Evidence map›Paper›PMID 34473237›Full record

Trial reportBlood advances2021

Virus-specific T cells for adenovirus infection after stem cell transplantation are highly effective and class II HLA restricted.

Jeremy D Rubinstein, Xiang Zhu, Thomas Leemhuis, Giang Pham, Lorraine Ray, Sana Emberesh, Sonata Jodele, Shawn Thomas, Jose A Cancelas, Catherine M Bollard and 11 more

3 registry-linked trialsAbstract readClinical Trial, Phase II
In one paragraph

Trial report in Blood advances, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT02048332 phase1 / phase2recruitingnot on this map

Donor-Derived Viral Specific T-cells (VSTs) for Treatment of Viral Infections After Allogeneic Stem Cell Transplant

TypeinterventionalSponsorChildren's Hospital Medical Center, CincinnatiRan2014 to 2027Enrolled750ConditionsAllogeneic Stem Cell Transplant, Viral Infection, Viral ReactivationArmsViral specific VST Infusion
NCT02532452 phase2recruitingnot on this map

Third Party Viral Specific T-cells (VSTs) for Treatment of Viral Infections in Immunocompromised Patients

TypeinterventionalSponsorChildren's Hospital Medical Center, CincinnatiRan2015 to 2027Enrolled750ConditionsViral Infection, Viral Reactivation, Infection in an Immunocompromised HostArmsViral Specific VST Infusion
NCT07685457 narecruitingnot on this mapstarted 2026, after this paper: background citation

A Prospective Clinical Study to Evaluate the Safety and Efficacy of Virus Specific T-Cell Administration in Pediatric Patients With Systemic Viral Infection Following Allogeneic Hematopoietic Stem Cell Transplantation.

TypeinterventionalSponsorLucasBioRan2026 to 2027Enrolled6ConditionsBKV Infection, CMV Infection, EBV InfectionArmsLB-DTK-MV
3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Posoleucel, an Allogeneic, Off-the-Shelf Multivirus-Specific T-Cell Therapy, for the Treatment of Refractory Viral Infections in the Post-HCT Setting.Clinical cancer research : an official journal of the American Association for Cancer Research · 2023
    Trial
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Adoptive T-cell therapy for virus-associated diseases.Clinical microbiology reviews · 2025
    Review
  11. Review
  12. Article
  13. Review
  14. Observational
  15. Adenovirus infection.Journal of nephrology · 2025
    Article
  16. Virus-Specific T-Cell Therapy for the Management of Viral Infections in the Immunocompromised.Transfusion medicine and hemotherapy : offizielles Organ der Deutschen Gesellschaft fur Transfusionsmedizin und Immunhamatologie · 2025
    Review
  17. Review
  18. Review
  19. Article
  20. Review
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

21 authors.

Jeremy D RubinsteinDepartment of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH.ORCID 0000-0002-1934-2954
Xiang ZhuDivision of Experimental Hematology, Cancer and Blood Diseases Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, OH.
Thomas LeemhuisHoxworth Blood Center, University of Cincinnati, Cincinnati, OH.
Giang PhamDivision of Experimental Hematology, Cancer and Blood Diseases Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, OH.
Lorraine RayDivision of Experimental Hematology, Cancer and Blood Diseases Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, OH.
Sana EmbereshDivision of Experimental Hematology, Cancer and Blood Diseases Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, OH.
Sonata JodeleDepartment of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH.
Shawn ThomasDivision of Bone Marrow Transplant and Immune Deficiency, Cancer and Blood Diseases Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, OH.
Jose A CancelasDepartment of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH.
Catherine M BollardDepartment of Pediatrics, Center for Cancer and Immunology Research, Children's National Health System, The George Washington University, Washington, DC.
Patrick J HanleyDepartment of Pediatrics, Center for Cancer and Immunology Research, Children's National Health System, The George Washington University, Washington, DC.
Michael D KellerDepartment of Pediatrics, Center for Cancer and Immunology Research, Children's National Health System, The George Washington University, Washington, DC.
Olivia GrimleyDivision of Bone Marrow Transplant and Immune Deficiency, Cancer and Blood Diseases Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, OH.
Diana ClarkDivision of Bone Marrow Transplant and Immune Deficiency, Cancer and Blood Diseases Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, OH.
Teri ClarkDivision of Bone Marrow Transplant and Immune Deficiency, Cancer and Blood Diseases Institute, Cincinnati Children's Hospital Medical Center, Cincinnati, OH.
Cecilia S Lindestam ArlehamnCenter for Infectious Disease and Vaccine Research, La Jolla Institute for Immunology, La Jolla, CA; and.ORCID 0000-0001-7302-8002
Alessandro SetteCenter for Infectious Disease and Vaccine Research, La Jolla Institute for Immunology, La Jolla, CA; and.
Stella M DaviesDepartment of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH.
Adam S NelsonDepartment of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH.
Michael S GrimleyDepartment of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH.ORCID 0000-0003-2056-5167
Carolyn LutzkoDepartment of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Infection with adenoviruses is a common and significant complication in pediatric patients after allogeneic hematopoietic stem cell transplantation. Treatment options with traditional antivirals are limited by poor efficacy and significant toxicities. T-cell reconstitution is critical for the management of adenoviral infections, but it generally takes place months after transplantation. Ex vivo-generated virus-specific T cells (VSTs) are an alternative approach for viral control and can be rapidly generated from either a stem cell donor or a healthy third-party donor. In the context of a single-center phase 1/2 clinical trial, we treated 30 patients with a total of 43 infusions of VSTs for adenoviremia and/or adenoviral disease. Seven patients received donor-derived VSTs, 21 patients received third-party VSTs, and 2 received VSTs from both donor sources. Clinical responses were observed in 81% of patients, with a complete response in 58%. Epitope prediction and potential epitope identification for common HLA molecules helped elucidate HLA restriction in a subset of patients receiving third-party products. Intracellular interferon-γ expression in T cells in response to single peptides and response to cell lines stably transfected with a single HLA molecule demonstrated HLA-restricted CD4+ T-cell response, and these results correlated with clinical outcomes. Taken together, these data suggest that VSTs are a highly safe and effective therapy for the management of adenoviral infection in immunocompromised hosts. The trials were registered at www.clinicaltrials.gov as #NCT02048332 and #NCT02532452.

Indexed as

Adenoviridae InfectionsHematopoietic Stem Cell TransplantationChildHumansInterferon-gammaStem Cell TransplantationT-LymphocytesInterferon-gamma

Identifiers

PMID34473237
PMCPMC8525242

What OpenQuestion holds

Textmetadata
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.