Evidence map›Paper›PMID 29743179›Full record

ArticleBlood2018

A CD19/CD3 bispecific antibody for effective immunotherapy of chronic lymphocytic leukemia in the ibrutinib era.

Hannah R Robinson, Junpeng Qi, Erika M Cook, Cydney Nichols, Eman L Dadashian, Chingiz Underbayev, Sarah E M Herman, Nakhle S Saba, Keyvan Keyvanfar, Clare Sun and 4 more

Open access · bronzeAbstract read
In one paragraph

Article in Blood, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 73 papers.

0numbers the graph read from it
0cells of the map it votes in
73citing papers in PubMed
7.3field-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

73 citing papers in PubMed, 107 citations in OpenAlex.

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  14. Relapsed/refractory CLL: the role of allo-SCT, CAR-T, and T-cell engagers.Hematology. American Society of Hematology. Education Program · 2024
    Review
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  17. Observational
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  19. Isolation of B Cells Using Silane-Coated Magnetic Nanoparticles.International journal of biomaterials · 2024
    Article
  20. Review

13 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 3 institutions in 1 country.

Hannah R RobinsonHematology Branch, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD.
Junpeng QiDepartment of Immunology and Microbiology, The Scripps Research Institute, Jupiter, FL; and.
Erika M CookHematology Branch, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD.
Cydney NicholsHematology Branch, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD.
Eman L DadashianHematology Branch, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD.
Chingiz UnderbayevHematology Branch, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD.
Sarah E M HermanHematology Branch, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD.
Nakhle S SabaSection of Hematology and Medical Oncology, Department of Medicine, Tulane University, New Orleans, LA.
Keyvan KeyvanfarHematology Branch, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD.
Clare SunHematology Branch, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD.ORCID 0000-0001-8498-4729
Inhye E AhnHematology Branch, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD.
Sivasubramanian BaskarHematology Branch, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD.
Christoph RaderDepartment of Immunology and Microbiology, The Scripps Research Institute, Jupiter, FL; and.
Adrian WiestnerHematology Branch, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD.
National Institutes of Health · USScripps Research Institute · USTulane University · US

Funding

Chemically Programmed Bispecific Antibodies for Cancer TherapyR01CA181258 · NCI · SCRIPPS FLORIDA · PI RADER, CHRISTOPH · 2014 to 2018
$2.0M
NCI NIH HHS R01 CA181258
6 · The paper itself

Abstract

The Bruton tyrosine kinase inhibitor ibrutinib induces high rates of clinical response in chronic lymphocytic leukemia (CLL). However, there remains a need for adjunct treatments to deepen response and to overcome drug resistance. Blinatumomab, a CD19/CD3 bispecific antibody (bsAb) designed in the BiTE (bispecific T-cell engager) format, is approved by the US Food and Drug Administration for the treatment of relapsed or refractory B-cell precursor acute lymphoblastic leukemia. Because of its short half-life of 2.1 hours, blinatumomab requires continuous intravenous dosing for efficacy. We developed a novel CD19/CD3 bsAb in the single-chain Fv-Fc format (CD19/CD3-scFv-Fc) with a half-life of ∼5 days. In in vitro experiments, both CD19/CD3-scFv-Fc and blinatumomab induced >90% killing of CLL cells from treatment-naïve patients. Antileukemic activity was associated with increased autologous CD8 and CD4 T-cell proliferation, activation, and granzyme B expression. In the NOD/SCID/IL2Rγnull patient-derived xenograft mouse model, once-weekly treatment with CD19/CD3-scFv-Fc eliminated >98% of treatment-naïve CLL cells in blood and spleen. By contrast, blinatumomab failed to induce a response, even when administered daily. We next explored the activity of CD19/CD3-scFv-Fc in the context of ibrutinib treatment and ibrutinib resistance. CD19/CD3-scFv-Fc induced more rapid killing of CLL cells from ibrutinib-treated patients than those from treatment-naïve patients. CD19/CD3-scFv-Fc also demonstrated potent activity against CLL cells from patients with acquired ibrutinib-resistance harboring

Indexed as

Salvage TherapyAdenineAnimalsAntibodies, BispecificAntigens, CD19CD3 ComplexDrug Resistance, NeoplasmHumansLeukemia, Lymphocytic, Chronic, B-CellMiceMice, Inbred NODMice, SCIDPiperidinesPyrazolesPyrimidinesSingle-Chain AntibodiesAdenineAntibodies, BispecificAntigens, CD19CD3 ComplexibrutinibPiperidinesPyrazolesPyrimidinesSingle-Chain Antibodies

Identifiers

PMID29743179
PMCPMC6073325
OpenAlexW2800173328

What OpenQuestion holds

Textmetadata
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.