Evidence map›Paper›PMID 24358223›Full record

ArticlePloS one2013

Combining a CD20 chimeric antigen receptor and an inducible caspase 9 suicide switch to improve the efficacy and safety of T cell adoptive immunotherapy for lymphoma.

Lihua E Budde, Carolina Berger, Yukang Lin, Jinjuan Wang, Xubin Lin, Shani E Frayo, Shaunda A Brouns, David M Spencer, Brian G Till, Michael C Jensen and 2 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 126 papers.

0numbers the graph read from it
0cells of the map it votes in
126citing papers in PubMed
7.4field-weighted citation impact, top 2% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

126 citing papers in PubMed, 189 citations in OpenAlex.

  1. Trial
  2. Small-molecule control of CAR T cells.Nature reviews. Chemistry · 2025
    Review
  3. Article
  4. Engineering TME-gated inducible CAR-T cell therapy for solid tumors.Molecular therapy : the journal of the American Society of Gene Therapy · 2025
    Article
  5. Review
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  11. Article
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  14. Review
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  16. Dual-inhibitory domain iCARs improve the efficiency of the AND-NOT gate CAR T strategy.Proceedings of the National Academy of Sciences of the United States of America · 2023
    Article
  17. Article
  18. Involving stemness factors to improve CAR T-cell-based cancer immunotherapy.Medical oncology (Northwood, London, England) · 2023
    Review
  19. Review
  20. CAR-T Cell Therapy: the Efficacy and Toxicity Balance.Current hematologic malignancy reports · 2023
    Review

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

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

12 authors at 4 institutions in 2 countries.

Lihua E BuddeDepartment of Hematology and Hematopoietic Cell Transplantation, City of Hope, Duarte, California, United States of America ; Clinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, Washington, United States of America ; Departments of Medicine and Bioengineering, University of Washington, Seattle, Washington, United States of America.
Carolina BergerClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, Washington, United States of America.
Yukang LinClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, Washington, United States of America.
Jinjuan WangClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, Washington, United States of America.
Xubin LinClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, Washington, United States of America.
Shani E FrayoClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, Washington, United States of America.
Shaunda A BrounsClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, Washington, United States of America.
David M SpencerPathology and Immunology, Baylor College of Medicine, Houston, Texas, United States of America ; Bellicum Pharmaceuticals, Inc., Houston, Texas, United States of America.
Brian G TillClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, Washington, United States of America ; Departments of Medicine and Bioengineering, University of Washington, Seattle, Washington, United States of America.
Michael C JensenClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, Washington, United States of America ; Center for Immunity and Immunotherapies, Seattle Children's Research Institute, Seattle, Washington, United States of America.
Stanley R RiddellClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, Washington, United States of America ; Departments of Medicine and Bioengineering, University of Washington, Seattle, Washington, United States of America ; Institute for Advanced Study, Technical University of Munich, Munich, Germany.
Oliver W PressClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, Washington, United States of America ; Departments of Medicine and Bioengineering, University of Washington, Seattle, Washington, United States of America.
Fred Hutch Cancer Center · USUniversity of Washington · USBaylor College of Medicine · USInstitute for Advanced Study · DE

Funding

CORE--VECTOR PRODUCTIONP30DK056465 · NIDDK · FRED HUTCHINSON CANCER RESEARCH CENTER · PI BERNSTEIN, IRWIN D · 1999 to 2014
$14.9M
Optimization of adoptive immunotherapy with autologous CD20-specific T cellsK23CA154874 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI TILL, BRIAN · 2013 to 2016
$687k
NCI NIH HHS K23 CA154874NIDDK NIH HHS P30 DK056465
6 · The paper itself

Abstract

Modification of T cells with chimeric antigen receptors (CAR) has emerged as a promising treatment modality for human malignancies. Integration of co-stimulatory domains into CARs can augment the activation and function of genetically targeted T cells against tumors. However, the potential for insertional mutagenesis and toxicities due to the infused cells have made development of safe methods for removing transferred cells an important consideration. We have genetically modified human T cells with a lentiviral vector to express a CD20-CAR containing both CD28 and CD137 co-stimulatory domains, a "suicide gene" relying on inducible activation of caspase 9 (iC9), and a truncated CD19 selectable marker. Rapid expansion (2000 fold) of the transduced T cells was achieved in 28 days after stimulation with artificial antigen presenting cells. Transduced T cells exhibited effective CD20-specific cytotoxic activity in vitro and in a mouse xenograft tumor model. Activation of the iC9 suicide switch resulted in efficient removal of transduced T cells both in vitro and in vivo. Our work demonstrates the feasibility and promise of this approach for treating CD20(+) malignancies in a safe and more efficient manner. A phase I clinical trial using this approach in patients with relapsed indolent B-NHL is planned.

Indexed as

Genes, Transgenic, SuicideAnimalsAntigens, CD20Caspase 9Cells, CulturedHumansImmunotherapy, AdoptiveJurkat CellsLymphomaMiceMice, Inbred NODMice, KnockoutMice, SCIDNIH 3T3 CellsReceptors, Antigen, T-CellRecombinant Fusion ProteinsAntigens, CD20Caspase 9Receptors, Antigen, T-CellRecombinant Fusion Proteins

Identifiers

PMID24358223
PMCPMC3866194
OpenAlexW2050386410

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.