Evidence map›Paper›PMID 41580832›Full record

ArticleJournal of translational medicine2026

NK cell infusion is well-tolerated and shows preliminary efficacy in patients with recurrent hepatocellular carcinoma post-liver transplantation : a phase I trial.

Fan Yang, Yihang Gong, Xiaofang Zheng, Beibei Ni, Jianxi Lu, Xiaoyan Chen, Jintao Cheng, Panlong Li, Cong Du, Yunhao Chen and 6 more

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

Article in Journal of translational medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02399735 (Safety Study of Nature Killer Cells From Sibship to Treat the Recurrence of Hepatocellular Carcinoma After Liver Transplantation), which is not on this map. Cited by 1 paper.

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

NCT02399735 phase1unknown statusnot on this map

Safety Study of Nature Killer Cells From Sibship to Treat the Recurrence of Hepatocellular Carcinoma After Liver Transplantation

TypeinterventionalSponsorThird Affiliated Hospital, Sun Yat-Sen UniversityRan2014 to 2018Enrolled18ConditionsHepatocellular CarcinomaArmsLow Dose NK cells ×4 times, Normal Dose NK cells ×4 times, Normal Dose NK cells ×8 times
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
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

16 authors.

Fan Yang *Biotherapy Centre, The Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou, 510630, PR China.ORCID 0000-0003-0165-9803
Yihang Gong *Department of Hepatic Surgery and Liver Transplantation Centre, The Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou, 510630, PR China.
Xiaofang Zheng *Biotherapy Centre, The Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou, 510630, PR China.
Beibei Ni *Cell-Gene Therapy Translational Medicine Research Centre, The Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou, 510630, PR China.
Jianxi LuBiotherapy Centre, The Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou, 510630, PR China.
Xiaoyan ChenBiotherapy Centre, The Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou, 510630, PR China.
Jintao ChengBiotherapy Centre, The Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou, 510630, PR China.
Panlong LiBiotherapy Centre, The Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou, 510630, PR China.
Cong DuBiotherapy Centre, The Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou, 510630, PR China.
Yunhao ChenBiotherapy Centre, The Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou, 510630, PR China.
Yingcai ZhangDepartment of Hepatic Surgery and Liver Transplantation Centre, The Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou, 510630, PR China.
Shuhong YiDepartment of Hepatic Surgery and Liver Transplantation Centre, The Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou, 510630, PR China.
Guoying WangDepartment of Hepatobiliary Surgery, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou, 510120, PR China.
Qi ZhangBiotherapy Centre, The Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou, 510630, PR China. zhangq27@mail.sysu.edu.cn.
Yang YangDepartment of Hepatic Surgery and Liver Transplantation Centre, The Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou, 510630, PR China. yysysu@163.com.
Wenjie ChenBiotherapy Centre, The Third Affiliated Hospital, Sun Yat-Sen University, Guangzhou, 510630, PR China. chenwj5@mail.sysu.edu.cn.ORCID 0009-0000-0635-7746

Funding

China Postdoctoral Science Foundation 2019M653904XBGuangzhou Science and Technology Planning Project 202102010310Guangzhou Science and Technology Planning Project 2024A03J0273Guangzhou Science and Technology Planning Project 2025A03J3207Key R&D Program of Xinjiang Uygur Autonomous Region - Department-Region Linkage Project 2024B04014Key R&D Program of Xinjiang Uygur Autonomous Region - Department-Region Linkage Project 2024B04014-3National Key Research and Development Program of China 2023YFC2505903National Key Research and Development Program of China 2024YFA1107200National Natural Science Foundation of China 82170674National Natural Science Foundation of China 82260110National Natural Science Foundation of China 82425010National Natural Science Foundation of China 82460130Natural Science Foundation of Guangdong Province 2024A1515013044
6 · The paper itself

Abstract

backgroundRecurrent hepatocellular carcinoma (HCC) after liver transplantation remains a formidable challenge. This Phase 1, dose-escalation trial had the ​primary objectives​ of evaluating the safety and tolerability of various natural killer (NK) cell infusion regimens in patients with recurrent HCC. ​As exploratory endpoints, the study also assessed preliminary antitumor activity, with progression-free survival (PFS) and overall survival (OS) being key measures of interest.

methodsBetween December 31, 2014, and March 29, 2017, 18 patients with recurrent HCC after liver transplantation were enrolled in this single-center, Phase I dose-exploration study. Patients were allocated to four treatment groups to receive different frequencies and doses of NK cell infusions alongside conventional treatment. Group A (n = 3) received four low-dose infusions, Group B (n = 5) received four normal-dose infusions, Group C (n = 6) received eight normal-dose infusions, and Group D (n = 4) followed an incremental dosing schedule. Treatment-related adverse events (AEs) and survival outcomes were systematically evaluated, with a maximum follow-up period of 9 years.

resultsThe most common AE was Grade 1 pyrexia, which typically resolved within a day. The median PFS across the cohort was 4.8 months, with significant differences observed among the groups (log-rank P = 0.0008). Specifically, the PFS was 1.6 months for Group A, 2.5 months for Group B, 5.5 months for Group C, and 7.5 months for Group D. The median OS was 17.7 months, with notable differences among the groups (log-rank P = 0.0403). The OS durations were 12.6 months for Group A, 16.1 months for Group B, 18.4 months for Group C, and 31.3 months for Group D.

conclusionNK cell infusions were well tolerated and associated with differences in both PFS and OS in patients with recurrent HCC after liver transplantation. Both the frequency and dosage of NK cell infusions are crucial factors influencing survival outcomes, suggesting a potential dose-frequency response relationship.These findings preliminarily underscore the potential of optimizing NK cell-based immunotherapies to enhance clinical outcomes in this challenging patient population.

trial registrationTrial registration NCT, NCT02399735, Registered 23 March 2015 - Retrospectively registered, https://clinicaltrials.gov/study/NCT02399735 .

Indexed as

Carcinoma, HepatocellularKiller Cells, NaturalLiver NeoplasmsLiver TransplantationNeoplasm Recurrence, LocalFemaleHumansMaleMiddle AgedTreatment OutcomeEffectiveNK cell infusionPost-Liver transplantationRecurrentTolerated

Identifiers

PMID41580832
PMCPMC12911381

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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.