Evidence map›Paper›PMID 35579862›Full record

ReviewCancer reports (Hoboken, N.J.)2023

Outpatient administration of naxitamab in combination with granulocyte-macrophage colony-stimulating factor in patients with refractory and/or relapsed high-risk neuroblastoma: Management of adverse events.

Jaume Mora, Godfrey C Chan, Daniel A Morgenstern, Karsten Nysom, Melissa K Bear, Karen Tornøe, Brian H Kushner

Registry-linked trialOpen access · goldAbstract readReview
In one paragraph

Review in Cancer reports (Hoboken, N.J.), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03363373 (A Pivotal Phase 2 Trial of Antibody Naxitamab), which is not on this map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.6field-weighted citation impact, top 9% 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.

NCT03363373 phase2active not recruitingnot on this map

A Pivotal Phase 2 Trial of Antibody Naxitamab (hu3F8) and Granulocyte-Macrophage Colony Stimulating Factor (GM-CSF) in High-Risk Neuroblastoma Patients With Primary Refractory Disease or Incomplete Response to Salvage Treatment in Bone and/or Bone Marrow

TypeinterventionalSponsorY-mAbs TherapeuticsRan2018 to 2028Enrolled122ConditionsNeuroblastomaArmsGM-CSF + Naxitamab
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 24 citations in OpenAlex.

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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

7 authors at 7 institutions in 6 countries.

Jaume MoraPediatric Cancer Center Barcelona, Hospital Sant Joan de Déu, Barcelona, Spain.ORCID 0000-0001-5023-9819
Godfrey C ChanQueen Mary Hospital, University of Hong Kong, Pokfulam, Hong Kong.ORCID 0000-0001-5032-8985
Daniel A MorgensternSolid Tumor Program, Hospital for Sick Children, Toronto, Canada.ORCID 0000-0002-4859-1108
Karsten NysomDepartment of Pediatrics and Adolescent Medicine, Rigshospitalet, Copenhagen, Denmark.ORCID 0000-0003-2935-0058
Melissa K BearPediatric Hematology and Oncology, Riley Hospital for Children, Indianapolis, Indiana, USA.
Karen TornøeMedical Director, Ymabs Therapeutics, Hørsholm, Denmark.ORCID 0000-0003-4364-0000
Brian H KushnerDepartment of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Hospital for Sick Children · CAHospital Sant Joan de Déu Barcelona · ESMC2 Therapeutics (Denmark) · DKMemorial Sloan Kettering Cancer Center · USQueen Mary Hospital · CNRigshospitalet · DKRiley Hospital for Children · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

backgroundNaxitamab is a humanized GD2-binding monoclonal antibody that received accelerated approval from the U.S. Food and Drug Administration for refractory or relapsed high-risk neuroblastoma limited to bone or bone marrow. Trial 201 (NCT03363373) is an ongoing global clinical trial to evaluate the efficacy and safety of naxitamab in combination with granulocyte-macrophage colony-stimulating factor in this population.

aimsHere, we review the safety profile and adverse event (AE) management associated with naxitamab administration in a pediatric population, based on Trial 201 protocol guidelines and clinical trial experience. METHODS AND

resultsAt least 50% of patients experienced pain, hypotension, bronchospasm, cough, vomiting, diarrhea, nausea, and tachycardia, with the following reported at grade ≥3 AEs for at least 10% of patients: pain, hypotension, urticaria, and bronchospasm. These AEs were generally manageable in the outpatient setting using premedications, supportive therapies, and appropriate monitoring post-infusion. Algorithms were established for infusion-related AEs, including hypotension and bronchospasm, to provide guidance to investigators for early recognition and timely intervention, including medication and infusion rate modification or interruption, or treatment discontinuation, based on AE severity. Educating patients and caregivers on what to expect regarding premedication at home, experience during the infusion cycle, and post-infusion monitoring helps optimize naxitamab treatment and supportive therapies and may reduce treatment burden.

conclusionThis article highlights the protocol-based recommendations for the management of acute AEs associated with outpatient naxitamab treatment in Trial 201. The authors recommend close monitoring and timely implementation of measures to ensure that patients can remain on treatment and obtain maximum clinical benefit from naxitamab therapy.

Indexed as

Bronchial SpasmNeuroblastomaAntibodies, Monoclonal, HumanizedChildGlycolipidsGranulocyte-Macrophage Colony-Stimulating FactorHumansOutpatientsPainUnited StatesAntibodies, Monoclonal, HumanizedGlycolipidsGranulocyte-Macrophage Colony-Stimulating Factornaxitamabadverse eventimmunotherapyneuroblastomapediatric oncology

Identifiers

PMID35579862
PMCPMC9875606
OpenAlexW4280525573

What OpenQuestion holds

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LicenceCC BY
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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.