Evidence map›Paper›PMID 31136781›Full record

ArticleExperimental hematology2019

CD123 CAR T cells for the treatment of myelodysplastic syndrome.

Brett M Stevens, Wei Zhang, Daniel A Pollyea, Amanda Winters, Jonathan Gutman, Clayton Smith, Elizabeth Budde, Stephen J Forman, Craig T Jordan, Enkhtsetseg Purev

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Experimental hematology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06414681 (An Open Label Pilot Trial of the Combination of Tagraxofusp With Pacritinib in Patients With Intermediate-1 or Higher Myelofibrosis, Who Have Had Prior Therapy With the Approved JAK Inhibitors or in Which Therapy With the Approved JAK Inhibitors is Not Appropriate, Contraindicated or Declined), which is not on this map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
2.4field-weighted citation impact, top 10% 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.

NCT06414681 early_phase1recruitingnot on this mapstarted 2025, after this paper: background citation

An Open Label Pilot Trial of the Combination of Tagraxofusp With Pacritinib in Patients With Intermediate-1 or Higher Myelofibrosis, Who Have Had Prior Therapy With the Approved JAK Inhibitors or in Which Therapy With the Approved JAK Inhibitors is Not Appropriate, Contraindicated or Declined

TypeinterventionalSponsorUniversity of Kansas Medical CenterRan2025 to 2026Enrolled20ConditionsMyelofibrosis,MFArmsTagraxofusp, Pacritinib
3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 41 citations in OpenAlex.

  1. Trial
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  8. Development of [Leukemia · 2022
    Article
  9. Review
  10. Article
  11. Article
  12. Review
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  15. Molecular Targeted Therapy and Immunotherapy for Myelodysplastic Syndrome.International journal of molecular sciences · 2021
    Review
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  17. Review
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  19. Article
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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

10 authors at 2 institutions in 1 country.

Brett M StevensDivision of Hematology, Department of Medicine, University of Colorado, Aurora, CO.
Wei ZhangDivision of Hematology, Department of Medicine, University of Colorado, Aurora, CO.
Daniel A PollyeaDivision of Hematology, Department of Medicine, University of Colorado, Aurora, CO.
Amanda WintersDepartment of Pediatrics, University of Colorado, Aurora, CO.
Jonathan GutmanDivision of Hematology, Department of Medicine, University of Colorado, Aurora, CO.
Clayton SmithDivision of Hematology, Department of Medicine, University of Colorado, Aurora, CO.
Elizabeth BuddeHematology and Hematopoietic Cell Transplantation, T Cell Immunotherapy Research Laboratory, Beckman Research Institute at City of Hope National Medical Center, Duarte, CA.
Stephen J FormanHematology and Hematopoietic Cell Transplantation, T Cell Immunotherapy Research Laboratory, Beckman Research Institute at City of Hope National Medical Center, Duarte, CA.
Craig T JordanDivision of Hematology, Department of Medicine, University of Colorado, Aurora, CO.
Enkhtsetseg PurevDivision of Hematology, Department of Medicine, University of Colorado, Aurora, CO. Electronic address: enkhtsetseg.purev@ucdenver.edu.
University of Colorado Anschutz Medical Campus · USCity Of Hope National Medical Center · US

Funding

Characterization and targeting of leukemia stem cell metabolismR01CA200707 · NCI · UNIVERSITY OF COLORADO DENVER · PI JORDAN, CRAIG T. · 2016 to 2020
$2.4M
NCI NIH HHS R01 CA200707
6 · The paper itself

Abstract

Myelodysplastic syndrome (MDS) is a group of heterogeneous disorders caused by ineffective hematopoiesis and characterized by bone marrow dysplasia and cytopenia. Current treatment options for MDS are limited to supportive care, hypomethylating agents, and stem cell transplant. Most patients eventually succumb to the disease or progress to leukemia. Previously, we found that CD123 can be used to delineate MDS stem cells in patients at high risk for MDS and that the CD123-positive population is biologically distinct from normal hematopoietic stem cells. Furthermore, selective targeting of MDS stem cells can dramatically reduce tumor burden in preclinical models. On the basis of these findings, we propose CD123 as a candidate target for chimeric antigen receptor (CAR) T-cell therapy in high-risk MDS patients. To test this concept, we employed a CAR lentiviral vector containing a CD123-specific single-chain variable fragment in combination with the CD28 costimulatory domain, CD3ζ signaling domain, and truncated estimated glomerular filtration rate. Utilizing this system, we illustrate that CD123 CAR can be expressed on both healthy donor and MDS patient-derived T lymphocytes with high efficiency, leading to the successful elimination of MDS stem cells both in vitro and in patient-derived xenografts. These results provide the concept for the use of CD123-targeted CAR T cells as a therapeutic option for patients with MDS.

Indexed as

Immunotherapy, AdoptiveInterleukin-3 Receptor alpha SubunitMyelodysplastic SyndromesReceptors, Chimeric AntigenAnimalsFemaleHumansLentivirusMaleMiceMice, Inbred NODMice, SCIDIL3RA protein, humanInterleukin-3 Receptor alpha SubunitReceptors, Chimeric Antigen

Identifiers

PMID31136781
PMCPMC7184766
OpenAlexW2946576128

What OpenQuestion holds

Textmetadata
LicenceTDM
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.