Evidence map›Paper›PMID 38771986›Full record

ArticleJournal of clinical oncology : official journal of the American Society of Clinical Oncology2024

Phase I Trial of GD2.CART Cells Augmented With Constitutive Interleukin-7 Receptor for Treatment of High-Grade Pediatric CNS Tumors.

Frank Y Lin, Austin Stuckert, Candise Tat, Mark White, Lucia Ruggieri, Huimin Zhang, Birju Mehta, Natalia Lapteva, Zhuyong Mei, Angela Major and 23 more

Erratum issued Registry-linked trialAbstract readClinical Trial, Phase I
In one paragraph

Article in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT04099797 (Phase I Study of Autologous T Lymphocytes Expressing GD2-specific Chimeric Antigen and Constitutively Active IL-7 Receptors for the Treatment of Patients With GD2-expressing Brain Tumors), which is not on this map. Cited by 60 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed, 6 pooled it
–field-weighted citation impact
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.

NCT04099797 phase1recruitingnot on this map

Phase I Study of Autologous T Lymphocytes Expressing GD2-specific Chimeric Antigen and Constitutively Active IL-7 Receptors for the Treatment of Patients With GD2-expressing Brain Tumors (GAIL-B)

TypeinterventionalSponsorBaylor College of MedicineRan2020 to 2041Enrolled56ConditionsDiffuse Intrinsic Pontine Glioma, High Grade Glioma, Embryonal Tumor, Ependymal TumorArmsC7R-GD2.CART cells (IV and ICV infusion)
3 · Its place in the literature

Who cites it

60 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Pooled it
  4. Mapping the clinical landscape of multifunctional CAR T cells: Targets, trends, and synergies.Molecular therapy : the journal of the American Society of Gene Therapy · 2026
    Pooled it
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  7. Article
  8. Review
  9. Review
  10. Guanylyl Cyclase 2C-Targeted Chimeric Antigen Receptor T-Cell Therapy in Patients With Metastatic Colorectal Cancer.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2026
    Article
  11. Review
  12. Article
  13. Article
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  17. Article
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  19. Natural and Engineered Cytokines as Cancer Therapeutics.Annual review of cancer biology · 2026
    Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

33 authors.

Frank Y LinTexas Children's Cancer Center, Baylor College of Medicine, Houston, TX.ORCID 0000-0001-6738-844X
Austin StuckertTexas Children's Cancer Center, Baylor College of Medicine, Houston, TX.
Candise TatTexas Children's Cancer Center, Baylor College of Medicine, Houston, TX.
Mark WhiteTexas Children's Cancer Center, Baylor College of Medicine, Houston, TX.
Lucia RuggieriDepartment of Neurosurgery, Baylor College of Medicine, Houston, TX.
Huimin ZhangCenter for Cell and Gene Therapy, Baylor College of Medicine, Texas Children's Hospital and Houston Methodist Hospital, Houston, TX.
Birju MehtaCenter for Cell and Gene Therapy, Baylor College of Medicine, Texas Children's Hospital and Houston Methodist Hospital, Houston, TX.
Natalia LaptevaCenter for Cell and Gene Therapy, Baylor College of Medicine, Texas Children's Hospital and Houston Methodist Hospital, Houston, TX.
Zhuyong MeiCenter for Cell and Gene Therapy, Baylor College of Medicine, Texas Children's Hospital and Houston Methodist Hospital, Houston, TX.ORCID 0000-0002-8843-5767
Angela MajorDepartment of Pathology, Baylor College of Medicine, Houston, TX.
Sachin ThakkarTexas Children's Cancer Center, Baylor College of Medicine, Houston, TX.ORCID 0000-0002-7077-4971
Thomas ShumCenter for Cell and Gene Therapy, Baylor College of Medicine, Texas Children's Hospital and Houston Methodist Hospital, Houston, TX.
Kathan ParikhCenter for Cell and Gene Therapy, Baylor College of Medicine, Texas Children's Hospital and Houston Methodist Hospital, Houston, TX.
Meng-Fen WuCenter for Cell and Gene Therapy, Baylor College of Medicine, Texas Children's Hospital and Houston Methodist Hospital, Houston, TX.
Holly B LindsayDepartment of Pediatrics Heme-Onc and Bone Marrow Transplantation, Children's Hospital Colorado Center for Cancer and Blood Disorders, University of Colorado Anschutz Medical Campus, Denver, CO.ORCID 0000-0001-5654-841X
Lauren SchererTexas Children's Cancer Center, Baylor College of Medicine, Houston, TX.
Meghan ShekarTexas Children's Cancer Center, Baylor College of Medicine, Houston, TX.ORCID 0000-0002-6711-9896
Patricia BaxterTexas Children's Cancer Center, Baylor College of Medicine, Houston, TX.
Tao WangDan L Duncan Comprehensive Cancer Center, Houston, TX.ORCID 0000-0003-1957-7160
Bambi GrilleyTexas Children's Cancer Center, Baylor College of Medicine, Houston, TX.ORCID 0000-0003-4800-6439
Karen MoellerDepartment of Radiology, Baylor College of Medicine, Houston, TX.
John HicksDepartment of Pathology, Baylor College of Medicine, Houston, TX.
Angshumoy RoyDan L Duncan Comprehensive Cancer Center, Houston, TX.ORCID 0000-0001-7248-8576
Jamie AnastasDepartment of Neurosurgery, Baylor College of Medicine, Houston, TX.ORCID 0000-0002-5317-5352
Fatema MalbariDepartment of Neurology, Baylor College of Medicine, Houston, TX.ORCID 0000-0002-4159-1359
Guillermo AldaveDepartment of Neurosurgery, Baylor College of Medicine, Houston, TX.ORCID 0000-0001-8286-5830
Murali ChintagumpalaTexas Children's Cancer Center, Baylor College of Medicine, Houston, TX.
Susan BlaneyTexas Children's Cancer Center, Baylor College of Medicine, Houston, TX.ORCID 0000-0002-6194-4799
D Williams ParsonsTexas Children's Cancer Center, Baylor College of Medicine, Houston, TX.ORCID 0000-0002-8775-3501
Malcolm K BrennerTexas Children's Cancer Center, Baylor College of Medicine, Houston, TX.
Helen E HeslopTexas Children's Cancer Center, Baylor College of Medicine, Houston, TX.ORCID 0000-0001-7049-7698
Cliona M RooneyTexas Children's Cancer Center, Baylor College of Medicine, Houston, TX.ORCID 0000-0003-3210-2864
Bilal OmerTexas Children's Cancer Center, Baylor College of Medicine, Houston, TX.ORCID 0000-0002-1479-5305

