Evidence map›Paper›PMID 30982469›Full record

ArticleJournal for immunotherapy of cancer2019

CEA expression heterogeneity and plasticity confer resistance to the CEA-targeting bispecific immunotherapy antibody cibisatamab (CEA-TCB) in patient-derived colorectal cancer organoids.

Reyes Gonzalez-Exposito, Maria Semiannikova, Beatrice Griffiths, Khurum Khan, Louise J Barber, Andrew Woolston, Georgia Spain, Katharina von Loga, Ben Challoner, Radhika Patel and 18 more

Open access · goldAbstract read
In one paragraph

Article in Journal for immunotherapy of cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 81 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
81citing papers in PubMed, 2 pooled it
8.5field-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

81 citing papers in PubMed, 2 syntheses or guidelines pooled it, 111 citations in OpenAlex.

  1. Hyperprogressive disease in carcinoma induced by immune checkpoint inhibitor therapy: a systematic review.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
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  7. Tumor organoid-immune cell co-culture systems for precision oncology.Frontiers in cell and developmental biology · 2026
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21 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

28 authors at 4 institutions in 5 countries.

Reyes Gonzalez-ExpositoTranslational Oncogenomics Laboratory, Centre for Evolution and Cancer, The Institute of Cancer Research, 237 Fulham Road, London, SW3 6JB, UK.
Maria SemiannikovaTranslational Oncogenomics Laboratory, Centre for Evolution and Cancer, The Institute of Cancer Research, 237 Fulham Road, London, SW3 6JB, UK.
Beatrice GriffithsTranslational Oncogenomics Laboratory, Centre for Evolution and Cancer, The Institute of Cancer Research, 237 Fulham Road, London, SW3 6JB, UK.
Khurum KhanGastrointestinal Cancer Unit, The Royal Marsden NHS Foundation Trust, London and Sutton, UK.
Louise J BarberTranslational Oncogenomics Laboratory, Centre for Evolution and Cancer, The Institute of Cancer Research, 237 Fulham Road, London, SW3 6JB, UK.
Andrew WoolstonTranslational Oncogenomics Laboratory, Centre for Evolution and Cancer, The Institute of Cancer Research, 237 Fulham Road, London, SW3 6JB, UK.
Georgia SpainTranslational Oncogenomics Laboratory, Centre for Evolution and Cancer, The Institute of Cancer Research, 237 Fulham Road, London, SW3 6JB, UK.
Katharina von LogaTranslational Oncogenomics Laboratory, Centre for Evolution and Cancer, The Institute of Cancer Research, 237 Fulham Road, London, SW3 6JB, UK.
Ben ChallonerTranslational Oncogenomics Laboratory, Centre for Evolution and Cancer, The Institute of Cancer Research, 237 Fulham Road, London, SW3 6JB, UK.
Radhika PatelFlow Cytometry and Light Microscopy Core Facility, The Institute of Cancer Research, London, UK.
Michael RanesStructural Biology of Cell Signalling Laboratory, The Institute of Cancer Research, London, UK.
Amanda SwainTumour Profiling Unit, The Institute of Cancer Research, London, UK.
Janet ThomasGastrointestinal Cancer Unit, The Royal Marsden NHS Foundation Trust, London and Sutton, UK.
Annette BryantGastrointestinal Cancer Unit, The Royal Marsden NHS Foundation Trust, London and Sutton, UK.
Claire SafferyGastrointestinal Cancer Unit, The Royal Marsden NHS Foundation Trust, London and Sutton, UK.
Nicos FotiadisDepartment of Radiology, The Royal Marsden NHS Foundation Trust, London and Sutton, UK.
Sebastian GuettlerStructural Biology of Cell Signalling Laboratory, The Institute of Cancer Research, London, UK.
David MansfieldTranslational Immunotherapy Laboratory, The Institute of Cancer Research, London, UK.
Alan MelcherTranslational Immunotherapy Laboratory, The Institute of Cancer Research, London, UK.
Thomas PowlesBarts Cancer Institute, Queen Mary University, London, UK.
Sheela RaoGastrointestinal Cancer Unit, The Royal Marsden NHS Foundation Trust, London and Sutton, UK.
David WatkinsGastrointestinal Cancer Unit, The Royal Marsden NHS Foundation Trust, London and Sutton, UK.
Ian ChauGastrointestinal Cancer Unit, The Royal Marsden NHS Foundation Trust, London and Sutton, UK.
Nik MatthewsTumour Profiling Unit, The Institute of Cancer Research, London, UK.
Fredrik WallbergFlow Cytometry and Light Microscopy Core Facility, The Institute of Cancer Research, London, UK.
Naureen StarlingGastrointestinal Cancer Unit, The Royal Marsden NHS Foundation Trust, London and Sutton, UK.
David CunninghamGastrointestinal Cancer Unit, The Royal Marsden NHS Foundation Trust, London and Sutton, UK.
Marco GerlingerTranslational Oncogenomics Laboratory, Centre for Evolution and Cancer, The Institute of Cancer Research, 237 Fulham Road, London, SW3 6JB, UK. marco.gerlinger@icr.ac.uk.ORCID 0000-0003-2719-299X
Institute of Cancer Research · GBRoyal Marsden NHS Foundation Trust · GBCancer Research UK · GBQueen Mary University of London · GB

Funding

Cancer Research UK 18377Cancer Research UK A18377Department of HealthWellcome TrustWellcome Trust 105104/Z/14/Z
6 · The paper itself

Abstract

backgroundThe T cell bispecific antibody cibisatamab (CEA-TCB) binds Carcino-Embryonic Antigen (CEA) on cancer cells and CD3 on T cells, which triggers T cell killing of cancer cell lines expressing moderate to high levels of CEA at the cell surface. Patient derived colorectal cancer organoids (PDOs) may more accurately represent patient tumors than established cell lines which potentially enables more detailed insights into mechanisms of cibisatamab resistance and sensitivity.

methodsWe established PDOs from multidrug-resistant metastatic CRCs. CEA expression of PDOs was determined by FACS and sensitivity to cibisatamab immunotherapy was assessed by co-culture of PDOs and allogeneic CD8 T cells.

resultsPDOs could be categorized into 3 groups based on CEA cell-surface expression: CEA

conclusionsBased on these preclinical findings, heterogeneity and plasticity of CEA expression appear to confer low cibisatamab sensitivity in PDOs, supporting further clinical evaluation of their predictive effect in CRC. Pharmacological inhibition of the WNT/β-catenin pathway may be a rational combination to sensitize CRCs to cibisatamab. Our novel PDO and T cell co-culture immunotherapy models enable pre-clinical discovery of candidate biomarkers and combination therapies that may inform and accelerate the development of immuno-oncology agents in the clinic.

Indexed as

Antibodies, BispecificAntineoplastic Agents, ImmunologicalCarcinoembryonic AntigenCD8-Positive T-LymphocytesCoculture TechniquesColorectal NeoplasmsDrug Resistance, NeoplasmDrug Screening Assays, AntitumorGene Expression Regulation, NeoplasticGenetic HeterogeneityGPI-Linked ProteinsHumansTissue Culture TechniquesAntibodies, BispecificAntineoplastic Agents, ImmunologicalCarcinoembryonic AntigenCEACAM5 protein, humanGPI-Linked ProteinsCEACibisatamabImmunotherapyPatient-derived organoidsWNT/β-catenin

Identifiers

PMID30982469
PMCPMC6463631
OpenAlexW2946884236

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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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.