Evidence map›Paper›PMID 34332557›Full record

Trial reportBMC cancer2021

A phase I/II clinical trial on the efficacy and safety of NKT cells combined with gefitinib for advanced EGFR-mutated non-small-cell lung cancer.

Wanjun Yu, Fei Ye, Xiao Yuan, Yali Ma, Chaoming Mao, Xiaoqin Li, Jian Li, Chunhua Dai, Fenhong Qian, Junrong Li and 8 more

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

Trial report in BMC cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.6field-weighted citation impact, top 9% 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

13 citing papers in PubMed, 36 citations in OpenAlex.

  1. Trial
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  11. Receptor tyrosine kinase inhibitors in cancer.Cellular and molecular life sciences : CMLS · 2023
    Review
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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

18 authors at 4 institutions in 1 country.

Wanjun YuDepartment of Immunology, School of Medicine, Jiangsu University, Zhenjiang, China.
Fei YeDepartment of Oncology, The Affiliated Hospital of Jiangsu University, Zhenjiang, China.
Xiao YuanDepartment of Oncology, The Affiliated Hospital of Jiangsu University, Zhenjiang, China.
Yali MaDepartment of Immunology, School of Medicine, Jiangsu University, Zhenjiang, China.
Chaoming MaoDepartment of Nuclear Medicine, The Affiliated Hospital of Jiangsu University, Zhenjiang, China.
Xiaoqin LiDepartment of Oncology, The Affiliated Hospital of Jiangsu University, Zhenjiang, China.
Jian LiDepartment of Respiratory, The Affiliated Hospital of Jiangsu University, Zhenjiang, China.
Chunhua DaiDepartment of Oncology, The Affiliated Hospital of Jiangsu University, Zhenjiang, China.
Fenhong QianDepartment of Respiratory, The Affiliated Hospital of Jiangsu University, Zhenjiang, China.
Junrong LiDepartment of Epidemiology and Biostatistics, School of Medicine, Jiangsu University, Zhenjiang, China.
Xiujuan FanDepartment of Oncology, The Affiliated Hospital of Jiangsu University, Zhenjiang, China.
Yuepeng ZhouDepartment of Oncology, The Affiliated Hospital of Jiangsu University, Zhenjiang, China.
Deqiang WangDepartment of Oncology, The Affiliated Hospital of Jiangsu University, Zhenjiang, China.
Zhenhong GuoNational Key Laboratory of Medical Immunology & Institute of Immunology, Second Military Medical University, Shanghai, China.
Huazhang AnShandong Provincial Qianfoshan Hospital, Shandong First Medical University, Jinan, Shandong, China.
Minghui ZhangSchool of Medicine, Tsinghua University, Beijing, China. immunolzhang@aliyun.com.
Deyu ChenDepartment of Oncology, The Affiliated Hospital of Jiangsu University, Zhenjiang, China. cdeyu@hotmail.com.
Sheng XiaDepartment of Immunology, School of Medicine, Jiangsu University, Zhenjiang, China. xiasheng1519@163.com.ORCID http://orcid.org/0000-0002-0663-6988
Jiangsu University · CNSecond Military Medical University · CNShandong Provincial QianFoShan Hospital · CNTsinghua University · CN

Funding

Science and Technology Support Program of Jiangsu Province BE2017696
6 · The paper itself

Abstract

backgroundEpidermal growth factor receptor tyrosine kinase inhibitors (EGFR-TKIs), such as gefitinib, have achieved good efficacy in EGFR mutation-positive non-small-cell lung cancer (NSCLC) patients, but eventual drug resistance is inevitable. Thus, new TKI-based combination therapies should be urgently explored to extend the overall survival time of these patients. CD8 + CD56+ natural killer T (NKT) cells are a natural and unique subset of lymphocytes in humans that present characteristics of T and NK cells and exert cytotoxicity on tumour cells in a granzyme B-dependent manner. The aim of this trial was to explore the efficacy and safety of CD8 + CD56+ NKT cell immunotherapy combined with gefitinib in patients with advanced EGFR-mutated NSCLC.

methodsThe study was designed as a prospective, randomized, controlled, open-label, phase I/II trial that includes 30 patients with EGFR mutation-positive stage III/IV NSCLC. All patients will be randomized in blocks at a 1:1 ratio and treated with gefitinib 250 mg/day monotherapy or combination therapy with allogeneic CD8 + CD56+ NKT cell infusions twice per month for 12 cycles or until disease progression occurs. The effectiveness of this treatment will be evaluated based on by progression-free survival (PFS), the time to progression (TTP), overall response rate (ORR), disease control rate (DCR) and overall survival (OS). The safety of the trail is being assessed based on adverse events (AEs). Recruitment and data collection, which started in December 2017, are ongoing. DISCUSSION: Although immunotherapy, including programmed death-1/programmed death-1 ligand (PD-1/PD-L1) immunotherapy, has been used for NSCLC treatment with or without EGFR-TKIs, its clear efficacy still has not been shown. Assessing the safety and therapeutic potential of allogeneic CD8 + CD56+ NKT killer cells in combination with EGFR-TKIs in NSCLC will be of great interest.

trial registrationThis trial (Phase I/II Trails of NKT Cell in Combination With Gefitinib For Non Small Cell Lung Cancer) was registered on 21 November 2017 with www.chictr.org.cn , ChiCTR-IIR-17013471 .

Indexed as

Adoptive TransferMutationB7-H1 AntigenCarcinoma, Non-Small-Cell LungCombined Modality TherapyErbB ReceptorsGefitinibHumansLung NeoplasmsMolecular Targeted TherapyNatural Killer T-CellsTreatment OutcomeB7-H1 AntigenCD274 protein, humanEGFR protein, humanErbB ReceptorsGefitinibGefitinibImmunotherapyNatural killer T cellNon-small-cell lung cancerRandomized controlled trial

Identifiers

PMID34332557
PMCPMC8325186
OpenAlexW3187274063

What OpenQuestion holds

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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.