Funding

Tumor BiologyP30CA125123 · NCI · BAYLOR COLLEGE OF MEDICINE · PI Suzanne AW Fuqua · 2007 to 2026
$73.9M
PEDIATRIC ONCOLOGY CLINICAL RESEARCH TRAINING PROGRAMK12CA090433 · NCI · BAYLOR COLLEGE OF MEDICINE · PI CARL E ALLEN, Donald W. Parsons · 2002 to 2026
$18.5M
Training In Cell and Gene TherapyT32HL092332 · NHLBI · BAYLOR COLLEGE OF MEDICINE · PI MALCOLM K. BRENNER, Bruno Di Stefano · 2008 to 2026
$6.9M
The PreVAIL-kIds Common ProtocolR33HD105593 · NICHD · BAYLOR COLLEGE OF MEDICINE · PI ALLEN, CARL E, ANNAPRAGADA, ANANTH V · 2023 to 2023
$6.3M
NCI NIH HHS K12 CA090433NCI NIH HHS P30 CA125123NHLBI NIH HHS T32 HL092332NICHD NIH HHS R33 HD105593
6 · The paper itself

Abstract

purposeT cells modified with chimeric antigen receptors (CARTs) have demonstrated efficacy for hematologic malignancies; however, benefit for patients with CNS tumors has been limited. To enhance T cell activity against GD2+ CNS malignancies, we modified GD2-directed CART cells (GD2.CARTs) with a constitutively active interleukin (IL)-7 receptor (C7R-GD2.CARTs).

methodsPatients age 1-21 years with H3K27-altered diffuse midline glioma (DMG) or other recurrent GD2-expressing CNS tumors were eligible for this phase I trial (ClinicalTrials.gov identifier: NCT04099797). All subjects received standard-of-care adjuvant radiation therapy or chemotherapy before study enrollment. The first treatment cohort received GD2.CARTs alone (1 × 10

resultsEleven patients (age 4-18 years) received therapy without dose-limiting toxicity. The GD2.CART cohort did not experience toxicity, but had disease progression after brief improvement of residual neurologic deficits (≤3 weeks). The C7R-GD2.CART cohort developed grade 1 tumor inflammation-associated neurotoxicity in seven of eight (88%) cases, controllable with anakinra. Cytokine release syndrome was observed in six of eight (75%, grade 1 in all but one patient) and associated with increased circulating IL-6 and IP-10 (

conclusionIntravenous GD2.CARTs with and without C7R were well tolerated. Patients treated with C7R-GD2.CARTs exhibited transient improvement of neurologic deficits and increased circulating cytokines/chemokines. Treatment with C7R-GD2.CARTs represents a novel approach warranting further investigation for children with these incurable CNS cancers.

Indexed as

Central Nervous System NeoplasmsGangliosidesReceptors, Chimeric AntigenAdolescentChildChild, PreschoolFemaleGliomaHumansImmunotherapy, AdoptiveInfantInterleukin-7 Receptor alpha SubunitMaleNeoplasm GradingYoung Adultganglioside, GD2GangliosidesIL7R protein, humanInterleukin-7 Receptor alpha SubunitReceptors, Chimeric Antigen

Identifiers

PMID38771986
PMCPMC11305939

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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.