Evidence map›Paper›PMID 33692132›Full record

Trial reportScience translational medicine2021

A first-in-human phase 0 clinical study of RNA interference-based spherical nucleic acids in patients with recurrent glioblastoma.

Priya Kumthekar, Caroline H Ko, Tatjana Paunesku, Karan Dixit, Adam M Sonabend, Orin Bloch, Matthew Tate, Margaret Schwartz, Laura Zuckerman, Ray Lezon and 27 more

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

Trial report in Science translational medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03020017 (A Phase 0 First-In-Human Study Using NU-0129), which is not on this map. Cited by 179 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
179citing papers in PubMed, 2 pooled it
16.6field-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.

NCT03020017 early_phase1completednot on this map

A Phase 0 First-In-Human Study Using NU-0129: A Spherical Nucleic Acid (SNA) Gold Nanoparticle Targeting BCL2L12 in Recurrent Glioblastoma Multiforme or Gliosarcoma Patients

TypeinterventionalSponsorNorthwestern UniversityRan2017 to 2020Enrolled8ConditionsGliosarcoma, Recurrent GlioblastomaArmsLaboratory Biomarker Analysis, Pharmacological Study, Targeted Molecular Therapy
3 · Its place in the literature

Who cites it

179 citing papers in PubMed, 2 syntheses or guidelines pooled it, 307 citations in OpenAlex.

  1. Analyzing Molecular Determinants of Nanodrugs' Cytotoxic Effects.International journal of molecular sciences · 2025
    Pooled it
  2. Pooled it
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  7. Article
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  13. DNA Nanostructures for siRNA Delivery.Bioconjugate chemistry · 2026
    Review
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  15. Article
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  19. Article
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119 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

37 authors at 7 institutions in 1 country.

