Evidence map›Paper›PMID 39948608›Full record

ArticleJournal of hematology & oncology2025

First-in-human evaluation of memory-like NK cells with an IL-15 super-agonist and CTLA-4 blockade in advanced head and neck cancer.

Roman M Shapiro, Michal Sheffer, Matthew A Booker, Michael Y Tolstorukov, Grace C Birch, Moshe Sade-Feldman, Jacy Fang, Shuqiang Li, Wesley Lu, Michela Ansuinelli and 18 more

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

Article in Journal of hematology & oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04290546 (A Phase 1 Trial of CTLA-4 Inhibition, With or Without Cetuximab, and in Combination With Memory-like Natural Killer), which is not on this map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 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.

NCT04290546 phase1completednot on this map

A Phase 1 Trial of CTLA-4 Inhibition, With or Without Cetuximab, and in Combination With Memory-like Natural Killer (NK) Cell Immune Cell Therapy in Advanced Head & Neck Cancer

TypeinterventionalSponsorDana-Farber Cancer InstituteRan2020 to 2024Enrolled11ConditionsSquamous Cell Carcinoma of the Head and Neck, Recurrent Head and Neck Squamous Cell CarcinomaArmsInterleukin-15 Superagonist (N-803), CIML NK cell Infusion, Ipilimumab, Cetuximab
3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  8. Cellular immunotherapy in melanoma: the next frontier in cancer treatment.Journal of experimental & clinical cancer research : CR · 2026
    Review
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  15. A novel cultivation strategy to recover NK cell cytotoxicity.Frontiers in bioengineering and biotechnology · 2026
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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

28 authors.

Roman M Shapiro *Division of Transplantation and Cellular Therapies, Dana-Farber Cancer Institute, Harvard Medical School, Boston, USA.
Michal Sheffer *Division of Transplantation and Cellular Therapies, Dana-Farber Cancer Institute, Harvard Medical School, Boston, USA.
Matthew A BookerDepartment of Informatics and Analytics, Dana-Farber Cancer Institute, Boston, USA.
Michael Y TolstorukovDepartment of Informatics and Analytics, Dana-Farber Cancer Institute, Boston, USA.
Grace C BirchDivision of Transplantation and Cellular Therapies, Dana-Farber Cancer Institute, Harvard Medical School, Boston, USA.
Moshe Sade-FeldmanKrantz Family Center for Cancer Research, Department of Medicine, Massachusetts General Hospital, Boston, USA.
Jacy FangKrantz Family Center for Cancer Research, Department of Medicine, Massachusetts General Hospital, Boston, USA.
Shuqiang LiBroad Institute of MIT and Harvard, Cambridge, MA, 02142, USA.
Wesley LuTranslational Immunogenomics Laboratory, Dana-Farber Cancer Institute, Boston, MA, USA.
Michela AnsuinelliDivision of Transplantation and Cellular Therapies, Dana-Farber Cancer Institute, Harvard Medical School, Boston, USA.
Remy DuleryDivision of Transplantation and Cellular Therapies, Dana-Farber Cancer Institute, Harvard Medical School, Boston, USA.
Mubin TarannumDivision of Transplantation and Cellular Therapies, Dana-Farber Cancer Institute, Harvard Medical School, Boston, USA.
Joanna BaginskaCenter for Immuno-oncology, Dana Farber Cancer Institute, Harvard Medical School, Boston, USA.
Nishant DwivediCell Transplant Therapy, CareDx Inc, Brisbane, CA, USA.
Ashish KothariCell Transplant Therapy, CareDx Inc, Brisbane, CA, USA.
Livius PenterDivision of Transplantation and Cellular Therapies, Dana-Farber Cancer Institute, Harvard Medical School, Boston, USA.
Yasmin Z AbdulhamidDivision of Transplantation and Cellular Therapies, Dana-Farber Cancer Institute, Harvard Medical School, Boston, USA.
Isabel E KaplanDivision of Transplantation and Cellular Therapies, Dana-Farber Cancer Institute, Harvard Medical School, Boston, USA.
Dinh KhanhlinhDivision of Transplantation and Cellular Therapies, Dana-Farber Cancer Institute, Harvard Medical School, Boston, USA.
Ravindra UppaluriDepartment of Surgery, Brigham and Women's Hospital, Boston, MA, USA.
Robert A ReddDepartment of Data Science, Dana-Farber Cancer Institute, Boston, USA.
Sarah NikiforowDivision of Transplantation and Cellular Therapies, Dana-Farber Cancer Institute, Harvard Medical School, Boston, USA.
John KorethDivision of Transplantation and Cellular Therapies, Dana-Farber Cancer Institute, Harvard Medical School, Boston, USA.
Jerome RitzDivision of Transplantation and Cellular Therapies, Dana-Farber Cancer Institute, Harvard Medical School, Boston, USA.
Catherine J WuDivision of Transplantation and Cellular Therapies, Dana-Farber Cancer Institute, Harvard Medical School, Boston, USA.
Robert J SoifferDivision of Transplantation and Cellular Therapies, Dana-Farber Cancer Institute, Harvard Medical School, Boston, USA.
Glenn J Hanna *Division of Transplantation and Cellular Therapies, Dana-Farber Cancer Institute, Harvard Medical School, Boston, USA. glenn_hanna@dfci.harvard.edu.
Rizwan Romee *Division of Transplantation and Cellular Therapies, Dana-Farber Cancer Institute, Harvard Medical School, Boston, USA. rizwan_romee@dfci.harvard.edu.

