Evidence map›Paper›PMID 31648294›Full record

Trial reportBlood2019

High rate of durable complete remission in follicular lymphoma after CD19 CAR-T cell immunotherapy.

Alexandre V Hirayama, Jordan Gauthier, Kevin A Hay, Jenna M Voutsinas, Qian Wu, Barbara S Pender, Reed M Hawkins, Aesha Vakil, Rachel N Steinmetz, Stanley R Riddell and 2 more

Registry-linked trialOpen access · bronzeAbstract readClinical Trial, Phase IClinical Trial, Phase II
In one paragraph

Trial report in Blood, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01865617 (Phase I/II Study of Immunotherapy for Advanced CD19+ Chronic Lymphocytic Leukemia, Acute Lymphoblastic Leukemia/Lymphoma and Non-Hodgkin Lymphoma With Defined Subsets of Autologous T Cells Engineered to Express a CD19-Specific Chimeric Antigen Receptor), which is not on this map. Cited by 99 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
99citing papers in PubMed, 6 pooled it
11.3field-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.

NCT01865617 phase1 / phase2completednot on this map

Phase I/II Study of Immunotherapy for Advanced CD19+ Chronic Lymphocytic Leukemia, Acute Lymphoblastic Leukemia/Lymphoma and Non-Hodgkin Lymphoma With Defined Subsets of Autologous T Cells Engineered to Express a CD19-Specific Chimeric Antigen Receptor

TypeinterventionalSponsorFred Hutchinson Cancer CenterRan2013 to 2021Enrolled204ConditionsCD19-Positive Neoplastic Cells Present, Recurrent Adult Acute Lymphoblastic Leukemia, Recurrent Chronic Lymphocytic Leukemia, Recurrent Diffuse Large B-Cell LymphomaArmsAutologous Anti-CD19CAR-4-1BB-CD3zeta-EGFRt-expressing T Lymphocytes
3 · Its place in the literature

Who cites it

99 citing papers in PubMed, 6 syntheses or guidelines pooled it, 174 citations in OpenAlex.

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  18. From concept to cure: The evolution of CAR-T cell therapy.Molecular therapy : the journal of the American Society of Gene Therapy · 2025
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39 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 3 institutions in 2 countries.

Alexandre V HirayamaClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA.
Jordan GauthierClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA.
Kevin A HayClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA.
Jenna M VoutsinasClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA.
Qian WuClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA.
Barbara S PenderClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA.
Reed M HawkinsClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA.
Aesha VakilClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA.
Rachel N SteinmetzClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA.
Stanley R RiddellClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA.
David G MaloneyClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA.
Cameron J TurtleClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA.
Fred Hutch Cancer Center · USUniversity of Washington · USUniversity of British Columbia · CA

Funding

Translational Bioimaging Core Shared ResourceP30CA015704 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI Marian Esvelt · 1985 to 2026
$296.4M
CORE--VECTOR PRODUCTIONP30DK056465 · NIDDK · FRED HUTCHINSON CANCER RESEARCH CENTER · PI HEIMFELD, SHELLY · 1999 to 2014
$14.9M
STRONG HEART STUDY (SHS)- UNIVERSITY OF OKLAHOMA-FIELD CENTER (FC), TASK AREA B.3, YEAR 375N92019D00028 · NHLBI · UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR · PI ALI, TAUQEER · 2019 to 2025
$6.5M
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
PURPOSE OF THE NGVB CONTRACT IS TO CONTINUE SUPPORTING GENE THERAPY RESEARCH.75N92019D00018 · OD · INDIANA UNIVERSITY INDIANAPOLIS · 2019 to 2023
$1.7M
FHCRC High-Performance Computing ClusterS10OD020069 · OD · FRED HUTCHINSON CANCER RESEARCH CENTER · PI KOOPERBERG, CHARLES L · 2015 to 2015
$600k
NCI NIH HHS P30 CA015704NCI NIH HHS R01 CA136551NHLBI NIH HHS 75N92019D00018NHLBI NIH HHS 75N92019D00028NIDDK NIH HHS P30 DK056465NIH HHS S10 OD020069
6 · The paper itself

Abstract

Patients with follicular lymphoma (FL) with early relapse after initial chemoimmunotherapy, refractory disease, or histologic transformation (tFL) have limited progression-free and overall survival. We report efficacy and long-term follow-up of 21 patients with relapsed/refractory (R/R) FL (n = 8) and tFL (n = 13) treated on a phase 1/2 clinical trial with cyclophosphamide and fludarabine lymphodepletion followed by infusion of 2 × 106 CD19-directed chimeric antigen receptor-modified T (CAR-T) cells per kilogram. The complete remission (CR) rates by the Lugano criteria were 88% and 46% for patients with FL and tFL, respectively. All patients with FL who achieved CR remained in remission at a median follow-up of 24 months. The median duration of response for patients with tFL was 10.2 months at a median follow-up of 38 months. Cytokine release syndrome occurred in 50% and 39%, and neurotoxicity in 50% and 23% of patients with FL and tFL, respectively, with no severe adverse events (grade ≥3). No significant differences in CAR-T cell in vivo expansion/persistence were observed between FL and tFL patients. CD19 CAR-T cell immunotherapy is highly effective in adults with clinically aggressive R/R FL with or without transformation, with durable remission in a high proportion of FL patients. This trial was registered at clinicaltrials.gov as #NCT01865617.

Indexed as

AgedDisease-Free SurvivalFemaleFollow-Up StudiesHumansImmunotherapy, AdoptiveLymphocyte DepletionLymphoma, FollicularMaleMiddle AgedReceptors, Antigen, T-CellRemission InductionCD19-specific chimeric antigen receptorReceptors, Antigen, T-Cell

Identifiers

PMID31648294
PMCPMC6695558
OpenAlexW2952842269

What OpenQuestion holds

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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.