Evidence map›Paper›PMID 27412889›Full record

ArticleBlood2016

T cells expressing an anti-B-cell maturation antigen chimeric antigen receptor cause remissions of multiple myeloma.

Syed Abbas Ali, Victoria Shi, Irina Maric, Michael Wang, David F Stroncek, Jeremy J Rose, Jennifer N Brudno, Maryalice Stetler-Stevenson, Steven A Feldman, Brenna G Hansen and 4 more

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

Article in Blood, 2016. 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 468 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
468citing papers in PubMed, 8 pooled it
45.2field-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 map

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
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
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
NCT05199311 phase1 / phase2suspendednot on this mapstarted 2022, after this paper: background citation

A Phase I/II Study of Carfilzomib, Iberdomide (CC-220) and Dexamethasone (KID) in Patients With Newly Diagnosed Transplant Eligible Multiple Myeloma

TypeinterventionalSponsorHackensack Meridian HealthRan2022 to 2027Enrolled66ConditionsMultiple MyelomaArmsCarfilzomib, Iberdomide, Oral Dexamethasone
NCT06503094 phase1 / phase2unknown statusnot on this mapstarted 2024, after this paper: background citation

The Safety and Efficacy of CD19 & CD20 Bispecific CAR T Cells in Treating Relapsed / Refractory B Cell Hematological Tumors

TypeinterventionalSponsorUnion Hospital, Tongji Medical College, Huazhong University of Science and TechnologyRan2024 to 2026Enrolled80ConditionsB-Cell Lymphoblastic Leukemia/LymphomaArmsCD19&CD20 bispecific CAR-T cells
NCT06503107 phase1 / phase2recruitingnot on this mapstarted 2024, after this paper: background citation

A Multicenter Clinical Study on the Safety and Efficacy of Nanobody-based Biepitope CAR-T Cells Targeting BCMA in the Treatment of Relapsed/Refractory Multiple Myeloma

TypeinterventionalSponsorUnion Hospital, Tongji Medical College, Huazhong University of Science and TechnologyRan2024 to 2026Enrolled60ConditionsMultiple MyelomaArmsNanobody-based biepitope BCMA-targeting CAR-T cells
3 · Its place in the literature

Who cites it

468 citing papers in PubMed, 8 syntheses or guidelines pooled it, 754 citations in OpenAlex.

  1. Pooled it
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  15. Depletion of CD8Molecular therapy : the journal of the American Society of Gene Therapy · 2026
    Article
  16. Article
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  18. Review
  19. Review
  20. Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 5 institutions in 1 country.

Syed Abbas AliCenter for Cancer Research, and.
Victoria ShiExperimental Transplantation and Immunology Branch, National Cancer Institute, National Institutes of Health (NIH), Bethesda, MD;
Irina MaricDepartment of Laboratory Medicine, Clinical Center, NIH, Bethesda, MD;
Michael WangUniversity of Texas MD Anderson Cancer Center, Houston, TX;
David F StroncekDepartment of Transfusion Medicine, Clinical Center, NIH, Bethesda, MD;
Jeremy J RoseExperimental Transplantation and Immunology Branch, National Cancer Institute, National Institutes of Health (NIH), Bethesda, MD;
Jennifer N BrudnoCenter for Cancer Research, and.
Maryalice Stetler-StevensonLaboratory of Pathology, and.
Steven A FeldmanSurgery Branch, National Cancer Institute, NIH, Bethesda, MD.
Brenna G HansenExperimental Transplantation and Immunology Branch, National Cancer Institute, National Institutes of Health (NIH), Bethesda, MD;
Vicki S FellowesExperimental Transplantation and Immunology Branch, National Cancer Institute, National Institutes of Health (NIH), Bethesda, MD;
Frances T HakimExperimental Transplantation and Immunology Branch, National Cancer Institute, National Institutes of Health (NIH), Bethesda, MD;
Ronald E GressExperimental Transplantation and Immunology Branch, National Cancer Institute, National Institutes of Health (NIH), Bethesda, MD;
James N KochenderferExperimental Transplantation and Immunology Branch, National Cancer Institute, National Institutes of Health (NIH), Bethesda, MD;
National Cancer Institute · USNational Institutes of Health · USCenter for Cancer Research · USNational Institutes of Health Clinical Center · USThe University of Texas MD Anderson Cancer Center · US

Funding

Development of Chimeric Antigen Receptors Targeting Multiple MyelomaZIABC011439 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI KOCHENDERFER, JAMES · 2012 to 2025
$9.5M
Tumor-Infiltrating Donor Derived Lymphocyte Therapy After Allogeneic TransplantZICBC011029 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI FLOMERFELT, FRANCIS · 2009 to 2022
$5.2M
Development of novel cell and gene therapiesZIACL002120 · CLC · CLINICAL CENTER · PI STRONCEK, DAVID · 2009 to 2025
$0k
Bone Marrow Histopathological Changes in Neoplastic and Non-Neoplastic DiseasesZIACL090027 · CLC · CLINICAL CENTER · PI MARIC, IRINA · 2010 to 2025
$0k
6 · The paper itself

Abstract

Therapies with novel mechanisms of action are needed for multiple myeloma (MM). B-cell maturation antigen (BCMA) is expressed in most cases of MM. We conducted the first-in-humans clinical trial of chimeric antigen receptor (CAR) T cells targeting BCMA. T cells expressing the CAR used in this work (CAR-BCMA) specifically recognized BCMA-expressing cells. Twelve patients received CAR-BCMA T cells in this dose-escalation trial. Among the 6 patients treated on the lowest 2 dose levels, limited antimyeloma activity and mild toxicity occurred. On the third dose level, 1 patient obtained a very good partial remission. Two patients were treated on the fourth dose level of 9 × 10(6) CAR(+) T cells/kg body weight. Before treatment, the first patient on the fourth dose level had chemotherapy-resistant MM, making up 90% of bone marrow cells. After treatment, bone marrow plasma cells became undetectable by flow cytometry, and the patient's MM entered a stringent complete remission that lasted for 17 weeks before relapse. The second patient on the fourth dose level had chemotherapy-resistant MM making up 80% of bone marrow cells before treatment. Twenty-eight weeks after this patient received CAR-BCMA T cells, bone marrow plasma cells were undetectable by flow cytometry, and the serum monoclonal protein had decreased by >95%. This patient is in an ongoing very good partial remission. Both patients treated on the fourth dose level had toxicity consistent with cytokine-release syndrome including fever, hypotension, and dyspnea. Both patients had prolonged cytopenias. Our findings demonstrate antimyeloma activity of CAR-BCMA T cells. This trial was registered to www.clinicaltrials.gov as #NCT02215967.

Indexed as

B-Cell Maturation AntigenBone MarrowCytokinesHumansImmunotherapy, AdoptiveLeukopeniaMultiple MyelomaMyeloma ProteinsRecombinant Fusion ProteinsRemission InductionThrombocytopeniaT-LymphocytesTumor BurdenB-Cell Maturation AntigenCytokinesMyeloma ProteinsRecombinant Fusion ProteinsTNFRSF17 protein, human

Identifiers

PMID27412889
PMCPMC5043125
OpenAlexW2471662063

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.