Evidence map›Paper›PMID 33690665›Full record

Trial reportPloS one2021

Autologous adoptive immune-cell therapy elicited a durable response with enhanced immune reaction signatures in patients with recurrent glioblastoma: An open label, phase I/IIa trial.

Jaejoon Lim, YoungJoon Park, Ju Won Ahn, JeongMin Sim, Su Jung Kang, Sojung Hwang, Jin Chun, Hyejeong Choi, Sang Heum Kim, Duk-Hee Chun and 3 more

Open access · goldAbstract readClinical Trial, Phase IClinical Trial, Phase II
In one paragraph

Trial report in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 3 pooled it
3.4field-weighted citation impact, top 7% 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

29 citing papers in PubMed, 3 syntheses or guidelines pooled it, 35 citations in OpenAlex.

  1. Pooled it
  2. A systematic review of immunotherapy in high-grade glioma: learning from the past to shape future perspectives.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024
    Pooled it
  3. Pooled it
  4. Review
  5. Review
  6. Review
  7. Review
  8. Current Status and Evolution of Immunotherapy in Glioma Management.International journal of medical sciences · 2026
    Review
  9. Review
  10. Review
  11. Killing the killers: Natural killer cell therapy targeting glioma stem cells in high-grade glioma.Molecular therapy : the journal of the American Society of Gene Therapy · 2025
    Review
  12. Article
  13. Review
  14. Review
  15. Review
  16. Review
  17. Article
  18. Dysregulation of inflammasome activation in glioma.Cell communication and signaling : CCS · 2023
    Review
  19. Review
  20. Article
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

13 authors at 3 institutions in 1 country.

Jaejoon LimDepartment of Neurosurgery, Bundang CHA Medical Center, CHA University College of Medicine, Seongnam, Republic of Korea.
YoungJoon ParkDepartment of Neurosurgery, Bundang CHA Medical Center, CHA University College of Medicine, Seongnam, Republic of Korea.
Ju Won AhnDepartment of Neurosurgery, Bundang CHA Medical Center, CHA University College of Medicine, Seongnam, Republic of Korea.
JeongMin SimDepartment of Biomedical Science, College of Life Science, CHA University, Seongnam, Republic of Korea.
Su Jung KangDepartment of Biomedical Science, College of Life Science, CHA University, Seongnam, Republic of Korea.
Sojung HwangDepartment of Neurosurgery, Bundang CHA Medical Center, CHA University College of Medicine, Seongnam, Republic of Korea.
Jin ChunGlobal Research Supporting Center, Bundang CHA Medical Center, CHA University College of Medicine, Seongnam, Republic of Korea.
Hyejeong ChoiDepartment of Radiology, Bundang CHA Medical Center, CHA University College of Medicine, Seongnam, Republic of Korea.ORCID 0000-0002-4103-769X
Sang Heum KimDepartment of Radiology, Bundang CHA Medical Center, CHA University College of Medicine, Seongnam, Republic of Korea.
Duk-Hee ChunDepartment of Anesthesiology and Pain Medicine, Bundang CHA Medical Center, CHA University College of Medicine, Seongnam, Republic of Korea.
Kyoung Su SungDepartment of Neurosurgery, Dong-A University Hospital, Dong-A University College of Medicine, Busan, Republic of Korea.ORCID 0000-0003-3289-0143
KyuBum KwackDepartment of Biomedical Science, College of Life Science, CHA University, Seongnam, Republic of Korea.
Kyunggi ChoDepartment of Neurosurgery, Bundang CHA Medical Center, CHA University College of Medicine, Seongnam, Republic of Korea.ORCID 0000-0001-7855-2719
CHA University Bundang Medical Center · KRCHA University · KRDong-A University Hospital · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Glioblastoma multiforme (GBM) is an aggressive malignancy classified by the World Health Organization as a grade IV glioma. Despite the availability of aggressive standard therapies, most patients experience recurrence, for which there are currently no effective treatments. We aimed to conduct a phase I/IIa clinical trial to investigate the safety and efficacy of adoptive, ex-vivo-expanded, and activated natural killer cells and T lymphocytes from peripheral blood mononuclear cells of patients with recurrent GBM. This study was a single-arm, open-label, investigator-initiated trial on 14 patients recruited between 2013 and 2017. The immune cells were administered via intravenous injection 24 times at 2-week intervals after surgical resection or biopsy. The safety and clinical efficacy of this therapy was examined by assessing adverse events and comparing 2-year overall survival (OS). Transcriptomic analysis of tumor tissues was performed using NanoString to identify the mechanism of therapeutic efficacy. No grade 4 or 5 severe adverse events were observed. The most common treatment-related adverse events were grade 1 or 2 in severity. The most severe adverse event was grade 3 fever. Median OS was 22.5 months, and the median progression-free survival was 10 months. Five patients were alive for over 2 years and showed durable response with enhanced immune reaction transcriptomic signatures without clinical decline until the last follow-up after completion of the therapy. In conclusion, autologous adoptive immune-cell therapy was safe and showed durable response in patients with enhanced immune reaction signatures. This therapy may be effective for recurrent GBM patients with high immune response in their tumor microenvironments. Trial registration: The Korea Clinical Research Information Service database: KCT0003815, Registered 18 April 2019, retrospectively registered.

Indexed as

AdultAgedBrain NeoplasmsFemaleGene Expression ProfilingGlioblastomaHumansImmunotherapy, AdoptiveMaleMiddle AgedNeoplasm Recurrence, LocalProspective StudiesSurvival AnalysisTransplantation, AutologousTreatment Outcome

Identifiers

PMID33690665
PMCPMC7946298
OpenAlexW3134022380

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.