Evidence map›Paper›PMID 34385708›Full record

ArticleNature medicine2021

Tumor-infiltrating lymphocyte treatment for anti-PD-1-resistant metastatic lung cancer: a phase 1 trial.

Benjamin C Creelan, Chao Wang, Jamie K Teer, Eric M Toloza, Jiqiang Yao, Sungjune Kim, Ana M Landin, John E Mullinax, James J Saller, Andreas N Saltos and 16 more

2 registry-linked trialsOpen access · greenAbstract readClinical Trial, Phase I
In one paragraph

Article in Nature medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 288 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
288citing papers in PubMed, 1 pooled it
25.5field-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.

NCT03215810 phase1completednot on this map

A Phase I Clinical Trial Combining Nivolumab and Tumor Infiltrating Lymphocytes (TIL) for Patients With Advanced Non-Small Cell Lung Cancer

TypeinterventionalSponsorH. Lee Moffitt Cancer Center and Research InstituteRan2017 to 2023Enrolled20ConditionsNon-Small Cell Lung Cancer, Metastatic Non-small Cell Lung Cancer, Squamous Cell Carcinoma, Advanced NSCLCArmsTumor-infiltrating Lymphocytes (TIL), Nivolumab, Cyclophosphamide, Fludarabine, Tumor-infiltrating Lymphocyte Therapy
NCT05681780 phase1recruitingnot on this mapstarted 2023, after this paper: background citation

Clinical Trial of CD40L-augmented Tumor Infiltrating Lymphocytes (CD40L TIL) for Patients With Oncogene-Driven Advanced Non-Small Cell Lung Cancer (NSCLC)

TypeinterventionalSponsorH. Lee Moffitt Cancer Center and Research InstituteRan2023 to 2027Enrolled20ConditionsNon Small Cell Lung Cancer, Stage IV Non-small Cell Lung Cancer, Recurrent Non Small Cell Lung CancerArmsTumor-infiltrating Lymphocytes (TIL), Nivolumab, Cyclophosphamide, Fludarabine, Tumor-infiltrating Lymphocyte Therapy
3 · Its place in the literature

Who cites it

288 citing papers in PubMed, 1 synthesis or guideline pooled it, 404 citations in OpenAlex.

  1. Pooled it
  2. Effective TIL Therapy for Patients with Checkpoint-Resistant Melanoma without Lymphodepleting Regimens Requires IFNα.Clinical cancer research : an official journal of the American Association for Cancer Research · 2025
    Trial
  3. Trial
  4. Safety and Tolerability of Letetresgene Autoleucel (GSK3377794): Pilot Studies in Patients with Advanced Non-Small Cell Lung Cancer.Clinical cancer research : an official journal of the American Association for Cancer Research · 2025
    Trial
  5. Trial
  6. Article
  7. Review
  8. Article
  9. Article
  10. Predicting Neoantigen Immunogenicity frombioRxiv : the preprint server for biology · 2026
    Article
  11. Adoptive cell therapy in lung cancer: progress, challenges, and prospects.Chinese medical journal pulmonary and critical care medicine · 2026
    Review
  12. Review
  13. Article
  14. Cell surface ADGRG1 and CD86 expression identifies antitumor CD4Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  15. Article
  16. Review
  17. Review
  18. Review
  19. Review
  20. Unbiased avidity-based isolation of antigen-specific T cells.Journal for immunotherapy of cancer · 2026
    Article

228 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

26 authors at 3 institutions in 1 country.