Funding

Single Cell and ImmunogenomicsP01CA229092 · NCI · DANA-FARBER CANCER INST · PI RITZ, JEROME · 2019 to 2023
$13.8M
Single cell investigation of co-evolution in cancer cells and host cell immune microenvironmentR50CA251956 · NCI · DANA-FARBER CANCER INST · PI Shuqiang Li · 2020 to 2026
$1.4M
NCI NIH HHS P01 CA229092NCI NIH HHS R50 CA251956
6 · The paper itself

Abstract

backgroundCytokine induced memory-like natural killer (CIML NK) cells combined with an IL-15 super-agonist (N-803) are a novel modality to treat relapsed/refractory head and neck cancer.

methodsWe report data from a phase I trial of haploidentical CIML NK cells combined with N-803 with or without ipilimumab (IPI) in relapsed/refractory head and neck cancer patients after a median of 6 prior lines of therapy. The trial adhered to a 3 + 3 dose de-escalation design, with primary endpoint being safety. High-resolution immunophenotypic and transcriptional profiling characterized the NK cells and their interacting partners in vivo.

resultsThe primary safety endpoint was established, with dose-limiting toxicity in 1/10 patients. A transient disease control rate correlated with donor NK cell expansion, the latter occurring irrespective of IPI. The combination of CIML NK cells with N-803 and IPI was associated with increased early NK cell proliferation, contraction of Treg: Tcon, rapid recovery of recipient CD8

conclusionsCIML NK cells combined with N-803 and ipilimumab to treat head and neck cancer is safe, and associated with a more proliferative NK cell phenotype. However, the combination leads to reduced HLA mismatched NK cell persistence, resulting in an important limitation affecting NK cell combination therapies in clinical trials. These results inform evaluation of CIML NK therapy for advanced malignancies, with considerations for combination with IPI.

trial registrationNCT04290546.

Indexed as

CTLA-4 AntigenHead and Neck NeoplasmsImmune Checkpoint InhibitorsInterleukin-15Killer Cells, NaturalAdultAgedFemaleHumansImmunologic MemoryIpilimumabMaleMiddle AgedRecombinant Fusion ProteinsALT-803CTLA-4 AntigenCTLA4 protein, humanIL15 protein, humanImmune Checkpoint InhibitorsInterleukin-15IpilimumabRecombinant Fusion ProteinsClinical trialHead and neck cancerInterleukin-15IpilimumabNK cells

Identifiers

PMID39948608
PMCPMC11827236

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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.