Priya KumthekarKen and Ruth Davee Department of Neurology, The Northwestern Malnati Brain Tumor Institute, Feinberg School of Medicine, The Robert H. Lurie Comprehensive Cancer Center, Northwestern University, Chicago, IL 60611, USA. priya.kumthekar@nm.org a-stegh@northwestern.edu.ORCID 0000-0001-5923-0677
Caroline H KoInternational Institute for Nanotechnology, Northwestern University, Evanston, IL 60208, USA.ORCID 0000-0003-1812-3351
Tatjana PauneskuDepartment of Radiation Oncology, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA.ORCID 0000-0001-8698-2938
Karan DixitKen and Ruth Davee Department of Neurology, The Northwestern Malnati Brain Tumor Institute, Feinberg School of Medicine, The Robert H. Lurie Comprehensive Cancer Center, Northwestern University, Chicago, IL 60611, USA.ORCID 0000-0003-0403-6054
Adam M SonabendDepartment of Neurological Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA.ORCID 0000-0002-8347-1945
Orin BlochDepartment of Neurological Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA.
Matthew TateDepartment of Neurological Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA.
Margaret SchwartzKen and Ruth Davee Department of Neurology, The Northwestern Malnati Brain Tumor Institute, Feinberg School of Medicine, The Robert H. Lurie Comprehensive Cancer Center, Northwestern University, Chicago, IL 60611, USA.
Laura ZuckermanKen and Ruth Davee Department of Neurology, The Northwestern Malnati Brain Tumor Institute, Feinberg School of Medicine, The Robert H. Lurie Comprehensive Cancer Center, Northwestern University, Chicago, IL 60611, USA.
Ray LezonKen and Ruth Davee Department of Neurology, The Northwestern Malnati Brain Tumor Institute, Feinberg School of Medicine, The Robert H. Lurie Comprehensive Cancer Center, Northwestern University, Chicago, IL 60611, USA.
Rimas V LukasKen and Ruth Davee Department of Neurology, The Northwestern Malnati Brain Tumor Institute, Feinberg School of Medicine, The Robert H. Lurie Comprehensive Cancer Center, Northwestern University, Chicago, IL 60611, USA.
Borko JovanovicDepartment of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA.
Kathleen McCortneyDepartment of Neurological Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA.ORCID 0000-0001-7085-830X
Howard ColmanHuntsman Cancer Institute and Department of Neurosurgery, University of Utah, Salt Lake City, UT 84112, USA.ORCID 0000-0002-4027-7317
Si ChenX-ray Science Division, Advanced Photon Source, Argonne National Laboratory, Argonne, IL 60439, USA.ORCID 0000-0001-6619-2699
Barry LaiX-ray Science Division, Advanced Photon Source, Argonne National Laboratory, Argonne, IL 60439, USA.ORCID 0000-0002-6061-7155
Olga AntipovaX-ray Science Division, Advanced Photon Source, Argonne National Laboratory, Argonne, IL 60439, USA.ORCID 0000-0002-5290-1199
Junjing DengX-ray Science Division, Advanced Photon Source, Argonne National Laboratory, Argonne, IL 60439, USA.ORCID 0000-0003-4472-3385
Luxi LiX-ray Science Division, Advanced Photon Source, Argonne National Laboratory, Argonne, IL 60439, USA.ORCID 0000-0002-9259-8796
Serena Tommasini-GhelfiKen and Ruth Davee Department of Neurology, The Northwestern Malnati Brain Tumor Institute, Feinberg School of Medicine, The Robert H. Lurie Comprehensive Cancer Center, Northwestern University, Chicago, IL 60611, USA.ORCID 0000-0001-5516-0114
Lisa A HurleyKen and Ruth Davee Department of Neurology, The Northwestern Malnati Brain Tumor Institute, Feinberg School of Medicine, The Robert H. Lurie Comprehensive Cancer Center, Northwestern University, Chicago, IL 60611, USA.ORCID 0000-0001-7889-4954
Dusten UnruhDepartment of Neurological Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA.ORCID 0000-0003-1027-1982
Nitya V SharmaDepartment of Pathology, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA.ORCID 0000-0003-2443-0366
Manoj KandpalPreventive Medicine, Health and Biomedical Informatics, Feinberg School of Medicine, The Robert H. Lurie Comprehensive Cancer Center, Northwestern University, Chicago, IL 60611, USA.ORCID 0000-0002-0595-8627
Fotini M KouriKen and Ruth Davee Department of Neurology, The Northwestern Malnati Brain Tumor Institute, Feinberg School of Medicine, The Robert H. Lurie Comprehensive Cancer Center, Northwestern University, Chicago, IL 60611, USA.
Ramana V DavuluriPreventive Medicine, Health and Biomedical Informatics, Feinberg School of Medicine, The Robert H. Lurie Comprehensive Cancer Center, Northwestern University, Chicago, IL 60611, USA.
Daniel J BratDepartment of Pathology, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA.
Miguel MuzzioLife Sciences Group, IIT Research Institute, Chicago, IL 60616, USA.ORCID 0000-0002-1287-7294
Mitchell GlassBroom Street Associates, Wilmington, DE 19806, USA.ORCID 0000-0002-5251-9459
Vinod VijayakumarBroom Street Associates, Wilmington, DE 19806, USA.
Jeremy HeidelInformulate LLC, Madison, WI 53704, USA.
Francis J GilesDevelopmental Therapeutics Program of the Division of Hematology Oncology, Feinberg School of Medicine, The Robert H. Lurie Comprehensive Cancer Center, Northwestern University, Chicago, IL 60611, USA.ORCID 0000-0002-6919-0231
Ann K AdamsOffice for Research, Northwestern University, Evanston, IL 60208, USA.ORCID 0000-0002-0224-0118
C David JamesDepartment of Neurological Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA.ORCID 0000-0002-2219-1173
Gayle E WoloschakDepartment of Radiation Oncology, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA.
Craig HorbinskiDepartment of Neurological Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA.ORCID 0000-0001-8340-9992
Alexander H SteghKen and Ruth Davee Department of Neurology, The Northwestern Malnati Brain Tumor Institute, Feinberg School of Medicine, The Robert H. Lurie Comprehensive Cancer Center, Northwestern University, Chicago, IL 60611, USA. priya.kumthekar@nm.org a-stegh@northwestern.edu.ORCID 0000-0003-2395-7967
Northwestern University · USArgonne National Laboratory · USRobert H. Lurie Comprehensive Cancer Center of Northwestern UniversityWilmington University · USIIT Research Institute · USInformulate (United States) · USUniversity of Utah · US

