Evidence map›Paper›PMID 36259971›Full record

ArticleCancer discovery2023

Intraventricular B7-H3 CAR T Cells for Diffuse Intrinsic Pontine Glioma: Preliminary First-in-Human Bioactivity and Safety.

Nicholas A Vitanza, Ashley L Wilson, Wenjun Huang, Kristy Seidel, Christopher Brown, Joshua A Gustafson, Jason K Yokoyama, Adam J Johnson, Blake A Baxter, Ryan W Koning and 29 more

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Cancer discovery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04185038 (Phase 1 Study of B7-H3-Specific CAR T Cell Locoregional Immunotherapy for Diffuse Intrinsic Pontine Glioma/Diffuse Midline Glioma and Recurrent or Refractory Pediatric Central Nervous System Tumors), which is not on this map. Cited by 205 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
205citing papers in PubMed, 5 pooled it
24.3field-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.

NCT04185038 phase1recruitingnot on this map

Phase 1 Study of B7-H3-Specific CAR T Cell Locoregional Immunotherapy for Diffuse Intrinsic Pontine Glioma/Diffuse Midline Glioma and Recurrent or Refractory Pediatric Central Nervous System Tumors

TypeinterventionalSponsorSeattle Children's HospitalRan2019 to 2042Enrolled90ConditionsCentral Nervous System Tumor, Diffuse Intrinsic Pontine Glioma, Diffuse Midline Glioma, EpendymomaArmsSCRI-CARB7H3(s), B7H3-specific chimeric antigen receptor (CAR) T cel
3 · Its place in the literature

Who cites it

205 citing papers in PubMed, 5 syntheses or guidelines pooled it, 246 citations in OpenAlex.

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  18. Cellular immunotherapy in melanoma: the next frontier in cancer treatment.Journal of experimental & clinical cancer research : CR · 2026
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145 more citing papers are in PubMed but not listed here.

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

39 authors at 6 institutions in 2 countries.

Nicholas A VitanzaBen Towne Center for Childhood Cancer Research, Seattle Children's Research Institute, Seattle, Washington.ORCID 0000-0002-3966-4985
Ashley L WilsonSeattle Children's Therapeutics, Seattle, Washington.ORCID 0000-0002-4440-001X
Wenjun HuangSeattle Children's Therapeutics, Seattle, Washington.ORCID 0000-0001-8948-7262
Kristy SeidelSeattle Children's Therapeutics, Seattle, Washington.ORCID 0000-0002-8402-0900
Christopher BrownSeattle Children's Therapeutics, Seattle, Washington.ORCID 0000-0003-0834-4003
Joshua A GustafsonSeattle Children's Therapeutics, Seattle, Washington.ORCID 0000-0002-0735-7235
Jason K YokoyamaSeattle Children's Therapeutics, Seattle, Washington.ORCID 0000-0003-2520-8134
Adam J JohnsonSeattle Children's Therapeutics, Seattle, Washington.ORCID 0000-0002-9967-8959
Blake A BaxterSeattle Children's Therapeutics, Seattle, Washington.ORCID 0000-0002-6491-1802
Ryan W KoningSeattle Children's Therapeutics, Seattle, Washington.ORCID 0000-0002-3673-1396
Aquene N ReidSeattle Children's Therapeutics, Seattle, Washington.ORCID 0000-0003-2387-108X
Michael MeechanBen Towne Center for Childhood Cancer Research, Seattle Children's Research Institute, Seattle, Washington.ORCID 0000-0003-2710-606X
Matthew C BieryBen Towne Center for Childhood Cancer Research, Seattle Children's Research Institute, Seattle, Washington.ORCID 0000-0001-6152-3604
Carrie MyersBen Towne Center for Childhood Cancer Research, Seattle Children's Research Institute, Seattle, Washington.ORCID 0000-0002-6638-3898
Stephanie D Rawlings-RheaSeattle Children's Therapeutics, Seattle, Washington.ORCID 0000-0003-3733-0014
Catherine M AlbertBen Towne Center for Childhood Cancer Research, Seattle Children's Research Institute, Seattle, Washington.ORCID 0000-0001-7610-9932
Samuel R BrowdDivision of Neurosurgery, Seattle Children's Hospital and Department of Neurological Surgery, University of Washington, Seattle, Washington.ORCID 0000-0003-2376-9421
Jason S HauptmanDivision of Neurosurgery, Seattle Children's Hospital and Department of Neurological Surgery, University of Washington, Seattle, Washington.ORCID 0000-0002-2035-9876
Amy LeeDivision of Neurosurgery, Seattle Children's Hospital and Department of Neurological Surgery, University of Washington, Seattle, Washington.ORCID 0000-0001-6205-6614
Jeffrey G OjemannDivision of Neurosurgery, Seattle Children's Hospital and Department of Neurological Surgery, University of Washington, Seattle, Washington.ORCID 0000-0001-7580-8934
Michael E BerensCancer and Cell Biology Division, The Translational Genomics Research Institute (TGen), Phoenix, Arizona.ORCID 0000-0002-3382-6787
Matthew D DunSchool of Biomedical Sciences and Pharmacy, College of Health, Medicine and Wellbeing, Callaghan, Australia.ORCID 0000-0002-9063-5370
Jessica B FosterDivision of Oncology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.ORCID 0000-0002-8001-5960
Erin E CrottyBen Towne Center for Childhood Cancer Research, Seattle Children's Research Institute, Seattle, Washington.ORCID 0000-0002-2362-695X
Sarah E S LearyBen Towne Center for Childhood Cancer Research, Seattle Children's Research Institute, Seattle, Washington.ORCID 0000-0003-0225-6184
Bonnie L ColeDepartment of Laboratories, Seattle Children's Hospital, Seattle, Washington.ORCID 0000-0002-3471-1949
Francisco A PerezDepartment of Radiology, Seattle Children's Hospital, Seattle, Washington.ORCID 0000-0001-8456-5209
Jason N WrightDepartment of Radiology, Seattle Children's Hospital, Seattle, Washington.ORCID 0000-0002-6676-8253
Rimas J OrentasBen Towne Center for Childhood Cancer Research, Seattle Children's Research Institute, Seattle, Washington.ORCID 0000-0002-6310-3467
Tony ChourDepartment of Laboratory Medicine and Pathology, University of Washington School of Medicine, Seattle, Washington.ORCID 0000-0003-3273-5549
Evan W NewellDepartment of Laboratory Medicine and Pathology, University of Washington School of Medicine, Seattle, Washington.ORCID 0000-0002-2889-243X
Jeffrey R WhiteakerClinical Research Division, Fred Hutchinson Cancer Center, Seattle, Washington.ORCID 0000-0001-5042-8580
Lei ZhaoClinical Research Division, Fred Hutchinson Cancer Center, Seattle, Washington.ORCID 0000-0002-8811-2124
Amanda G PaulovichClinical Research Division, Fred Hutchinson Cancer Center, Seattle, Washington.ORCID 0000-0001-6532-6499
Navin PintoBen Towne Center for Childhood Cancer Research, Seattle Children's Research Institute, Seattle, Washington.ORCID 0000-0002-8775-6710
Juliane GustCenter for Integrative Brain Research, Seattle Children's Research Institute, Seattle, Washington.ORCID 0000-0001-5679-1989
Rebecca A GardnerBen Towne Center for Childhood Cancer Research, Seattle Children's Research Institute, Seattle, Washington.ORCID 0000-0003-1532-3200
Michael C Jensen *Seattle Children's Therapeutics, Seattle, Washington.ORCID 0000-0001-7477-3063
Julie R Park *Ben Towne Center for Childhood Cancer Research, Seattle Children's Research Institute, Seattle, Washington.ORCID 0000-0002-6777-9165
Seattle Children's Hospital · USUniversity of Washington · USFred Hutch Cancer Center · USChildren's Hospital of Philadelphia · USHunter Medical Research Institute · AUTranslational Genomics Research Institute · US