Benjamin C Creelan *Department of Thoracic Oncology, H. Lee Moffitt Cancer Center & Research Institute, Tampa, FL, USA. ben.creelan@moffitt.org.ORCID http://orcid.org/0000-0002-2728-8070
Chao Wang *Department of Thoracic Oncology, H. Lee Moffitt Cancer Center & Research Institute, Tampa, FL, USA.
Jamie K TeerDepartment of Bioinformatics and Biostatistics, H. Lee Moffitt Cancer Center & Research Institute, Tampa, FL, USA.ORCID http://orcid.org/0000-0003-4513-0282
Eric M TolozaDepartment of Thoracic Oncology, H. Lee Moffitt Cancer Center & Research Institute, Tampa, FL, USA.
Jiqiang YaoDepartment of Bioinformatics and Biostatistics, H. Lee Moffitt Cancer Center & Research Institute, Tampa, FL, USA.
Sungjune KimDepartment of Immunology, H. Lee Moffitt Cancer Center & Research Institute, Tampa, FL, USA.
Ana M LandinCell Therapy Facility, H. Lee Moffitt Cancer Center & Research Institute, Tampa, FL, USA.
John E MullinaxDepartment of Sarcoma, H. Lee Moffitt Cancer Center & Research Institute, Tampa, FL, USA.
James J SallerDepartment of Pathology, H. Lee Moffitt Cancer Center & Research Institute, Tampa, FL, USA.ORCID http://orcid.org/0000-0001-5040-4482
Andreas N SaltosDepartment of Thoracic Oncology, H. Lee Moffitt Cancer Center & Research Institute, Tampa, FL, USA.
David R NoyesDepartment of Immunology, H. Lee Moffitt Cancer Center & Research Institute, Tampa, FL, USA.
Leighann B MontoyaImmune and Cellular Therapy Program, H. Lee Moffitt Cancer Center & Research Institute, Tampa, FL, USA.
Wesley CurryImmune and Cellular Therapy Program, H. Lee Moffitt Cancer Center & Research Institute, Tampa, FL, USA.
Shari A Pilon-ThomasDepartment of Immunology, H. Lee Moffitt Cancer Center & Research Institute, Tampa, FL, USA.
Alberto A ChiapporiDepartment of Thoracic Oncology, H. Lee Moffitt Cancer Center & Research Institute, Tampa, FL, USA.
Tawee TanvetyanonDepartment of Thoracic Oncology, H. Lee Moffitt Cancer Center & Research Institute, Tampa, FL, USA.
Frederic J KayeDepartment of Medicine, University of Florida College of Medicine, Gainesville, FL, USA.ORCID http://orcid.org/0000-0001-8565-1854
Zachary J ThompsonDepartment of Thoracic Oncology, H. Lee Moffitt Cancer Center & Research Institute, Tampa, FL, USA.
Sean J YoderChemical Biology & Molecular Medicine, H. Lee Moffitt Cancer Center & Research Institute, Tampa, FL, USA.
Bin FangChemical Biology & Molecular Medicine, H. Lee Moffitt Cancer Center & Research Institute, Tampa, FL, USA.
John M KoomenChemical Biology & Molecular Medicine, H. Lee Moffitt Cancer Center & Research Institute, Tampa, FL, USA.ORCID http://orcid.org/0000-0002-3818-1762
Amod A SarnaikDepartment of Thoracic Oncology, H. Lee Moffitt Cancer Center & Research Institute, Tampa, FL, USA.
Dung-Tsa ChenDepartment of Bioinformatics and Biostatistics, H. Lee Moffitt Cancer Center & Research Institute, Tampa, FL, USA.
Jose R Conejo-GarciaDepartment of Thoracic Oncology, H. Lee Moffitt Cancer Center & Research Institute, Tampa, FL, USA.ORCID http://orcid.org/0000-0001-6431-4074
Eric B Haura *Department of Thoracic Oncology, H. Lee Moffitt Cancer Center & Research Institute, Tampa, FL, USA.
Scott J Antonia *Duke Cancer Institute, Duke University School of Medicine, Durham, NC, USA.
Moffitt Cancer Center · USDuke University · USUniversity of Florida · US

