Evidence map›Paper›PMID 21830940›Full record

ArticleThe New England journal of medicine2011

Chimeric antigen receptor-modified T cells in chronic lymphoid leukemia.

David L Porter, Bruce L Levine, Michael Kalos, Adam Bagg, Carl H June

RetractedErratum issued 4 registry-linked trialsOpen access · bronzeAbstract readCase ReportsClinical Trial, Phase I
In one paragraph

Article in The New England journal of medicine, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It has been retracted, and should not be counted. It is linked to 4 registered trials, which are not on this map. Cited by 2,042 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2,042citing papers in PubMed, 2 pooled it
113.5field-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.

NCT02644655 phase1 / phase2unknown statusnot on this mapstarted 2015, after this paper: background citation

A Clinical Study Using Autologous T Cell Engineered With Chimeric Antigen Receptor Targeting to CD19(Cluster of Differentiation Antigen 19) in Treating Patients With Recurrent /Refractory B Cell Leukemia

TypeinterventionalSponsorSecond Military Medical UniversityRan2015 to 2017Enrolled20ConditionsRecurrent B-Cell Tumor, Refractory B-Cell TumorArmsCD19-specific chimeric antigen receptor
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
NCT05054257 phase1recruitingnot on this mapstarted 2021, after this paper: background citation

Safety and Efficacy of Anti-CD19 Chimeric Antigen Receptor-modified Autologous T Cells (CART19) in Patients with Relapsed/refractory CD19+ Acute Lymphoblastic Leukemia and Non-Hodgkin's Lymphoma. a Dose Escalation, Open-label, Phase I Study.

TypeinterventionalSponsorInstitute of Hematology and Blood Transfusion, Czech RepublicRan2021 to 2025Enrolled10ConditionsRelapsed or Refractory B-cell Acute Lymphoblastic Leukemia, Non-Hodgkin's Lymphoma Refractory, Non-Hodgkin's Lymphoma, RelapsedArmsAutologous CAR19 T lymphocytes
NCT07502118 phase2 / phase3recruitingnot on this mapstarted 2025, after this paper: background citation

An Open-Label, Multicenter Phase 2-3 Clinical Study of Anti-CD19 Chimeric Antigen Receptor T Cells (Talikabtagene Autoleucel) in Patients With Relapsed/Refractory B-Cell Malignancies (NexCAR19)

TypeinterventionalSponsorHealth Institutes of TurkeyRan2025 to 2030Enrolled40ConditionsRelapsed/Refractory B-cell Acute Lymphoblastic Leukemia (B-ALL), Relapsed/Refractory Non-Hodgkin Lymphoma, Diffuse Large B-Cell Lymphoma (DLBCL), High-grade B-cell Lymphoma (HGBCL)ArmsTalikabtagene Autoleucel
3 · Its place in the literature

Who cites it

2,042 citing papers in PubMed, 2 syntheses or guidelines pooled it, 3,502 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Letetresgene Autoleucel in Advanced/Metastatic Myxoid/Round Cell Liposarcoma.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2025
    Trial
  4. Genes & diseases · 2027
    Review
  5. Review
  6. Article
  7. Review
  8. Article
  9. Review
  10. Review
  11. Article
  12. Article
  13. Article
  14. Review
  15. Cardiotoxicity of T cell immunotherapies.Nature reviews. Cardiology · 2026
    Review
  16. Article
  17. Article
  18. Article
  19. Review
  20. Article

1,982 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

David L PorterAbramson Cancer Center, and Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, USA. david.porter@uphs.upenn.edu
Bruce L Levine
Michael Kalos
Adam Bagg
Carl H June
Abramson Cancer CenterUniversity of Pennsylvania · US

Funding

Nanomedicine development center for mechanobiologyPN2EY016586 · NEI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI DUSTIN, MICHAEL LORAN · 2005 to 2014
$23.0M
IMMUNOTHERAPY WITH CAR T CELLSR01CA120409 · NCI · UNIVERSITY OF PENNSYLVANIA · PI JUNE, CARL H., ZHAO, YANGBING · 2006 to 2016
$2.7M
Mid-career investigator award in allogeneic adoptive immunotherapyK24CA117879 · NCI · UNIVERSITY OF PENNSYLVANIA · PI PORTER, DAVID L · 2006 to 2010
$778k
Center for Mechanotransduction and Nanomedicine. (RMI)PN1EY016586 · NEI · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI SHEETZ, MICHAEL PATRICK · 2004 to 2004
$81k
NCI NIH HHS K24 CA117879NCI NIH HHS K24 CA11787901NCI NIH HHS R01 CA120409NCI NIH HHS R01CA120409NEI NIH HHS 1PN2-EY016586NEI NIH HHS PN1 EY016586NEI NIH HHS PN2 EY016586
6 · The paper itself

Abstract

We designed a lentiviral vector expressing a chimeric antigen receptor with specificity for the B-cell antigen CD19, coupled with CD137 (a costimulatory receptor in T cells [4-1BB]) and CD3-zeta (a signal-transduction component of the T-cell antigen receptor) signaling domains. A low dose (approximately 1.5×10(5) cells per kilogram of body weight) of autologous chimeric antigen receptor-modified T cells reinfused into a patient with refractory chronic lymphocytic leukemia (CLL) expanded to a level that was more than 1000 times as high as the initial engraftment level in vivo, with delayed development of the tumor lysis syndrome and with complete remission. Apart from the tumor lysis syndrome, the only other grade 3/4 toxic effect related to chimeric antigen receptor T cells was lymphopenia. Engineered cells persisted at high levels for 6 months in the blood and bone marrow and continued to express the chimeric antigen receptor. A specific immune response was detected in the bone marrow, accompanied by loss of normal B cells and leukemia cells that express CD19. Remission was ongoing 10 months after treatment. Hypogammaglobulinemia was an expected chronic toxic effect.

Indexed as

Antigens, CD19ImmunotherapyReceptors, Antigen, T-CellAgammaglobulinemiaB-LymphocytesBone MarrowChimeraCytokinesHumansLentivirusLeukemia, LymphoidMaleRemission InductionT-LymphocytesTumor Lysis SyndromeAntigens, CD19CTL019 chimeric antigen receptorCytokinesReceptors, Antigen, T-Cell

Identifiers

PMID21830940
PMCPMC3387277
OpenAlexW2130011407

What OpenQuestion holds

Textmetadata
LicenceTDM
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.