Evidence map›Paper›PMID 38551501›Full record

ArticleClinical cancer research : an official journal of the American Association for Cancer Research2024

GD2-Targeting CAR T-cell Therapy for Patients with GD2+ Medulloblastoma.

Roselia Ciccone, Concetta Quintarelli, Antonio Camera, Michele Pezzella, Simona Caruso, Simona Manni, Alessio Ottaviani, Marika Guercio, Francesca Del Bufalo, Maria Cecilia Quadraccia and 21 more

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Clinical cancer research : an official journal of the American Association for Cancer Research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05298995 (Phase I Study of Anti-GD2 Chimeric Antigen Receptor-Expressing T Cells in Pediatric and Young Adult Patients Affected by Relapsed/Refractory Central Nervous System Tumors), which is not on this map. Cited by 43 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 1 pooled it
10.7field-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.

NCT05298995 phase1recruitingnot on this map

Phase I Study of Anti-GD2 Chimeric Antigen Receptor-Expressing T Cells in Pediatric and Young Adult Patients Affected by Relapsed/Refractory Central Nervous System Tumors

TypeinterventionalSponsorBambino Gesù Hospital and Research InstituteRan2023 to 2038Enrolled54ConditionsBrain Tumor, Pediatric, Medulloblastoma, Childhood, Embryonal Tumor, High Grade GliomaArmsGD2-CART01 (iC9-GD2-CAR T-cells)
3 · Its place in the literature

Who cites it

43 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.

  1. Pooled it
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  8. From developmental origins to relapse: molecular and therapeutic insights in medulloblastoma.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026
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  17. A Novel MICB-Targeting CAR-NK Cells for the Treatment of Pancreatic Cancer.International journal of molecular sciences · 2026
    Article
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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

31 authors at 2 institutions in 2 countries.

Roselia Ciccone *Department of Onco-Haematology and Cell and Gene Therapy, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.ORCID 0000-0003-1495-1264
Concetta Quintarelli *Department of Onco-Haematology and Cell and Gene Therapy, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.ORCID 0000-0002-4343-9705
Antonio Camera *Department of Onco-Haematology and Cell and Gene Therapy, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.ORCID 0000-0003-3002-3054
Michele PezzellaDepartment of Onco-Haematology and Cell and Gene Therapy, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.ORCID 0000-0003-0088-7695
Simona CarusoDepartment of Onco-Haematology and Cell and Gene Therapy, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.ORCID 0000-0001-7267-8310
Simona ManniDepartment of Onco-Haematology and Cell and Gene Therapy, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.ORCID 0000-0003-1845-6674
Alessio OttavianiDepartment of Onco-Haematology and Cell and Gene Therapy, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.ORCID 0000-0002-4796-3184
Marika GuercioDepartment of Onco-Haematology and Cell and Gene Therapy, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.ORCID 0000-0002-1356-5874
Francesca Del BufaloDepartment of Onco-Haematology and Cell and Gene Therapy, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.ORCID 0000-0001-9643-3465
Maria Cecilia QuadracciaDepartment of Onco-Haematology and Cell and Gene Therapy, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.ORCID 0000-0002-4877-2793
Domenico OrlandoDepartment of Onco-Haematology and Cell and Gene Therapy, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.ORCID 0000-0002-4088-941X
Stefano Di CeccaDepartment of Onco-Haematology and Cell and Gene Therapy, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.ORCID 0000-0003-2595-9261
Matilde SinibaldiDepartment of Onco-Haematology and Cell and Gene Therapy, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.ORCID 0000-0001-5277-8998
Mariasole AurigemmaDepartment of Onco-Haematology and Cell and Gene Therapy, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.ORCID 0000-0003-2804-8770
Laura IaffaldanoDepartment of Onco-Haematology and Cell and Gene Therapy, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.ORCID 0000-0001-7673-5503
Andrea SarcinelliDepartment of Onco-Haematology and Cell and Gene Therapy, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.ORCID 0000-0002-8628-3878
Maria Luisa D'AmoreDepartment of Onco-Haematology and Cell and Gene Therapy, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.ORCID 0000-0003-3488-4695
Manuela CeccarelliDepartment of Onco-Haematology and Cell and Gene Therapy, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.ORCID 0000-0001-8741-1600
Francesca NazioDepartment of Onco-Haematology and Cell and Gene Therapy, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.ORCID 0000-0002-3039-4448
Veronica MarabittiDepartment of Onco-Haematology and Cell and Gene Therapy, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.ORCID 0000-0001-5941-9656
Ezio GiordaResearch Laboratories, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.ORCID 0000-0002-5875-832X
Marco PezzulloResearch Laboratories, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.ORCID 0000-0002-1353-6125
Cristiano De StefanisResearch Laboratories, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.ORCID 0000-0001-5898-9518
Andrea CaraiNeurosurgery Unit, Department of Neuroscience and Neurorehabilitation, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.ORCID 0000-0002-5203-7855
Sabrina RossiDepartment of Laboratories, Pathology Unit, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.ORCID 0000-0002-1477-8855
Rita AlaggioDepartment of Laboratories, Pathology Unit, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.ORCID 0000-0003-3915-3816
Giada Del BaldoDepartment of Onco-Haematology and Cell and Gene Therapy, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.ORCID 0000-0003-3540-4331
Marco BecilliDepartment of Onco-Haematology and Cell and Gene Therapy, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.ORCID 0000-0002-8874-4092
Angela MastronuzziDepartment of Onco-Haematology and Cell and Gene Therapy, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.ORCID 0000-0002-4408-2373
Biagio De Angelis *Department of Onco-Haematology and Cell and Gene Therapy, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.ORCID 0000-0002-7938-737X
Franco Locatelli *Department of Onco-Haematology and Cell and Gene Therapy, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.ORCID 0000-0002-7976-3654
Bambino Gesù Children's Hospital · ITFederico II University Hospital · IT