Funding

Women's Cancer Research ProgramP30CA014236 · NCI · DUKE UNIVERSITY · PI JOHN N. NORTON · 1985 to 2026
$174.8M
TRANSLATIONAL RESEARCHP30CA076292 · NCI · UNIVERSITY OF SOUTH FLORIDA · PI Christine O'Connell · 1998 to 2026
$93.5M
"Research Supplement to Promote Diversity in Health-Related Research", as part of Moffitt PS-OC, "Cancer as a Complex adaptive System"U54CA193489 · NCI · H. LEE MOFFITT CANCER CTR & RES INST · PI ANDERSON, ALEXANDER ROBERTSON ALLAN, GATENBY, ROBERT A · 2015 to 2020
$12.5M
Vascular Leukocytes Influence the Tumor MicroenvironmentR01CA124515 · NCI · WISTAR INSTITUTE · PI Jose R Conejo-Garcia · 2007 to 2026
$7.1M
Imaging Acidosis and Immune Therapy in PDACR01CA239219 · NCI · H. LEE MOFFITT CANCER CTR & RES INST · PI IBRAHIM HASHIM, ARIG A, PILON-THOMAS, SHARI · 2020 to 2024
$3.4M
Predict radiation-induced shifts in patient-specific tumor immune ecosystem composition to harness immunological consequences of radiotherapyU01CA244100 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI ENDERLING, HEIKO, PILON-THOMAS, SHARI · 2020 to 2025
$2.6M
Enhancing TIL populations and immunotherapy efficacy in melanoma by modulating fucosylationR01CA241559 · NCI · H. LEE MOFFITT CANCER CTR & RES INST · PI LAU, ERIC KIRK · 2019 to 2023
$2.1M
Inter-metastatic divergency in small cell lung cancer; implications for the design of future immunotherapiesR01CA278907 · NCI · DUKE UNIVERSITY · PI Jose R Conejo-Garcia · 2023 to 2026
$1.5M
Leveraging the Lymphocytic Infiltration of Soft Tissue Sarcoma for Autologous Cellular ImmunotherapyK08CA252642 · NCI · H. LEE MOFFITT CANCER CTR & RES INST · PI MULLINAX, JOHN · 2020 to 2024
$1.2M
NCI NIH HHS K08 CA252642NCI NIH HHS P30 CA014236NCI NIH HHS P30 CA076292NCI NIH HHS R01 CA124515NCI NIH HHS R01 CA239219NCI NIH HHS R01 CA241559NCI NIH HHS R01 CA278907NCI NIH HHS U01 CA244100NCI NIH HHS U54 CA193489
6 · The paper itself

Abstract

Adoptive cell therapy using tumor-infiltrating lymphocytes (TILs) has shown activity in melanoma, but has not been previously evaluated in metastatic non-small cell lung cancer. We conducted a single-arm open-label phase 1 trial ( NCT03215810 ) of TILs administered with nivolumab in 20 patients with advanced non-small cell lung cancer following initial progression on nivolumab monotherapy. The primary end point was safety and secondary end points included objective response rate, duration of response and T cell persistence. Autologous TILs were expanded ex vivo from minced tumors cultured with interleukin-2. Patients received cyclophosphamide and fludarabine lymphodepletion, TIL infusion and interleukin-2, followed by maintenance nivolumab. The end point of safety was met according to the prespecified criteria of ≤17% rate of severe toxicity (95% confidence interval, 3-29%). Of 13 evaluable patients, 3 had confirmed responses and 11 had reduction in tumor burden, with a median best change of 35%. Two patients achieved complete responses that were ongoing 1.5 years later. In exploratory analyses, we found T cells recognizing multiple types of cancer mutations were detected after TIL treatment and were enriched in responding patients. Neoantigen-reactive T cell clonotypes increased and persisted in peripheral blood after treatment. Cell therapy with autologous TILs is generally safe and clinically active and may constitute a new treatment strategy in metastatic lung cancer.

Indexed as

Drug Resistance, NeoplasmLymphocytes, Tumor-InfiltratingAdultAgedCarcinoma, Non-Small-Cell LungFemaleHumansLung NeoplasmsMaleMiddle AgedNeoplasm MetastasisProgrammed Cell Death 1 ReceptorPDCD1 protein, humanProgrammed Cell Death 1 Receptor

Identifiers

PMID34385708
PMCPMC8509078
OpenAlexW3193095160

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.