Evidence map›Paper›PMID 37148198›Full record

ArticleNeuro-oncology2023

Intracranial injection of natural killer cells engineered with a HER2-targeted chimeric antigen receptor in patients with recurrent glioblastoma.

Michael C Burger, Marie-Therese Forster, Annette Romanski, Florian Straßheimer, Jadranka Macas, Pia S Zeiner, Eike Steidl, Stefanie Herkt, Katharina J Weber, Jonathan Schupp and 25 more

Open access · hybridAbstract read
In one paragraph

Article in Neuro-oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 101 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
101citing papers in PubMed, 1 pooled it
25.3field-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.

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

101 citing papers in PubMed, 1 synthesis or guideline pooled it, 110 citations in OpenAlex.

  1. Pooled it
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  16. TriCON: A Carbon-Based Triple-Modal Nanoplatform for Pancreatic Cancer Therapy.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Article
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41 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

35 authors at 4 institutions in 1 country.

Michael C BurgerDr. Senckenberg Institute of Neurooncology, Goethe University Hospital, Frankfurt, Germany.ORCID 0000-0002-6927-0987
Marie-Therese ForsterDepartment of Neurosurgery, Goethe University Hospital, Frankfurt, Germany.
Annette RomanskiInstitute for Transfusion Medicine and Immunohematology, Goethe University, Frankfurt and Red Cross Blood Donation Service Baden-Württemberg-Hessen, Frankfurt, Germany.
Florian StraßheimerDr. Senckenberg Institute of Neurooncology, Goethe University Hospital, Frankfurt, Germany.
Jadranka MacasFrankfurt Cancer Institute (FCI), Goethe University, Frankfurt, Germany.
Pia S ZeinerDr. Senckenberg Institute of Neurooncology, Goethe University Hospital, Frankfurt, Germany.
Eike SteidlInstitute of Neuroradiology, Goethe University Hospital, Frankfurt, Germany.
Stefanie HerktInstitute for Transfusion Medicine and Immunohematology, Goethe University, Frankfurt and Red Cross Blood Donation Service Baden-Württemberg-Hessen, Frankfurt, Germany.
Katharina J WeberFrankfurt Cancer Institute (FCI), Goethe University, Frankfurt, Germany.
Jonathan SchuppFrankfurt Cancer Institute (FCI), Goethe University, Frankfurt, Germany.
Jennifer H LunFrankfurt Cancer Institute (FCI), Goethe University, Frankfurt, Germany.ORCID 0000-0003-4358-1151
Maja I StreckerDr. Senckenberg Institute of Neurooncology, Goethe University Hospital, Frankfurt, Germany.
Karolin WlotzkaDr. Senckenberg Institute of Neurooncology, Goethe University Hospital, Frankfurt, Germany.
Pinar CakmakFrankfurt Cancer Institute (FCI), Goethe University, Frankfurt, Germany.
Corinna OpitzInstitute for Transfusion Medicine, German Red Cross Blood Donation Service North-East and Medical Faculty Carl Gustav Carus, TU Dresden, Dresden, Germany.
Rosemol GeorgeGerman Cancer Consortium (DKTK), Partner Site Frankfurt/Mainz, Frankfurt, Germany.
Iris C MildenbergerDr. Senckenberg Institute of Neurooncology, Goethe University Hospital, Frankfurt, Germany.
Paulina NowakowskaInstitute for Transfusion Medicine and Immunohematology, Goethe University, Frankfurt and Red Cross Blood Donation Service Baden-Württemberg-Hessen, Frankfurt, Germany.
Congcong ZhangGeorg-Speyer-Haus, Institute for Tumor Biology and Experimental Therapy, Frankfurt, Germany.
Jasmin RöderFrankfurt Cancer Institute (FCI), Goethe University, Frankfurt, Germany.
Elvira MüllerDr. Senckenberg Institute of Neurooncology, Goethe University Hospital, Frankfurt, Germany.
Kristina IhrigUniversity Cancer Center (UCT), Goethe University Hospital, Frankfurt, Germany.
Karl-Josef LangenResearch Center Jülich, Institute of Neuroscience and Medicine, Jülich, Germany.
Michael A RiegerFrankfurt Cancer Institute (FCI), Goethe University, Frankfurt, Germany.
Eva HerrmannInstitute for Biostatistics and Mathematical Modelling, Goethe University, Frankfurt, Germany.ORCID 0000-0002-0662-6675
Halvard BonigInstitute for Transfusion Medicine and Immunohematology, Goethe University, Frankfurt and Red Cross Blood Donation Service Baden-Württemberg-Hessen, Frankfurt, Germany.
Patrick N HarterFrankfurt Cancer Institute (FCI), Goethe University, Frankfurt, Germany.
Yvonne ReissFrankfurt Cancer Institute (FCI), Goethe University, Frankfurt, Germany.
Elke HattingenInstitute of Neuroradiology, Goethe University Hospital, Frankfurt, Germany.
Franz RödelFrankfurt Cancer Institute (FCI), Goethe University, Frankfurt, Germany.
Karl H PlateFrankfurt Cancer Institute (FCI), Goethe University, Frankfurt, Germany.
Torsten TonnInstitute for Transfusion Medicine, German Red Cross Blood Donation Service North-East and Medical Faculty Carl Gustav Carus, TU Dresden, Dresden, Germany.
Christian SenftDepartment of Neurosurgery, Goethe University Hospital, Frankfurt, Germany.
Joachim P SteinbachDr. Senckenberg Institute of Neurooncology, Goethe University Hospital, Frankfurt, Germany.
Winfried S WelsFrankfurt Cancer Institute (FCI), Goethe University, Frankfurt, Germany.
Goethe University Frankfurt · DEGerman Red Cross · DEForschungszentrum Jülich · DEGeorg Speyer Haus · DE

