Evidence map›Paper›PMID 34871371›Full record

ArticleBlood2022

Donor memory-like NK cells persist and induce remissions in pediatric patients with relapsed AML after transplant.

Jeffrey J Bednarski, Clare Zimmerman, Melissa M Berrien-Elliott, Jennifer A Foltz, Michelle Becker-Hapak, Carly C Neal, Mark Foster, Timothy Schappe, Ethan McClain, Patrick P Pence and 14 more

Registry-linked trialOpen access · bronzeAbstract readClinical Trial, Phase I
In one paragraph

Article in Blood, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03068819 (Cytokine Induced Memory-like NK Cell Adoptive Therapy for Relapsed AML After Allogeneic Hematopoietic Cell Transplant in Children and Adults), which is not on this map. Cited by 110 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
110citing papers in PubMed, 3 pooled it
8.8field-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.

NCT03068819 phase1 / phase2completednot on this map

Cytokine Induced Memory-like NK Cell Adoptive Therapy for Relapsed AML After Allogeneic Hematopoietic Cell Transplant in Children and Adults

TypeinterventionalSponsorWashington University School of MedicineRan2017 to 2025Enrolled62ConditionsAcute Myeloid LeukemiaArmsCIML NK Cell Infusion, CD3+ T Cell Product Infusion, Leukapheresis
3 · Its place in the literature

Who cites it

110 citing papers in PubMed, 3 syntheses or guidelines pooled it, 152 citations in OpenAlex.

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

24 authors at 1 institution in 1 country.

Jeffrey J BednarskiDivision of Hematology and Oncology, Department of Pediatrics, and.ORCID 0000-0001-6902-0876
Clare ZimmermanDivision of Hematology and Oncology, Department of Pediatrics, and.
Melissa M Berrien-ElliottDivision of Oncology, Department of Medicine, Washington University School of Medicine, St. Louis, MO.ORCID 0000-0002-7319-9159
Jennifer A FoltzDivision of Oncology, Department of Medicine, Washington University School of Medicine, St. Louis, MO.ORCID 0000-0001-9158-3464
Michelle Becker-HapakDivision of Oncology, Department of Medicine, Washington University School of Medicine, St. Louis, MO.
Carly C NealDivision of Oncology, Department of Medicine, Washington University School of Medicine, St. Louis, MO.
Mark FosterDivision of Oncology, Department of Medicine, Washington University School of Medicine, St. Louis, MO.
Timothy SchappeDivision of Oncology, Department of Medicine, Washington University School of Medicine, St. Louis, MO.
Ethan McClainDivision of Oncology, Department of Medicine, Washington University School of Medicine, St. Louis, MO.
Patrick P PenceDivision of Oncology, Department of Medicine, Washington University School of Medicine, St. Louis, MO.ORCID 0000-0002-2970-9342
Sweta DesaiDivision of Oncology, Department of Medicine, Washington University School of Medicine, St. Louis, MO.ORCID 0000-0002-6995-3585
Samantha Kersting-SchadekDivision of Oncology, Department of Medicine, Washington University School of Medicine, St. Louis, MO.
Pamela WongDivision of Oncology, Department of Medicine, Washington University School of Medicine, St. Louis, MO.ORCID 0000-0002-6856-2603
David A Russler-GermainDivision of Oncology, Department of Medicine, Washington University School of Medicine, St. Louis, MO.ORCID 0000-0003-1009-2247
Bryan FiskDivision of Oncology, Department of Medicine, Washington University School of Medicine, St. Louis, MO.ORCID 0000-0002-7648-1360
Wen-Rong LieMilliporeSigma, St. Louis, MO; and.
Jeremy EiseleDivision of Oncology, Department of Medicine, Washington University School of Medicine, St. Louis, MO.
Stephanie HydeDivision of Hematology and Oncology, Department of Pediatrics, and.
Sima T BhattDivision of Hematology and Oncology, Department of Pediatrics, and.
Obi L GriffithDivision of Oncology, Department of Medicine, Washington University School of Medicine, St. Louis, MO.ORCID 0000-0002-0843-4271
Malachi GriffithDivision of Oncology, Department of Medicine, Washington University School of Medicine, St. Louis, MO.
Allegra A PettiDepartment of Neurosurgery, Washington University School of Medicine, St. Louis, MO.
Amanda F CashenDivision of Oncology, Department of Medicine, Washington University School of Medicine, St. Louis, MO.
Todd A FehnigerDivision of Oncology, Department of Medicine, Washington University School of Medicine, St. Louis, MO.ORCID 0000-0002-8705-2887
Washington University in St. Louis · US

