Evidence map›Paper›PMID 27059623›Full record

ArticleCancer immunology research2016

T Cells Expressing CD19/CD20 Bispecific Chimeric Antigen Receptors Prevent Antigen Escape by Malignant B Cells.

Eugenia Zah, Meng-Yin Lin, Anne Silva-Benedict, Michael C Jensen, Yvonne Y Chen

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Cancer immunology research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03706547 (Clinical Study of Anti-CD19/BCMA Bispecific Chimeric Antigen Receptors), which is not on this map. Cited by 364 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
364citing papers in PubMed, 4 pooled it
28.8field-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.

NCT03706547 phase1unknown statusnot on this mapstarted 2018, after this paper: background citation

Clinical Study of Anti-CD19/BCMA Bispecific Chimeric Antigen Receptors (CARs) T Cell Therapy for Relapsed and Refractory Multiple Myeloma

TypeinterventionalSponsorPeng LiuRan2018 to 2021Enrolled20ConditionsMultiple Myeloma in Relapse, Multiple Myeloma ProgressionArmsanti-CD19/BCMA CAR-T cells, Fludarabine, Cyclophosphamide
3 · Its place in the literature

Who cites it

364 citing papers in PubMed, 4 syntheses or guidelines pooled it, 599 citations in OpenAlex.

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  9. Nanomaterials Drive In Vivo CAR Immune Cells Engineering.Advanced materials (Deerfield Beach, Fla.) · 2026
    Review
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304 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 3 institutions in 2 countries.

Eugenia ZahDepartment of Chemical and Biomolecular Engineering, University of California, Los Angeles, Los Angeles, California.
Meng-Yin LinDepartment of Chemical and Biomolecular Engineering, University of California, Los Angeles, Los Angeles, California.
Anne Silva-BenedictBen Towne Center for Childhood Cancer Research, Seattle Children's Research Institute, Seattle, Washington. Department of Oncology and Hematology, St. Luke's Regional Cancer Center, Duluth, Minnesota.
Michael C JensenBen Towne Center for Childhood Cancer Research, Seattle Children's Research Institute, Seattle, Washington. Division of Pediatric Hematology-Oncology, University of Washington School of Medicine, Seattle, Washington. Program in Immunology, Clinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, Washington.
Yvonne Y ChenDepartment of Chemical and Biomolecular Engineering, University of California, Los Angeles, Los Angeles, California. yvonne.chen@ucla.edu.
University of California, Los Angeles · USCape Town HVTN Immunology Laboratory / Hutchinson Centre Research Institute of South Africa · ZASeattle Children's Hospital · US

Funding

Women's CancersP30CA016042 · NCI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Samuel Wheeler French · 1985 to 2026
$134.5M
Virology CoreP30AI028697 · NIAID · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI CHEN, IRVIN S.Y. · 1991 to 2018
$39.9M
Targeted therapy of B cell malignances with CAR-T cells of defined compositionR01CA136551 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI JENSEN, MICHAEL C, RIDDELL, STANLEY R. · 2009 to 2018
$5.5M
Engineering of computational receptors and gene circuits for T-cell immunotherapyDP5OD012133 · OD · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI CHEN, YVONNE YU-HSUAN · 2012 to 2016
$1.7M
NCI NIH HHS P30 CA016042NCI NIH HHS R01 CA136551NIAID NIH HHS P30 AI028697NIH HHS DP5 OD012133
6 · The paper itself

Abstract

The adoptive transfer of T cells expressing anti-CD19 chimeric antigen receptors (CARs) has shown remarkable curative potential against advanced B-cell malignancies, but multiple trials have also reported patient relapses due to the emergence of CD19-negative leukemic cells. Here, we report the design and optimization of single-chain, bispecific CARs that trigger robust cytotoxicity against target cells expressing either CD19 or CD20, two clinically validated targets for B-cell malignancies. We determined the structural parameters required for efficient dual-antigen recognition, and we demonstrate that optimized bispecific CARs can control both wild-type B-cell lymphoma and CD19(-) mutants with equal efficiency in vivo To our knowledge, this is the first bispecific CAR capable of preventing antigen escape by performing true OR-gate signal computation on a clinically relevant pair of tumor-associated antigens. The CD19-OR-CD20 CAR is fully compatible with existing T-cell manufacturing procedures and implementable by current clinical protocols. These results present an effective solution to the challenge of antigen escape in CD19 CAR T-cell therapy, and they highlight the utility of structure-based rational design in the development of receptors with higher-level complexity. Cancer Immunol Res; 4(6); 498-508. ©2016 AACR

Indexed as

AnimalsAntibodies, BispecificAntigens, CD19Antigens, CD20CD8-Positive T-LymphocytesCell DifferentiationCytokinesCytotoxicity, ImmunologicHumansImmunotherapy, AdoptiveK562 CellsLymphoma, B-CellMice, Inbred NODMice, SCIDReceptors, Antigen, T-CellRecombinant Fusion ProteinsAntibodies, BispecificAntigens, CD19Antigens, CD20CD19 molecule, humanCytokinesReceptors, Antigen, T-CellRecombinant Fusion Proteins

Identifiers

PMID27059623
PMCPMC4933590
OpenAlexW2322790172

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.