Evidence map›Paper›PMID 30882547›Full record

ArticleJournal of immunotherapy (Hagerstown, Md. : 1997)2019

Pilot Trial of Adoptive Transfer of Chimeric Antigen Receptor-transduced T Cells Targeting EGFRvIII in Patients With Glioblastoma.

Stephanie L Goff, Richard A Morgan, James C Yang, Richard M Sherry, Paul F Robbins, Nicholas P Restifo, Steven A Feldman, Yong-Chen Lu, Lily Lu, Zhili Zheng and 7 more

Open access · greenAbstract read
In one paragraph

Article in Journal of immunotherapy (Hagerstown, Md. : 1997), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 281 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
281citing papers in PubMed, 8 pooled it
16.8field-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.

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

281 citing papers in PubMed, 8 syntheses or guidelines pooled it, 367 citations in OpenAlex.

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  10. Cell-based therapies for malignant glioma.Stem cells translational medicine · 2026
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221 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

17 authors at 3 institutions in 1 country.

Stephanie L GoffSurgery Branch.
Richard A MorganEditas Medicine, Cambridge, MA.
James C YangSurgery Branch.
Richard M SherrySurgery Branch.
Paul F RobbinsSurgery Branch.
Nicholas P RestifoSurgery Branch.
Steven A FeldmanStanford Center for Cancer Cell Therapy, Stanford Cancer Institute, Palo Alto, CA.
Yong-Chen LuSurgery Branch.
Lily LuSurgery Branch.
Zhili ZhengSurgery Branch.
Liqiang XiLaboratory of Pathology, National Cancer Institute, National Institutes of Health, Bethesda, MD.
Monica EpsteinSurgery Branch.
Lori S McIntyreSurgery Branch.
Parisa MalekzadehSurgery Branch.
Mark RaffeldLaboratory of Pathology, National Cancer Institute, National Institutes of Health, Bethesda, MD.
Howard A FineSandra and Edward Meyer Cancer Center, Weill Cornell Medical College, New York, NY.
Steven A RosenbergSurgery Branch.
National Institutes of Health · USCornell University · USStanford Cancer Institute

Funding

Gene therapy of cancerZIABC010985 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI ROSENBERG, STEVEN · 2009 to 2025
$56.8M
Intramural NIH HHS Z99 CA999999
6 · The paper itself

Abstract

A deletion variant of epidermal growth factor receptor (EGFRvIII) is a known driver mutation in a subset of primary and secondary glioblastoma multiforme. Adoptive transfer of genetically modified chimeric antigen receptor (CAR) lymphocytes has demonstrated efficacy in hematologic malignancies but is still early in development for solid cancers. The surface expression of the truncated extracellular ligand domain created by EGFRvIII makes it an attractive target for a CAR-based cancer treatment. Patients with recurrent glioblastoma expressing EGFRvIII were enrolled in a dose escalation phase I trial, using a third-generation CAR construct derived from a human antibody. Transduced cells were administered after lymphodepleting chemotherapy and supported posttransfer with intravenous interleukin-2. The dose escalation proceeded at half-log increments from 10 to >10 cells. Primary endpoints were safety and progression-free survival. Eighteen patients were treated with final infusion products ranging from 6.3×10 to 2.6×10 anti-EGFRvIII CAR T cells. Median progression-free survival was 1.3 months (interquartile range: 1.1-1.9), with a single outlier of 12.5 months. Two patients experienced severe hypoxia, including one treatment-related mortality after cell administration at the highest dose level. All patients developed expected transient hematologic toxicities from preparative chemotherapy. Median overall survival was 6.9 months (interquartile range: 2.8-10). Two patients survived over 1 year, and a third patient was alive at 59 months. Persistence of CAR cells correlated with cell dose, but there were no objective responses. Administration of anti-EGFRvIII CAR-transduced T cells did not demonstrate clinically meaningful effect in patients with glioblastoma multiforme in this phase I pilot trial.

Indexed as

Immunotherapy, AdoptiveAdultErbB ReceptorsFemaleGlioblastomaHumansMaleMiddle AgedPilot ProjectsReceptors, Antigen, T-CellReceptors, Chimeric AntigenT-LymphocytesTransplantation ConditioningTreatment Outcomeepidermal growth factor receptor VIIIErbB ReceptorsReceptors, Antigen, T-CellReceptors, Chimeric Antigen

Identifiers

PMID30882547
PMCPMC6691897
OpenAlexW2922661875

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.