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A brain tumor shrank 100 percent, and stayed gone

Diffuse midline glioma sits in the brainstem, cannot be cut out, and kills nearly every child diagnosed with it.

Crescent Bioresearch18 September, 3:56 PMMonje et al., Nature, 2024 · Stanford University2 min read

A Stanford team led by Michelle Monje engineered patients' own immune cells to hunt a protein called GD2 on the tumor's surface, then delivered them first through a vein and later straight into the fluid around the brain.

Of thirteen patients enrolled, eleven received the cells. Four had major tumor shrinkage of 52, 54, 91, and 100 percent on imaging. The patient whose tumor shrank completely stayed in remission for more than thirty months, and nine showed neurological improvement.

GD2 marks these tumors but also appears on some normal tissue, and higher doses triggered dangerous cytokine release and brain swelling that required intensive care. Only one of thirteen patients reached a complete response, and this was a small, early-phase safety trial without a comparison group. Researchers are now testing whether earlier or repeated dosing can make full responses less rare.

Crescent Discovery Series cover: A brain tumor shrank 100 percent, and stayed gone

One tumor vanished, most did not.

Source

  1. Monje, M., Mahdi, J., Majzner, R., Yeom, K. W., Schultz, L. M., Richards, R. M., Barsan, V., Song, K.-W., Kamens, J., Baggott, C., Kunicki, M., Rietberg, S. P., Lim, A. S., Reschke, A., Mavroukakis, S., Egeler, E., Moon, J., Patel, S., Chinnasamy, H., . . . Mackall, C. (2025). Intravenous and intracranial GD2-CAR T cells for H3K27M+ diffuse midline gliomas. Nature, 637(8046), 708–715. https://doi.org/10.1038/s41586-024-08171-9
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