Evidence map›Paper›PMID 34661709›Full record

ArticleCancer immunology, immunotherapy : CII2022

Dendritic cell therapy with CD137L-DC-EBV-VAX in locally recurrent or metastatic nasopharyngeal carcinoma is safe and confers clinical benefit.

Emily Nickles, Bhushan Dharmadhikari, Li Yating, Robert J Walsh, Liang Piu Koh, Michelle Poon, Lip Kun Tan, Ling-Zhi Wang, Yvonne Ang, Yugarajah Asokumaran and 19 more

Open access · greenAbstract readClinical Trial, Phase I
In one paragraph

Article in Cancer immunology, immunotherapy : CII, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
1.5field-weighted citation impact, top 18% 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

18 citing papers in PubMed, 28 citations in OpenAlex.

  1. Review
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  3. Review
  4. Review
  5. Article
  6. Novel Therapeutic Development for Nasopharyngeal Carcinoma.Current oncology (Toronto, Ont.) · 2025
    Review
  7. Article
  8. Review
  9. Review
  10. Article
  11. Review
  12. Review
  13. Review
  14. Article
  15. Review
  16. Review
  17. Article
  18. Nasopharyngeal carcinoma: an evolving paradigm.Nature reviews. Clinical oncology · 2021
    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

29 authors at 7 institutions in 2 countries.

Emily NicklesDepartment of Physiology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Bhushan DharmadhikariDepartment of Physiology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Li YatingDepartment of Physiology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Robert J WalshDepartment of Haematology-Oncology, National University Cancer Institute, National University Health System, Singapore, Singapore.
Liang Piu KohDepartment of Haematology-Oncology, National University Cancer Institute, National University Health System, Singapore, Singapore.
Michelle PoonDepartment of Haematology-Oncology, National University Cancer Institute, National University Health System, Singapore, Singapore.
Lip Kun TanDepartment of Haematology-Oncology, National University Cancer Institute, National University Health System, Singapore, Singapore.
Ling-Zhi WangCancer Science Institute of Singapore, National University of Singapore, Singapore, Singapore.
Yvonne AngDepartment of Haematology-Oncology, National University Cancer Institute, National University Health System, Singapore, Singapore.
Yugarajah AsokumaranDepartment of Haematology-Oncology, National University Cancer Institute, National University Health System, Singapore, Singapore.
Wan Qin ChongDepartment of Haematology-Oncology, National University Cancer Institute, National University Health System, Singapore, Singapore.
Yiqing HuangDepartment of Haematology-Oncology, National University Cancer Institute, National University Health System, Singapore, Singapore.
Kwok Seng LohDepartment of Haematology-Oncology, National University Cancer Institute, National University Health System, Singapore, Singapore.
Joshua Tay
Ross SooDepartment of Haematology-Oncology, National University Cancer Institute, National University Health System, Singapore, Singapore.
Mickey KohHealth Sciences Authority, Singapore, Singapore.
Liam Pock HoHealth Sciences Authority, Singapore, Singapore.
Marieta ChanHealth Sciences Authority, Singapore, Singapore.
Madelaine NiamHealth Sciences Authority, Singapore, Singapore.
Melissa SohHealth Sciences Authority, Singapore, Singapore.
Yen Hoon LuahHealth Sciences Authority, Singapore, Singapore.
Chwee Ming LimDepartment of Otolaryngology - Head and Neck Surgery, Singapore General Hospital, Singapore, Singapore.
Nivashini KaliaperumalInstitute of Molecular and Cell Biology, Agency for Science, Technology and Research, Singapore, Singapore.
Veonice B AuInstitute of Molecular and Cell Biology, Agency for Science, Technology and Research, Singapore, Singapore.
Najwa Binte Said Nasir TalibInstitute of Molecular and Cell Biology, Agency for Science, Technology and Research, Singapore, Singapore.
Reina SngInstitute of Molecular and Cell Biology, Agency for Science, Technology and Research, Singapore, Singapore.
John E ConnollyInstitute of Molecular and Cell Biology, Agency for Science, Technology and Research, Singapore, Singapore.
Boon Cher GohDepartment of Haematology-Oncology, National University Cancer Institute, National University Health System, Singapore, Singapore. phcgbc@nus.edu.sg.
Herbert SchwarzDepartment of Physiology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore. phssh@nus.edu.sg.
Health Sciences Authority · SGNational University Cancer Institute, Singapore · SGNational University Health System · SGAgency for Science, Technology and Research · SGNational University of Singapore · SGInstitute of Molecular and Cell Biology · SGSingapore General Hospital · SG

Funding

National Medical Research Council NMRC/BnB/018b/2015
6 · The paper itself

Abstract

introductionEpstein-Barr virus (EBV) is associated with nasopharyngeal carcinoma (NPC), and provides a target for a dendritic cell (DC) vaccine. CD137 ligand (CD137L) expressed on antigen presenting cells, costimulates CD137-expressing T cells, and reverse CD137L signaling differentiates monocytes to CD137L-DC, a type of DC, which is more potent than classical DC in stimulating T cells.

methodsIn this phase I study, patients with locally recurrent or metastatic NPC were administered CD137L-DC pulsed with EBV antigens (CD137L-DC-EBV-VAX).

resultsOf the 12 patients treated, 9 received full 7 vaccine doses with a mean administered cell count of 23.9 × 10

conclusionCD137L-DC-EBV-VAX was well tolerated. The use of CD137L-DC-EBV-VAX is demonstrated to be safe. Consistent results were obtained from all 12 patients, indicating that CD137L-DC-EBV-VAX induces an anti-EBV and anti-NPC immune response, and warranting further studies in patients post effective chemotherapy. PRECIS: The first clinical testing of CD137L-DC, a new type of monocyte-derived DC, finds that CD137L-DC are safe, and that they can induce an immune response against Epstein-Barr virus-associated nasopharyngeal carcinoma that leads to tumor regression or prevents tumor progression.

Indexed as

Epstein-Barr Virus InfectionsNasopharyngeal Neoplasms4-1BB LigandDendritic CellsHerpesvirus 4, HumanHumansNasopharyngeal Carcinoma4-1BB LigandCD137L-DCDendritic cell immunotherapyEBVNasopharyngeal carcinomaPhase 1 clinical trial

Identifiers

PMID34661709
PMCPMC10991364
OpenAlexW3206573163

What OpenQuestion holds

Textmetadata
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.