Evidence map›Paper›PMID 38039964›Full record

ArticleCancer cell2023

ALK inhibitors increase ALK expression and sensitize neuroblastoma cells to ALK.CAR-T cells.

Elisa Bergaggio, Wei-Tien Tai, Andrea Aroldi, Carmen Mecca, Elisa Landoni, Manuel Nüesch, Ines Mota, Jasna Metovic, Luca Molinaro, Leyuan Ma and 11 more

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Cancer cell, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06803875 (A Phase 1/2 Study of hALK.CAR T Cells for Patients With Relapsed/Refractory High-risk Neuroblastoma), which is not on this map. Cited by 40 papers.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed
9.5field-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.

NCT06803875 phase1 / phase2recruitingnot on this mapstarted 2025, after this paper: background citation

A Phase 1/2 Study of hALK.CAR T Cells for Patients With Relapsed/Refractory High-risk Neuroblastoma

TypeinterventionalSponsorRoberto ChiarleRan2025 to 2029Enrolled42ConditionsRelapsed Neuroblastoma, Refractory Neuroblastoma, High-risk NeuroblastomaArmsAutologous hALK.CAR T cells
3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 46 citations in OpenAlex.

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  16. Neuronal ALKAL2 and its ALK receptor contribute to the development of colitis-associated colorectal cancer.Proceedings of the National Academy of Sciences of the United States of America · 2025
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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

21 authors at 7 institutions in 2 countries.

Elisa BergaggioDepartment of Pathology, Boston Children's Hospital and Harvard Medical School, Boston, MA 02115, USA.
Wei-Tien TaiDepartment of Pathology, Boston Children's Hospital and Harvard Medical School, Boston, MA 02115, USA.
Andrea AroldiDepartment of Medicine and Surgery, University of Milano-Bicocca, 20900 Monza, Italy.
Carmen MeccaDepartment of Pathology, Boston Children's Hospital and Harvard Medical School, Boston, MA 02115, USA.
Elisa LandoniLineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA.
Manuel NüeschDepartment of Pathology, Boston Children's Hospital and Harvard Medical School, Boston, MA 02115, USA.
Ines MotaDepartment of Pathology, Boston Children's Hospital and Harvard Medical School, Boston, MA 02115, USA; Department of Radiation Oncology, Weill Cornell Medicine, New York, NY 10065, USA.
Jasna MetovicDepartment of Oncology, University of Torino, 10126 Torino, Italy.
Luca MolinaroDepartment of Medical Science, University of Torino, 10126 Torino, Italy.
Leyuan MaKoch Institute and MIT, Cambridge, MA 02139, USA.
Diego AlvaradoCelldex Therapeutics, New Haven, CT 06511, USA.
Chiara AmbrogioDepartment of Molecular Biotechnology and Health Sciences, University of Torino, 10126 Torino, Italy.
Claudia VoenaDepartment of Molecular Biotechnology and Health Sciences, University of Torino, 10126 Torino, Italy.
Rafael B BlascoDepartment of Pathology, Boston Children's Hospital and Harvard Medical School, Boston, MA 02115, USA.
Tongqing LiDepartment of Pharmacology, Yale University School of Medicine, New Haven, CT 06520, USA.
Daryl KleinDepartment of Pharmacology, Yale University School of Medicine, New Haven, CT 06520, USA.
Darrell J IrvineKoch Institute and MIT, Cambridge, MA 02139, USA.
Mauro PapottiDepartment of Oncology, University of Torino, 10126 Torino, Italy.
Barbara SavoldoLineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA; Department of Microbiology and Immunology, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA.
Gianpietro DottiLineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA; Department of Microbiology and Immunology, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA.
Roberto ChiarleDepartment of Pathology, Boston Children's Hospital and Harvard Medical School, Boston, MA 02115, USA; Department of Molecular Biotechnology and Health Sciences, University of Torino, 10126 Torino, Italy. Electronic address: roberto.chiarle@childrens.harvard.edu.
Boston Children's Hospital · USUniversity of Turin · ITUniversity of North Carolina at Chapel Hill · USMassachusetts Institute of Technology · USYale University · USCelldex Therapeutics (United States) · USUniversity of Milano-Bicocca · IT

Funding

Mechanisms of resistance to ALK inhibitors in ALK-rearranged lymphomaR01CA196703 · NCI · BOSTON CHILDREN'S HOSPITAL · PI CHIARLE, ROBERTO · 2015 to 2025
$4.1M
Identifying opportunities for extracellular inhibition of ALK signalingR01CA248532 · NCI · YALE UNIVERSITY · PI KLEIN, DARYL EWALD · 2020 to 2024
$1.9M
Enhancing CAR-T cell activity against solid tumors by vaccine boosting through the chimeric receptorR01CA247632 · NCI · MASSACHUSETTS INSTITUTE OF TECHNOLOGY · PI IRVINE, DARRELL J · 2020 to 2024
$1.7M
NCI NIH HHS R01 CA196703NCI NIH HHS R01 CA247632NCI NIH HHS R01 CA248532
6 · The paper itself

Abstract

Selection of the best tumor antigen is critical for the therapeutic success of chimeric antigen receptor (CAR) T cells in hematologic malignancies and solid tumors. The anaplastic lymphoma kinase (ALK) receptor is expressed by most neuroblastomas while virtually absent in most normal tissues. ALK is an oncogenic driver in neuroblastoma and ALK inhibitors show promising clinical activity. Here, we describe the development of ALK.CAR-T cells that show potent efficacy in monotherapy against neuroblastoma with high ALK expression without toxicity. For neuroblastoma with low ALK expression, combination with ALK inhibitors specifically potentiates ALK.CAR-T cells but not GD2.CAR-T cells. Mechanistically, ALK inhibitors impair tumor growth and upregulate the expression of ALK, thereby facilitating the activity of ALK.CAR-T cells against neuroblastoma. Thus, while neither ALK inhibitors nor ALK.CAR-T cells will likely be sufficient as monotherapy in neuroblastoma with low ALK density, their combination specifically enhances therapeutic efficacy.

Indexed as

NeuroblastomaAnaplastic Lymphoma KinaseAntigens, NeoplasmCell Line, TumorHumansProtein Kinase InhibitorsT-LymphocytesAnaplastic Lymphoma KinaseAntigens, NeoplasmProtein Kinase Inhibitorsadoptive T cell therapyALKcell engineeringcellular immunitychimeric antigen receptorslorlatinibneuroblastomasolid tumorstyrosine kinase inhibitors

Identifiers

PMID38039964
PMCPMC10793157
OpenAlexW4389190046

What OpenQuestion holds

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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.