Funding

Agenzia Italiana del Farmaco, Ministero della Salute (AIFA) 2016 callAssociazione "Raffaele Passarelli" Onlus "le risorse cellulari della vita"CureSearch for Children's Cancer (CSCC) Young Investigator Award in Pediatric Oncology Drug DevelopmentEuropean Federation of Pharmaceutical Industries and Associations (EFPIA) IMI JU/T2EVOLVE with grant number 945393Fondazione AIRC per la ricerca sul cancro ETS (AIRC) Accelerator Award &#x2013Fondazione AIRC per la ricerca sul cancro ETS (AIRC) AIRC IG 2018 id. 21724Fondazione AIRC per la ricerca sul cancro ETS (AIRC) MFAG 21979Fondazione AIRC per la ricerca sul cancro ETS (AIRC) Special Project 5&#x00D7laboratorio di Chiara ricerca medulloblastomaMinistero della Salute (Italy Ministry of Health) CAR T RCR-2019-23669115Ministero della Salute (Italy Ministry of Health) GR-2016-02364546Ministero della Salute (Italy Ministry of Health) LSH-TA Ecosistema innovativo della SaluteMinistero della Salute (Italy Ministry of Health) RF-2016-02364388Ministero della Salute (Italy Ministry of Health) RF-2021-12374120Ministero della Salute (Italy Ministry of Health) Ricerca CorrenteMinistero dell'Università e della Ricerca (MUR) Grant PRIN 2017Ministero dell'Università e della Ricerca (MUR) Italian PNRR CN3 &#x201CMinistero dell'Università e della Ricerca (MUR) PRIN2020Ministero dell'Università e della Ricerca (MUR) PRIN 2022Regione Lazio (Lazio Region) Lazio-Innova project IMMUNO (CUP code: E82F20000200002Regione Lazio (Lazio Region) project CARSA (CUP code: E82F20000240002
6 · The paper itself

Abstract

purposeMedulloblastoma (MB), the most common childhood malignant brain tumor, has a poor prognosis in about 30% of patients. The current standard of care, which includes surgery, radiation, and chemotherapy, is often responsible for cognitive, neurologic, and endocrine side effects. We investigated whether chimeric antigen receptor (CAR) T cells directed toward the disialoganglioside GD2 can represent a potentially more effective treatment with reduced long-term side effects. EXPERIMENTAL

designGD2 expression was evaluated on primary tumor biopsies of MB children by flow cytometry. GD2 expression in MB cells was also evaluated in response to an EZH2 inhibitor (tazemetostat). In in vitro and in vivo models, GD2+ MB cells were targeted by a CAR-GD2.CD28.4-1BBζ (CAR.GD2)-T construct, including the suicide gene inducible caspase-9.

resultsGD2 was expressed in 82.68% of MB tumors. The SHH and G3-G4 subtypes expressed the highest levels of GD2, whereas the WNT subtype expressed the lowest. In in vitro coculture assays, CAR.GD2 T cells were able to kill GD2+ MB cells. Pretreatment with tazemetostat upregulated GD2 expression, sensitizing GD2dimMB cells to CAR.GD2 T cells cytotoxic activity. In orthotopic mouse models of MB, intravenously injected CAR.GD2 T cells significantly controlled tumor growth, prolonging the overall survival of treated mice. Moreover, the dimerizing drug AP1903 was able to cross the murine blood-brain barrier and to eliminate both blood-circulating and tumor-infiltrating CAR.GD2 T cells.

conclusionsOur experimental data indicate the potential efficacy of CAR.GD2 T-cell therapy. A phase I/II clinical trial is ongoing in our center (NCT05298995) to evaluate the safety and therapeutic efficacy of CAR.GD2 therapy in high-risk MB patients.

Indexed as

GangliosidesImmunotherapy, AdoptiveMedulloblastomaReceptors, Chimeric AntigenXenograft Model Antitumor AssaysAnimalsBenzamidesBiphenyl CompoundsCell Line, TumorCerebellar NeoplasmsChildChild, PreschoolFemaleHumansMaleMiceBenzamidesBiphenyl Compoundsganglioside, GD2GangliosidesMorpholinesPyridonesReceptors, Chimeric Antigentazemetostat

Identifiers

PMID38551501
PMCPMC11145172
OpenAlexW4393307549

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.