Evidence map›Paper›PMID 20179677›Full record

ArticleMolecular therapy : the journal of the American Society of Gene Therapy2010

Case report of a serious adverse event following the administration of T cells transduced with a chimeric antigen receptor recognizing ERBB2.

Richard A Morgan, James C Yang, Mio Kitano, Mark E Dudley, Carolyn M Laurencot, Steven A Rosenberg

2 registry-linked trialsOpen access · bronzeAbstract readCase Reports
In one paragraph

Article in Molecular therapy : the journal of the American Society of Gene Therapy, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 1,555 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1,555citing papers in PubMed, 1 pooled it
37.9field-weighted citation impact, top 1% of its field
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.

NCT01593696 phase1completednot on this mapstarted 2012, after this paper: background citation

Phase I Study of T Cells Expressing an Anti-CD19 Chimeric Receptor in Children and Young Adults With B Cell Malignancies

TypeinterventionalSponsorNational Cancer Institute (NCI)Ran2012 to 2017Enrolled53ConditionsALL, B Cell Lymphoma, Leukemia, Large Cell LymphomaArmsAnti-Cluster of Differentiation (CD)19-Chimeric antigen receptor (CAR)
NCT03330834 phase1terminatednot on this mapstarted 2017, after this paper: background citation

Safety and Toxicity of CAR-T Cell Immunotherapy in Patients With Advanced Lung Cancer After Standard Treatment Failure: A Single-Arm and Single-Center Phase I Clinical Study

TypeinterventionalSponsorSun Yat-sen UniversityRan2017 to 2020Enrolled1ConditionsAdvanced Lung CancerArmsCAR-T cells to treat advanced lung cancer
3 · Its place in the literature

Who cites it

1,555 citing papers in PubMed, 1 synthesis or guideline pooled it, 2,493 citations in OpenAlex.

  1. 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
  2. Article
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  5. Nonclinical safety assessment of SBT777101, a CAR-engineered regulatory T cell therapy for autoimmune diseases.Toxicological sciences : an official journal of the Society of Toxicology · 2026
    Article
  6. Review
  7. Article
  8. Article
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  12. Engineering the next generation of cellular therapies for solid tumors: multi-specific armored CARs and TME reprogramming strategies.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Review
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1,495 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Richard A MorganSurgery Branch, National Cancer Institute, National Institutes of Health, Bethesda, Maryland 20892, USA. rmorgan@mail.nih.gov
James C Yang
Mio Kitano
Mark E Dudley
Carolyn M Laurencot
Steven A Rosenberg
National Institutes of Health · USNational Cancer Institute · US

Funding

Gene therapy of cancerZIABC010985 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI ROSENBERG, STEVEN · 2009 to 2025
$56.8M
Cell Production Facility CoreZICBC011020 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI DUDLEY, MARK · 2009 to 2013
$6.5M
Intramural NIH HHS
6 · The paper itself

Abstract

In an attempt to treat cancer patients with ERBB2 overexpressing tumors, we developed a chimeric antigen receptor (CAR) based on the widely used humanized monoclonal antibody (mAb) Trastuzumab (Herceptin). An optimized CAR vector containing CD28, 4-1BB, and CD3zeta signaling moieties was assembled in a gamma-retroviral vector and used to transduce autologous peripheral blood lymphocytes (PBLs) from a patient with colon cancer metastatic to the lungs and liver, refractory to multiple standard treatments. The gene transfer efficiency into autologous T cells was 79% CAR(+) in CD3(+) cells and these cells demonstrated high-specific reactivity in in vitro coculture assays. Following completion of nonmyeloablative conditioning, the patient received 10(10) cells intravenously. Within 15 minutes after cell infusion the patient experienced respiratory distress, and displayed a dramatic pulmonary infiltrate on chest X-ray. She was intubated and despite intensive medical intervention the patient died 5 days after treatment. Serum samples after cell infusion showed marked increases in interferon-gamma (IFN-gamma), granulocyte macrophage-colony stimulating factor (GM-CSF), tumor necrosis factor-alpha (TNF-alpha), interleukin-6 (IL-6), and IL-10, consistent with a cytokine storm. We speculate that the large number of administered cells localized to the lung immediately following infusion and were triggered to release cytokine by the recognition of low levels of ERBB2 on lung epithelial cells.

Indexed as

AdultAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedCD3 ComplexColonic NeoplasmsCytokinesErb-b2 Receptor Tyrosine KinasesFatal OutcomeFemaleGenetic VectorsHumansImmunotherapy, AdoptiveLiver NeoplasmsLung NeoplasmsReceptors, Antigen, T-CellRecombinant Fusion ProteinsAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedCD3 ComplexCytokinesERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesReceptors, Antigen, T-CellRecombinant Fusion ProteinsTrastuzumab

Identifiers

PMID20179677
PMCPMC2862534
OpenAlexW2094945699

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.