Funding

Center for Cell and Gene Therapy Frankfurt II L 5-518/17.004 2013, 2016Center Frankfurt Cancer Institute III L 5-519/03/03.001 - [0015]Deutsche KrebshilfeForTra gGmbH für Forschungstransfer of Else Kröner-Fresenius-Stiftung 2020_EKTP21German Cancer Consortium CAR2BRAINGerman Federal Ministry of Education and Research FKZ 131A009German Federal Ministry of HealthHessian Ministry of Higher Education, ResearchMildred Scheel Career Center Frankfurt
6 · The paper itself

Abstract

backgroundGlioblastoma (GB) is incurable at present without established treatment options for recurrent disease. In this phase I first-in-human clinical trial we investigated safety and feasibility of adoptive transfer of clonal chimeric antigen receptor (CAR)-NK cells (NK-92/5.28.z) targeting HER2, which is expressed at elevated levels by a subset of glioblastomas.

methodsNine patients with recurrent HER2-positive GB were treated with single doses of 1 × 107, 3 × 107, or 1 × 108 irradiated CAR-NK cells injected into the margins of the surgical cavity during relapse surgery. Imaging at baseline and follow-up, peripheral blood lymphocyte phenotyping and analyses of the immune architecture by multiplex immunohistochemistry and spatial digital profiling were performed.

resultsThere were no dose-limiting toxicities, and none of the patients developed a cytokine release syndrome or immune effector cell-associated neurotoxicity syndrome. Five patients showed stable disease after relapse surgery and CAR-NK injection that lasted 7 to 37 weeks. Four patients had progressive disease. Pseudoprogression was found at injection sites in 2 patients, suggestive of a treatment-induced immune response. For all patients, median progression-free survival was 7 weeks, and median overall survival was 31 weeks. Furthermore, the level of CD8+ T-cell infiltration in recurrent tumor tissue prior to CAR-NK cell injection positively correlated with time to progression.

conclusionsIntracranial injection of HER2-targeted CAR-NK cells is feasible and safe in patients with recurrent GB. 1 × 108 NK-92/5.28.z cells was determined as the maximum feasible dose for a subsequent expansion cohort with repetitive local injections of CAR-NK cells.

Indexed as

GlioblastomaReceptors, Chimeric AntigenHumansImmunotherapy, AdoptiveKiller Cells, NaturalNeoplasm Recurrence, LocalNeurotoxicity SyndromesRecurrencecell-associated neurotoxicityReceptors, Chimeric Antigenadoptive immunotherapyCARglioblastomaHER2human clinical trialinNK cellsphase I first

Identifiers

PMID37148198
PMCPMC10628939
OpenAlexW4372352849

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.