Evidence map›Paper›PMID 22160384›Full record

Trial reportBlood2012

B-cell depletion and remissions of malignancy along with cytokine-associated toxicity in a clinical trial of anti-CD19 chimeric-antigen-receptor-transduced T cells.

James N Kochenderfer, Mark E Dudley, Steven A Feldman, Wyndham H Wilson, David E Spaner, Irina Maric, Maryalice Stetler-Stevenson, Giao Q Phan, Marybeth S Hughes, Richard M Sherry and 8 more

6 registry-linked trialsAbstract readClinical Trial
In one paragraph

Trial report in Blood, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 6 registered trials, which are not on this map. Cited by 859 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
859citing papers in PubMed, 7 pooled it
41.0field-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.

NCT02215967 phase1completednot on this mapstarted 2014, after this paper: background citation

A Phase I Clinical Trial of T-Cells Targeting B-Cell Maturation Antigen for Previously Treated Multiple Myeloma

TypeinterventionalSponsorNational Cancer Institute (NCI)Ran2014 to 2019Enrolled30ConditionsMyeloma, Plasma-Cell, Myeloma-MultipleArmsCyclophosphamide, Fludarabine, Anti-B-cell maturation antigen (BCMA) chimeric antigen receptor (CAR) T cells
NCT03240328 phase1recruitingnot on this mapstarted 2017, after this paper: background citation

The Effect of CAR-T Cell Therapy on the Reconstitution of HIV-specific Immune Function

TypeinterventionalSponsorGuangzhou 8th People's HospitalRan2017 to 2030Enrolled40ConditionsHIV/AIDSArmsCAR-T cells
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
NCT03672305 early_phase1unknown statusnot on this mapstarted 2018, after this paper: background citation

Single-center, Open Clinical Study on the Efficacy and Safety of c-Met/PD-L1 Chimeric Antigen Receptor T Cell Injection in the Treatment of Primary Hepatocellular Carcinoma

TypeinterventionalSponsorThe Second Hospital of Nanjing Medical UniversityRan2018 to 2019Enrolled50ConditionsPrimary Hepatocellular CarcinomaArmsc-Met/PD-L1 CAR-T cell injection
NCT03823365 phase1unknown statusnot on this mapstarted 2018, after this paper: background citation

Immune Reconstitution With Blinatumomab Expanded T-cells (BET) After First-line Treatment With Fludarabine-Cyclophosphamide-Rituximab or Bendamustine-Rituximab in CD20+ Indolent Non-Hodgkin Lymphomas/Chronic Lymphocytic Leukemia: a Phase I Study

TypeinterventionalSponsorA.O. Ospedale Papa Giovanni XXIIIRan2018 to 2022Enrolled19ConditionsIndolent Non-Hodgkin Lymphomas/Chronic Lymphocytic LeukemiaArmsBlinatumomab Expanded T-cells (BET)
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
3 · Its place in the literature

Who cites it

859 citing papers in PubMed, 7 syntheses or guidelines pooled it, 1,437 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Guideline
  5. Pooled it
  6. Pooled it
  7. Pooled it
  8. Trial
  9. Trial
  10. Article
  11. Article
  12. Article
  13. Review
  14. Cardiotoxicity of T cell immunotherapies.Nature reviews. Cardiology · 2026
    Review
  15. Review
  16. Article
  17. Article
  18. Review
  19. Article
  20. The Potential of the Gut Microbiota and Butyrate to Enhance CAR T-cell Therapy in Non-Hodgkin Lymphoma.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
    Article

799 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors at 3 institutions in 2 countries.

James N KochenderferExperimental Transplantation and Immunology Branch, National Cancer Institute (NCI), Bethesda, MD 20892, USA. kochendj@mail.nih.gov
Mark E Dudley
Steven A Feldman
Wyndham H Wilson
David E Spaner
Irina Maric
Maryalice Stetler-Stevenson
Giao Q Phan
Marybeth S Hughes
Richard M Sherry
James C Yang
Udai S Kammula
Laura Devillier
Robert Carpenter
Debbie-Ann N Nathan
Richard A Morgan
Carolyn Laurencot
Steven A Rosenberg
National Cancer Institute · USNational Institutes of Health Clinical Center · USSunnybrook Health Science Centre · CA

Funding

Gene therapy of cancerZIABC010985 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI ROSENBERG, STEVEN · 2009 to 2025
$56.8M
Flow Cytometric Analysis of Benign and Malignant TumorsZICSC009372 · NCI · DIVISION OF CLINICAL SCIENCES - NCI · PI WANG, HAO-WEI · 2009 to 2025
$29.6M
Cell Production Facility CoreZICBC011020 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI DUDLEY, MARK · 2009 to 2013
$6.5M
Autologous T cells Transduced with an Anti-CD19 Chimeric Antigen ReceptorZIABC011413 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI KOCHENDERFER, JAMES · 2011 to 2016
$731k
Bone Marrow Histopathological Changes in Neoplastic and Non-Neoplastic DiseasesZIACL090027 · CLC · CLINICAL CENTER · PI MARIC, IRINA · 2010 to 2025
$0k
Intramural NIH HHS
6 · The paper itself

Abstract

We conducted a clinical trial to assess adoptive transfer of T cells genetically modified to express an anti-CD19 chimeric Ag receptor (CAR). Our clinical protocol consisted of chemotherapy followed by an infusion of anti-CD19-CAR-transduced T cells and a course of IL-2. Six of the 8 patients treated on our protocol obtained remissions of their advanced, progressive B-cell malignancies. Four of the 8 patients treated on the protocol had long-term depletion of normal polyclonal CD19(+) B-lineage cells. Cells containing the anti-CD19 CAR gene were detected in the blood of all patients. Four of the 8 treated patients had prominent elevations in serum levels of the inflammatory cytokines IFNγ and TNF. The severity of acute toxicities experienced by the patients correlated with serum IFNγ and TNF levels. The infused anti-CD19-CAR-transduced T cells were a possible source of these inflammatory cytokines because we demonstrated peripheral blood T cells that produced TNF and IFNγ ex vivo in a CD19-specific manner after anti-CD19-CAR-transduced T-cell infusions. Anti-CD19-CAR-transduced T cells have great promise to improve the treatment of B-cell malignancies because of a potent ability to eradicate CD19(+) cells in vivo; however, reversible cytokine-associated toxicities occurred after CAR-transduced T-cell infusions.

Indexed as

Antigens, CD19B-LymphocytesCytokinesEnzyme-Linked Immunosorbent AssayFlow CytometryHumansImmunohistochemistryImmunotherapy, AdoptiveLeukemia, Lymphocytic, Chronic, B-CellLymphoma, B-CellMiddle AgedReal-Time Polymerase Chain ReactionRecombinant Fusion ProteinsRemission InductionT-LymphocytesTransduction, GeneticAntigens, CD19CytokinesRecombinant Fusion Proteins

Identifiers

PMID22160384
PMCPMC3327450
OpenAlexW1963522404

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.