Evidence map›Paper›PMID 39952926›Full record

Trial reportNature communications2025

The anti-GD2 monoclonal antibody naxitamab plus GM-CSF for relapsed or refractory high-risk neuroblastoma: a phase 2 clinical trial.

Jaume Mora, Godfrey C F Chan, Daniel A Morgenstern, Loredana Amoroso, Karsten Nysom, Jörg Faber, Arthur Wingerter, Melissa K Bear, Alba Rubio-San-Simon, Blanca Martínez de Las Heras and 3 more

Registry-linked trialAbstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03363373 (A Pivotal Phase 2 Trial of Antibody Naxitamab), which is not on this map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing 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.

NCT03363373 phase2active not recruitingnot on this map

A Pivotal Phase 2 Trial of Antibody Naxitamab (hu3F8) and Granulocyte-Macrophage Colony Stimulating Factor (GM-CSF) in High-Risk Neuroblastoma Patients With Primary Refractory Disease or Incomplete Response to Salvage Treatment in Bone and/or Bone Marrow

TypeinterventionalSponsorY-mAbs TherapeuticsRan2018 to 2028Enrolled122ConditionsNeuroblastomaArmsGM-CSF + Naxitamab
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Trial
  3. Review
  4. Review
  5. Article
  6. Translational cancer research · 2026
    Article
  7. Article
  8. Review
  9. Natural and Engineered Cytokines as Cancer Therapeutics.Annual review of cancer biology · 2026
    Article
  10. Targeted therapies in pediatric oncology: A start.Molecular therapy. Oncology · 2026
    Review
  11. Review
  12. Review
  13. Review
  14. Review
  15. Article
  16. Immunotherapeutic Strategies Targeting GD2-Expressing Malignancies.Advances in experimental medicine and biology · 2026
    Review
  17. Article
  18. Review
  19. Article
  20. Article
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

13 authors.

Jaume MoraPediatric Cancer Center Barcelona, Hospital Sant Joan de Déu, Barcelona, Spain. jaume.mora@sjd.es.ORCID http://orcid.org/0000-0002-9386-5980
Godfrey C F ChanQueen Mary Hospital & Hong Kong Children's Hospital, Pok Fu Lam, Hong Kong.
Daniel A MorgensternThe Hospital for Sick Children, University of Toronto, Toronto, Canada.ORCID http://orcid.org/0000-0002-4859-1108
Loredana AmorosoIRCCS Istituto Giannina Gaslini, Genoa, Italy.
Karsten NysomCopenhagen University Hospital - Rigshospitalet, Copenhagen, Denmark.ORCID http://orcid.org/0000-0003-2935-0058
Jörg FaberDepartment of Pediatric Hematology/Oncology/Hemostaseology, Center for Pediatric and Adolescent Medicine, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany.
Arthur WingerterDepartment of Pediatric Hematology/Oncology/Hemostaseology, Center for Pediatric and Adolescent Medicine, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany.
Melissa K BearRiley Hospital for Children, Indianapolis, IN, USA.
Alba Rubio-San-SimonHospital Infantil Universitario Niño Jesús, Madrid, Spain.
Blanca Martínez de Las HerasHospital Universitario y Politecnico La Fe, Valencia, Spain.
Karen TornøeY-mAbs A/S, Hørsholm, Denmark.
Maria DüringY-mAbs A/S, Hørsholm, Denmark.
Brian H KushnerMemorial Sloan Kettering Cancer Center, New York, NY, USA.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

In this single-arm, non-randomized, phase 2 trial (NCT03363373), 74 patients with relapsed/refractory high-risk neuroblastoma and residual disease in bone/bone marrow (BM) received naxitamab on Days 1, 3, and 5 (3 mg/kg/day) with granulocyte-macrophage colony-stimulating factor (Days -4 to 5) every 4 weeks, until complete response (CR) or partial response (PR) followed by 5 additional cycles every 4 weeks. Primary endpoint in the prespecified interim analysis was overall response (2017 International Neuroblastoma Response Criteria). Among 26 responders (CR + PR) in the efficacy population (N = 52), 58% had refractory disease, and 42% had relapsed disease. Overall response rate (ORR) was 50% (95% CI: 36-64%), and CR and PR were observed in 38% and 12%, respectively. With the 95% CI lower limit for ORR exceeding 20%, the primary endpoint of overall response was met. Patients with evaluable bone disease had a 58% (29/50) bone compartment response (CR, 40%; PR, 18%). BM compartment response was 74% (17/23; CR, 74%). One-year overall survival and progression-free survival (secondary endpoints) were 93% (95% CI: 80-98%) and 35% (95% CI: 16-54%), respectively. Naxitamab-related Grade 3 adverse events included hypotension (58%) and pain (54%). Overall, naxitamab demonstrated clinically meaningful efficacy with manageable safety in patients with residual neuroblastoma in bone/BM.

Indexed as

Antibodies, Monoclonal, HumanizedAntineoplastic Combined Chemotherapy ProtocolsGangliosidesGranulocyte-Macrophage Colony-Stimulating FactorNeuroblastomaAdolescentAdultChildChild, PreschoolFemaleHumansInfantMaleNeoplasm Recurrence, LocalTreatment OutcomeYoung AdultAntibodies, Monoclonal, Humanizedganglioside, GD2GangliosidesGranulocyte-Macrophage Colony-Stimulating Factor

Identifiers

PMID39952926
PMCPMC11828896

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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.