FL, United States.
Malcolm SmithNational Cancer Institute, Bethesda, MD, United States.
Karen S MesserMoores Cancer Center, University of California, San Diego, La Jolla, CA, United States.
Robert SeegerChildren's Hospital Los Angeles, University Southern California, Los Angeles, Los Angeles, CA, United States.
C Patrick ReynoldsTexas Tech University Health Sciences Center, Lubbock, TX, United States.
L Mary SmithUnited Therapeutics, Silver Spring, MD, United States.
Barry L ShulkinSt. Jude's Children's Research Hospital, Memphis, TN, United States.
Marguerite ParisiSeattle Children's Hospital, University of Washington School of Medicine, Seattle, WA, United States.
John M MarisChildren's Hospital of Philadelphia, Philadelphia, PA, United States.
Julie R ParkSeattle Children's Hospital, University of Washington School of Medicine, Seattle, WA, United States.
Paul M SondelUniversity of Wisconsin Carbone Cancer Center, Madison, WI, United States.
Alice L YuMoores Cancer Center, University of California, San Diego, La Jolla, CA, United States.
University of California, San Diego · USChang Gung Memorial Hospital · TWChildren's Hospital of Los Angeles · USChildren's Hospital of Philadelphia · USChildren's Oncology Group · USDana-Farber Cancer Institute · USLevine Children's Hospital · USNational Cancer Institute · USNew York Medical College · USSeattle Children's Hospital · USSt. Jude Children's Research Hospital · USTexas Tech University · USUnited Therapeutics (United States) · USUniversity of Florida · USUniversity of Washington · USUniversity of Wisconsin Carbone Cancer Center · US

Funding

NCTN BIQSFP ANBL1531 (NRT)U10CA180886 · NCI · PUBLIC HEALTH INSTITUTE · PI Douglas S. Hawkins · 2014 to 2026
$390.6M
COG SDMC - Statistics CoreU10CA180899 · NCI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI TODD A ALONZO · 2014 to 2026
$132.8M
Enhancing Antibody-directed Innate Immunity to Improve Cancer OutcomeR35CA197078 · NCI · UNIVERSITY OF WISCONSIN-MADISON · PI SONDEL, PAUL M · 2015 to 2021
$6.4M
Predicting toxicity and success of anti-GD2 immunotherapy of neuroblastomaR01CA164132 · NCI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI YU, ALICE L. · 2012 to 2014
$936k
NCI NIH HHS R01 CA164132NCI NIH HHS R35 CA197078NCI NIH HHS U10 CA180886NCI NIH HHS U10 CA180899
6 · The paper itself

Abstract

Purpose: A phase 3 randomized study (COG ANBL0032) demonstrated significantly improved outcome by adding immunotherapy with ch14.18 antibody to isotretinoin as post-consolidation therapy for high-risk neuroblastoma (NB). This study, ANBL0931, was designed to collect FDA-required safety/toxicity data to support FDA registration of ch14.18. Experimental design: Newly diagnosed high-risk NB patients who achieved at least a partial response to induction therapy and received myeloablative consolidation with stem cell rescue were enrolled to receive six courses of isotretinoin with five concomitant cycles of ch14.18 combined with GM-CSF or IL2. Ch14.18 infusion time was 10-20 h per dose. Blood was collected for cytokine analysis and its association with toxicities and outcome. Results: Of 105 patients enrolled, five patients developed protocol-defined unacceptable toxicities. The most common grade ≥ 3 non-hematologic toxicities of immunotherapy for cycles 1-5, respectively, were neuropathic pain (41, 28, 22, 31, 24%), hypotension (10, 17, 4, 14, 8%), allergic reactions (ARs) (3, 10, 5, 7, 2%), capillary leak syndrome (1, 4, 0, 2, 0%), and fever (21, 59, 6, 32, 5%). The 3-year event-free survival and overall survival were 67.6 ± 4.8% and 79.1 ± 4.2%, respectively. AR during course 1 was associated with elevated serum levels of IL-1Ra and IFNγ, while severe hypotension during this course was associated with low IL5 and nitrate. Higher pretreatment CXCL9 level was associated with poorer event-free survival (EFS). Conclusion: This study has confirmed the significant, but manageable treatment-related toxicities of this immunotherapy and identified possible cytokine biomarkers associated with select toxicities and outcome. EFS and OS appear similar to that previously reported on ANBL0032.

Indexed as

anti-GD2 chimeric antibodycytokine biomarkerscytokinesimmunotherapyneuroblastomasafety

Identifiers

PMID29967609
PMCPMC6016521
OpenAlexW2805565362

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

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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.