Funding

STINGing GBM: A First-in- Man Clinical Trial in Surgical Resectable Recurrent GBMP50CA221747 · NCI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI MACIEJ S LESNIAK · 2018 to 2026
$21.4M
Project 3: Spherical Nucleic Acids as Immunotherapeutic Agents for Prostate CancerU54CA199091 · NCI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI MIRKIN, CHAD A., PLATANIAS, LEONIDAS C. · 2015 to 2019
$11.7M
Theranostic Magnetic Nanostructures for the Molecular Imaging of CancerU54CA151880 · NCI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI MEADE, THOMAS J · 2010 to 2014
$11.5M
Informatics Platform for Mammalian Gene Regulation at Isoform-levelR01LM011297 · NLM · WISTAR INSTITUTE · PI DAVULURI, RAMANA V · 2013 to 2020
$2.4M
Systemic RNA interference to reactivate p53 tumor suppressionR01CA208783 · NCI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI MIRKIN, CHAD A., STEGH, ALEXANDER H. · 2017 to 2021
$1.8M
Tissue Factor as a Key Determinant of IDH1 Mutant versus IDH1 Wild-type Glioma Thrombosis and MalignancyR01NS102669 · NINDS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI HORBINSKI, CRAIG MICHAEL · 2017 to 2021
$1.7M
An IC-ICP-MS for advanced speciation and metalomics analysisS10OD020118 · OD · NORTHWESTERN UNIVERSITY · PI O'HALLORAN, THOMAS V · 2015 to 2015
$268k
Tissue Factor/Protease-Activated Receptor 2 in IDH1 wild-type and IDH1 mutant gliomasF32CA216996 · NCI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI UNRUH, DUSTEN · 2018 to 2020
$192k
NCI NIH HHS F32 CA216996NCI NIH HHS P50 CA221747NCI NIH HHS R01 CA208783NCI NIH HHS U54 CA151880NCI NIH HHS U54 CA199091NIH HHS S10 OD020118NINDS NIH HHS R01 NS102669NLM NIH HHS R01 LM011297
6 · The paper itself

Abstract

Glioblastoma (GBM) is one of the most difficult cancers to effectively treat, in part because of the lack of precision therapies and limited therapeutic access to intracranial tumor sites due to the presence of the blood-brain and blood-tumor barriers. We have developed a precision medicine approach for GBM treatment that involves the use of brain-penetrant RNA interference-based spherical nucleic acids (SNAs), which consist of gold nanoparticle cores covalently conjugated with radially oriented and densely packed small interfering RNA (siRNA) oligonucleotides. On the basis of previous preclinical evaluation, we conducted toxicology and toxicokinetic studies in nonhuman primates and a single-arm, open-label phase 0 first-in-human trial (NCT03020017) to determine safety, pharmacokinetics, intratumoral accumulation and gene-suppressive activity of systemically administered SNAs carrying siRNA specific for the GBM oncogene Bcl2Like12 (Bcl2L12). Patients with recurrent GBM were treated with intravenous administration of siBcl2L12-SNAs (drug moniker: NU-0129), at a dose corresponding to 1/50th of the no-observed-adverse-event level, followed by tumor resection. Safety assessment revealed no grade 4 or 5 treatment-related toxicities. Inductively coupled plasma mass spectrometry, x-ray fluorescence microscopy, and silver staining of resected GBM tissue demonstrated that intravenously administered SNAs reached patient tumors, with gold enrichment observed in the tumor-associated endothelium, macrophages, and tumor cells. NU-0129 uptake into glioma cells correlated with a reduction in tumor-associated Bcl2L12 protein expression, as indicated by comparison of matched primary tumor and NU-0129-treated recurrent tumor. Our results establish SNA nanoconjugates as a potential brain-penetrant precision medicine approach for the systemic treatment of GBM.

Indexed as

Brain NeoplasmsGlioblastomaMetal NanoparticlesNucleic AcidsGoldHumansMuscle ProteinsNeoplasm Recurrence, LocalProto-Oncogene Proteins c-bcl-2RNA InterferenceBCL2L12 protein, humanGoldMuscle ProteinsNucleic AcidsProto-Oncogene Proteins c-bcl-2

Identifiers

PMID33692132
PMCPMC8272521
OpenAlexW3134295746

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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.