Funding

Washington University Center for Cellular ImagingP30CA091842 · NCI · WASHINGTON UNIVERSITY · PI AIMEE S JAMES · 2001 to 2026
$128.0M
WU INSTITUTE OF CLINICAL AND TRANSLATIONAL SCIENCESUL1TR002345 · NCATS · WASHINGTON UNIVERSITY · PI William G. Powderly · 2017 to 2026
$97.8M
Targeting the Bone Marrow Microenvironment In Acute Lymphocytic LeukemiaP50CA171963 · NCI · WASHINGTON UNIVERSITY · PI Daniel C Link · 2013 to 2026
$31.6M
Washington University Paul Calabresi K12 Career Development Award for Clinical OncologyK12CA167540 · NCI · WASHINGTON UNIVERSITY · PI John F. Dipersio, Ramaswamy Govindan · 2012 to 2026
$11.7M
TRANSLATING NK CELL BIOLOGY INTO CLINICAL CANCER IMMUNOTHERAPYR01CA205239 · NCI · WASHINGTON UNIVERSITY · PI FEHNIGER, TODD A · 2017 to 2020
$2.4M
Informatics tools for identification, prioritization and clinical application of neoantigensU01CA248235 · NCI · WASHINGTON UNIVERSITY · PI GRIFFITH, MALACHI · 2020 to 2022
$1.3M
Postdoctoral Training Program in Genomic MedicineT32GM139799 · NIGMS · WASHINGTON UNIVERSITY · PI DICKSON, PATRICIA I · 2021 to 2025
$817k
NCATS NIH HHS UL1 TR002345NCI NIH HHS K12 CA167540NCI NIH HHS P30 CA091842NCI NIH HHS P50 CA171963NCI NIH HHS R01 CA205239NCI NIH HHS U01 CA248235NIGMS NIH HHS T32 GM139799
6 · The paper itself

Abstract

Pediatric and young adult (YA) patients with acute myeloid leukemia (AML) who relapse after allogeneic hematopoietic cell transplantation (HCT) have an extremely poor prognosis. Standard salvage chemotherapy and donor lymphocyte infusions (DLIs) have little curative potential. Previous studies showed that natural killer (NK) cells can be stimulated ex vivo with interleukin-12 (IL-12), -15, and -18 to generate memory-like (ML) NK cells with enhanced antileukemia responses. We treated 9 pediatric/YA patients with post-HCT relapsed AML with donor ML NK cells in a phase 1 trial. Patients received fludarabine, cytarabine, and filgrastim followed 2 weeks later by infusion of donor lymphocytes and ML NK cells from the original HCT donor. ML NK cells were successfully generated from haploidentical and matched-related and -unrelated donors. After infusion, donor-derived ML NK cells expanded and maintained an ML multidimensional mass cytometry phenotype for >3 months. Furthermore, ML NK cells exhibited persistent functional responses as evidenced by leukemia-triggered interferon-γ production. After DLI and ML NK cell adoptive transfer, 4 of 8 evaluable patients achieved complete remission at day 28. Two patients maintained a durable remission for >3 months, with 1 patient in remission for >2 years. No significant toxicity was experienced. This study demonstrates that, in a compatible post-HCT immune environment, donor ML NK cells robustly expand and persist with potent antileukemic activity in the absence of exogenous cytokines. ML NK cells in combination with DLI present a novel immunotherapy platform for AML that has relapsed after allogeneic HCT. This trial was registered at https://clinicaltrials.gov as #NCT03068819.

Indexed as

Hematopoietic Stem Cell TransplantationLeukemia, Myeloid, AcuteChildHumansKiller Cells, NaturalTransplantation, HomologousUnrelated Donors

Identifiers

PMID34871371
PMCPMC8931511
OpenAlexW4200195144

What OpenQuestion holds

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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.