Evidence map›Paper›PMID 24579088›Full record

ArticleCancer immunology research2014

Mesothelin-specific chimeric antigen receptor mRNA-engineered T cells induce anti-tumor activity in solid malignancies.

Gregory L Beatty, Andrew R Haas, Marcela V Maus, Drew A Torigian, Michael C Soulen, Gabriela Plesa, Anne Chew, Yangbing Zhao, Bruce L Levine, Steven M Albelda and 2 more

Erratum issued Registry-linked trialOpen access · bronzeAbstract readClinical Trial, Phase I
In one paragraph

Article in Cancer immunology research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT03994705 (Phase I Safety Study of Descartes-11 in Patients With Relapsed/Refractory Multiple Myeloma), which is not on this map. Cited by 547 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
547citing papers in PubMed, 1 pooled it
22.4field-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.

NCT03994705 phase1terminatednot on this mapstarted 2019, after this paper: background citation

Phase I Safety Study of Descartes-11 in Patients With Relapsed/Refractory Multiple Myeloma

TypeinterventionalSponsorCartesian TherapeuticsRan2019 to 2021Enrolled20ConditionsMultiple MyelomaArmsDescartes-11, Fludarabine, Cyclophosphamide
3 · Its place in the literature

Who cites it

547 citing papers in PubMed, 1 synthesis or guideline pooled it, 849 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Review
  5. Article
  6. Advances inMolecular therapy. Nucleic acids · 2026
    Review
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Adoptive T-cell therapies in the clinic.Bioengineering & translational medicine · 2026
    Review
  14. Review
  15. mRNA medicine for cardiovascular disease.Nature cardiovascular research · 2026
    Review
  16. Review
  17. Article
  18. Article
  19. Ibrutinib and PD-1 Blockade Potentiate Mesothelin-Targeting CAR T-cell Therapy in Preclinical Models of Pancreatic Cancer.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
    Article
  20. Review

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 2 institutions in 1 country.

Gregory L BeattyAbramson Cancer Center; University of Pennsylvania, Philadelphia, PA ; Division of Hematology-Oncology, Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Andrew R HaasAbramson Cancer Center; University of Pennsylvania, Philadelphia, PA ; Division of Pulmonary, Allergy, and Critical Care, Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Marcela V MausAbramson Cancer Center; University of Pennsylvania, Philadelphia, PA ; Division of Hematology-Oncology, Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Drew A TorigianAbramson Cancer Center; University of Pennsylvania, Philadelphia, PA ; Department of Radiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Michael C SoulenAbramson Cancer Center; University of Pennsylvania, Philadelphia, PA ; Department of Radiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Gabriela PlesaAbramson Cancer Center; University of Pennsylvania, Philadelphia, PA.
Anne ChewAbramson Cancer Center; University of Pennsylvania, Philadelphia, PA.
Yangbing ZhaoAbramson Cancer Center; University of Pennsylvania, Philadelphia, PA ; Department of Pathology and Laboratory Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Bruce L LevineAbramson Cancer Center; University of Pennsylvania, Philadelphia, PA ; Department of Pathology and Laboratory Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA ; Abramson Family Cancer Research Institute, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Steven M AlbeldaAbramson Cancer Center; University of Pennsylvania, Philadelphia, PA ; Division of Pulmonary, Allergy, and Critical Care, Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Michael KalosAbramson Cancer Center; University of Pennsylvania, Philadelphia, PA ; Department of Pathology and Laboratory Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Carl H JuneAbramson Cancer Center; University of Pennsylvania, Philadelphia, PA ; Department of Pathology and Laboratory Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA ; Abramson Family Cancer Research Institute, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Cancer Research Institute · USUniversity of Pennsylvania · US

Funding

UNIVERSITY OF PENNSYLVANIA CAN CTR SUPPORT GRANTP30CA016520 · NCI · UNIVERSITY OF PENNSYLVANIA · PI SHELLEY L BERGER · 1985 to 2026
$222.3M
Virus & Reservoirs CoreP30AI045008 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI ROBERT GROSS · 1999 to 2026
$78.6M
VECTOR DEVELOPMENT /PRECLINICAL TESTINGP01CA066726 · NCI · UNIVERSITY OF PENNSYLVANIA · PI ALBELDA, STEVEN MARK · 1995 to 2016
$18.2M
IMMUNOTHERAPY WITH CAR T CELLSR01CA120409 · NCI · UNIVERSITY OF PENNSYLVANIA · PI JUNE, CARL H., ZHAO, YANGBING · 2006 to 2016
$2.7M
CD40 Pathway in Pancreatic AdenocarcinomaK08CA138907 · NCI · UNIVERSITY OF PENNSYLVANIA · PI BEATTY, GREGORY L · 2011 to 2015
$812k
Designer antigen receptors to re-direct T cells to the NY-ESO-1 tumor antigenK08CA166039 · NCI · UNIVERSITY OF PENNSYLVANIA · PI MAUS, MARCELA VALDERRAMA · 2012 to 2016
$747k
NCI NIH HHS 2R01CA120409NCI NIH HHS K08 CA138907NCI NIH HHS K08CA138907NCI NIH HHS K08 CA166039NCI NIH HHS P01 CA066726NCI NIH HHS P01CA066726NCI NIH HHS P30 CA016520NCI NIH HHS R01 CA120409NIAID NIH HHS P30 AI045008
6 · The paper itself

Abstract

Off-target toxicity due to the expression of target antigens in normal tissue represents a major obstacle to the use of chimeric antigen receptor (CAR)-engineered T cells for treatment of solid malignancies. To circumvent this issue, we established a clinical platform for engineering T cells with transient CAR expression by using in vitro transcribed mRNA encoding a CAR that includes both the CD3-ζ and 4-1BB co-stimulatory domains. We present two case reports from ongoing trials indicating that adoptive transfer of mRNA CAR T cells that target mesothelin (CARTmeso cells) is feasible and safe without overt evidence of off-tumor on-target toxicity against normal tissues. CARTmeso cells persisted transiently within the peripheral blood after intravenous administration and migrated to primary and metastatic tumor sites. Clinical and laboratory evidence of antitumor activity was demonstrated in both patients and the CARTmeso cells elicited an antitumor immune response revealed by the development of novel anti-self antibodies. These data demonstrate the potential of utilizing mRNA engineered T cells to evaluate, in a controlled manner, potential off-tumor on-target toxicities and show that short-lived CAR T cells can induce epitope-spreading and mediate antitumor activity in patients with advanced cancer. Thus, these findings support the development of mRNA CAR-based strategies for carcinoma and other solid tumors.

Indexed as

AgedAged, 80 and overChimerismElectroporationFeasibility StudiesGenetic EngineeringGPI-Linked ProteinsHumansImmunotherapy, AdoptiveLung NeoplasmsMaleMesothelinMesotheliomaMesothelioma, MalignantPancreatic NeoplasmsPleural NeoplasmsGPI-Linked ProteinsMesothelinReceptors, Antigen, T-CellRNA, Messenger

Identifiers

PMID24579088
PMCPMC3932715
OpenAlexW2133298966

What OpenQuestion holds

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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.