Funding

Proteogenomic Studies aimed at understanding ovarian tumor responses to agents targeting the DNA damage response and translating this knowledge into clinical benefitU01CA214114 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI BIRRER, MICHAEL, PAULOVICH, AMANDA G · 2017 to 2021
$8.4M
Prospective evaluation of barriers to patient referral and enrollment in emerging cellular therapy trials: determining methods and structure to improve equity in future trial designU01TR002487 · NCATS · SEATTLE CHILDREN'S HOSPITAL · PI PARK, JULIE R, RAMSEY, BONNIE W · 2018 to 2022
$7.2M
Clinical translation of a NexGen platform for quantifying protein networks in human biospecimensR01CA235575 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI AMANDA G PAULOVICH · 2019 to 2026
$6.0M
Proteogenomic studies to understand mechanisms and drivers of resistance to immunotherapiesU01CA271407 · NCI · FRED HUTCHINSON CANCER CENTER · PI Diwakar Davar, AMANDA G PAULOVICH · 2022 to 2026
$5.6M
A proteomics research specialist in developing targeted mass spectrometry methods for quantifying proteins important in cancerR50CA211499 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI Jeff Whiteaker · 2016 to 2026
$2.8M
NCATS NIH HHS U01 TR002487NCI NIH HHS HHSN261201500003CNCI NIH HHS HHSN261201500003INCI NIH HHS R01 CA235575NCI NIH HHS R50 CA211499NCI NIH HHS U01 CA214114NCI NIH HHS U01 CA271407
6 · The paper itself

Abstract

Diffuse intrinsic pontine glioma (DIPG) remains a fatal brainstem tumor demanding innovative therapies. As B7-H3 (CD276) is expressed on central nervous system (CNS) tumors, we designed B7-H3-specific chimeric antigen receptor (CAR) T cells, confirmed their preclinical efficacy, and opened BrainChild-03 (NCT04185038), a first-in-human phase I trial administering repeated locoregional B7-H3 CAR T cells to children with recurrent/refractory CNS tumors and DIPG. Here, we report the results of the first three evaluable patients with DIPG (including two who enrolled after progression), who received 40 infusions with no dose-limiting toxicities. One patient had sustained clinical and radiographic improvement through 12 months on study. Patients exhibited correlative evidence of local immune activation and persistent cerebrospinal fluid (CSF) B7-H3 CAR T cells. Targeted mass spectrometry of CSF biospecimens revealed modulation of B7-H3 and critical immune analytes (CD14, CD163, CSF-1, CXCL13, and VCAM-1). Our data suggest the feasibility of repeated intracranial B7-H3 CAR T-cell dosing and that intracranial delivery may induce local immune activation. SIGNIFICANCE: This is the first report of repeatedly dosed intracranial B7-H3 CAR T cells for patients with DIPG and includes preliminary tolerability, the detection of CAR T cells in the CSF, CSF cytokine elevations supporting locoregional immune activation, and the feasibility of serial mass spectrometry from both serum and CSF. This article is highlighted in the In This Issue feature, p. 1.

Indexed as

Brain Stem NeoplasmsDiffuse Intrinsic Pontine GliomaB7 AntigensHumansT-LymphocytesB7 AntigensCD276 protein, human

Identifiers

PMID36259971
PMCPMC9827115
OpenAlexW4306795470

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.