Evidence map›Paper›PMID 34724115›Full record

Trial reportJournal of cancer research and clinical oncology2022

GD2-specific chimeric antigen receptor-modified T cells for the treatment of refractory and/or recurrent neuroblastoma in pediatric patients.

Lihua Yu, Lulu Huang, Danna Lin, Xiaorong Lai, Li Wu, Xu Liao, Jiale Liu, Yinghua Zeng, Lichan Liang, Guanmei Zhang and 7 more

Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report in Journal of cancer research and clinical oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02765243 (Anti-GD2 4th Generation Chimeric Antigen Receptor-modified T Cells), which is not on this map. Cited by 57 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed, 2 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.

NCT02765243 phase1completednot on this map

Anti-GD2 4th Generation Chimeric Antigen Receptor-modified T Cells (4SCAR-GD2) Targeting Refractory and/or Recurrent Neuroblastoma

TypeinterventionalSponsorZhujiang HospitalRan2016 to 2023Enrolled12ConditionsNeuroblastoma, Effects of ImmunotherapyArmsAnti-GD2 CART
3 · Its place in the literature

Who cites it

57 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  7. Review
  8. Role of Anti-GDACS applied bio materials · 2026
    Article
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  11. Targeted therapies in pediatric oncology: A start.Molecular therapy. Oncology · 2026
    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

17 authors.

Lihua Yu *Department of Pediatric Hematology, Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong, China.
Lulu Huang *Department of Pediatric Hematology, Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong, China.
Danna LinDepartment of Pediatric Hematology, Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong, China.
Xiaorong LaiDepartment of Pediatric Hematology, Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong, China.
Li WuDepartment of Pediatric Hematology, Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong, China.
Xu LiaoDepartment of Pediatric Hematology, Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong, China.
Jiale LiuDepartment of Pediatric Hematology, Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong, China.
Yinghua ZengDepartment of Pediatric Hematology, Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong, China.
Lichan LiangDepartment of Pediatric Hematology, Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong, China.
Guanmei ZhangDepartment of Pediatric Hematology, Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong, China.
Bin WangDepartment of Neonatology, Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong, China.
Zhu WuDepartment of Pediatric Intensive Medicine, Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong, China.
Shaohua TaoDepartment of Pediatric Intensive Medicine, Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong, China.
Yuchen LiuShenzhen Geno-Immune Medical Institute, Shenzhen, China.
Cheng JiaoShenzhen Geno-Immune Medical Institute, Shenzhen, China.
Lung-Ji ChangShenzhen Geno-Immune Medical Institute, Shenzhen, China. c@szgimi.org.ORCID http://orcid.org/0000-0003-2395-5216
Lihua YangDepartment of Pediatric Hematology, Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong, China. dryanglihua@163.com.ORCID http://orcid.org/0000-0002-0009-871X

Funding

Dean's Fund of Zhujiang Hospital A09Science and Technology Planning Project of Shenzhen Municipality JCYJ20170817172416991Science and Technology Planning Project of Shenzhen Municipality JCYJ20170817172541842Science and Technology Planning Project of Shenzhen Municipality KQTD20140630143254906
6 · The paper itself

Abstract

purposeThis study aimed to evaluate the safety and efficacy of chimeric antigen receptor (CAR) disialoganglioside 2 (GD2)-specific (4SCAR-GD2) T cells for treatment of refractory and/or recurrent neuroblastoma (NB) in pediatric patients. EXPERIMENTAL

designA phase I clinical study using 4SCAR-GD2 T cells for the treatment of NB in pediatric patients was conducted. This study was registered at www. CLINICALTRIALS: gov (NCT02765243). A lentiviral CAR with the signaling domains of CD28/4-1BB/CD3ζ-iCasp9 was transduced into activated T cells. The response to 4SCAR-GD2 T-cell treatment, and 4SCAR-GD2 T-cell expansion and persistence in patients were evaluated. Toxicities were determined based on the National Cancer Institute Common Terminology Criteria for Adverse Events (CTCAE) v4.03.

resultsTwelve patients were enrolled and finally ten patients were included in this clinical trial which started from January 1, 2016, to August 1, 2017. These patients had progressive disease (PD) before CAR T-cell infusion. After 4SCAR-GD2 T-cell treatment, 6 (6/10) had stable disease (SD) at 6 months, and 4 (4/10) remained SD at 1 year and alive after 3-4 years of follow-up. Six patients died due to disease progression by the end of July 1, 2020. The median overall survival (OS) time was 25 months (95% CI, 0.00-59.43), and the median progression-free survival (PFS) time was 8 months (95% CI, 0.25-15.75). Grade 3 or 4 hematological toxicities were the common adverse events frequently occurred after fludarabine and cyclophosphamide (Flu/cy) chemotherapy. Grade 1-2 toxicities such as cytokine release syndrome (CRS) and neuropathic pain were common, but were transient and mild.

conclusionsThe 4SCAR-GD2 T-cell therapy demonstrated antitumor effect and manageable toxicities, indicating its potential to benefit children with refractory and/or recurrent NB.

Indexed as

NeuroblastomaReceptors, Chimeric AntigenChildGangliosidesHumansImmunotherapy, AdoptiveNeoplasm Recurrence, LocalT-LymphocytesGangliosidesReceptors, Chimeric AntigenCAR TGD2ImmunotherapyNeuroblastomaPediatric

Identifiers

PMID34724115
PMCPMC9470713

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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.