Evidence map›Paper›PMID 32152221›Full record

Trial reportJournal for immunotherapy of cancer2020

Head-to-head comparison of in-house produced CD19 CAR-T cell in ALL and NHL patients.

Orit Itzhaki, Elad Jacoby, Abraham Nissani, Michal Levi, Arnon Nagler, Adva Kubi, Karin Brezinger, Hadar Brayer, Li-At Zeltzer, Meir Rozenbaum and 6 more

2 registry-linked trialsOpen access · goldAbstract readClinical Trial, Phase IClinical Trial, Phase IIComparative Study
In one paragraph

Trial report in Journal for immunotherapy of cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 6% 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.

NCT00287131 phase2unknown statusnot on this map

Adoptive Cell Therapy Following Non-myeloablate Chemotherapy in Metastatic Melanoma Patients

TypeinterventionalSponsorSheba Medical CenterRan2006 to 2013Enrolled70ConditionsMetastatic MelanomaArmsProcedure - Adoptive cell transfer
NCT02772198 phase1 / phase2unknown statusnot on this map

A Phase 1 / 2 Single Arm Study of T-cells Expressing Anti-CD19 Chimeric Antigen Receptor in Pediatric and Young Adult Patients With B-cell Malignancies

TypeinterventionalSponsorSheba Medical CenterRan2016 to 2022Enrolled300ConditionsAcute Lymphoblastic Leukemia, B-precursor, Non-Hodgkin Lymphoma, B-cellArmsCD19 CAR T cells
3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 1 synthesis or guideline pooled it, 49 citations in OpenAlex.

  1. Pooled it
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  12. CRISPR-Cas9 applications in T cells and adoptive T cell therapies.Cellular & molecular biology letters · 2024
    Review
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  17. Phase I CAR-T Clinical Trials Review.Anticancer research · 2022
    Review
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  19. Characterizing piggyBat-a transposase for genetic modification of T cells.Molecular therapy. Methods & clinical development · 2022
    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

16 authors at 2 institutions in 1 country.

Orit ItzhakiElla Lemelbaum Institute for Immuno Oncology, Sheba Medical Center, Tel Hashomer, Israel.
Elad JacobyDivision of Pediatric Hematology and Oncology, The Edmond and Lily Safra Children's Hospital, Sheba Medical Center, Tel Hashomer, Israel.
Abraham NissaniElla Lemelbaum Institute for Immuno Oncology, Sheba Medical Center, Tel Hashomer, Israel.
Michal LeviElla Lemelbaum Institute for Immuno Oncology, Sheba Medical Center, Tel Hashomer, Israel.
Arnon NaglerDepartment of Bone Marrow Transplantation, Sheba Medical Center, Tel Hashomer, Israel.
Adva KubiElla Lemelbaum Institute for Immuno Oncology, Sheba Medical Center, Tel Hashomer, Israel.
Karin BrezingerElla Lemelbaum Institute for Immuno Oncology, Sheba Medical Center, Tel Hashomer, Israel.
Hadar BrayerElla Lemelbaum Institute for Immuno Oncology, Sheba Medical Center, Tel Hashomer, Israel.
Li-At ZeltzerElla Lemelbaum Institute for Immuno Oncology, Sheba Medical Center, Tel Hashomer, Israel.
Meir RozenbaumDepartment of Clinical Microbiology and Immunology, Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
Helly VernitskyHematology Laboratory, Sheba Medical Center, Tel Hashomer, Israel.
Gal MarkelElla Lemelbaum Institute for Immuno Oncology, Sheba Medical Center, Tel Hashomer, Israel.
Amos TorenDivision of Pediatric Hematology and Oncology, The Edmond and Lily Safra Children's Hospital, Sheba Medical Center, Tel Hashomer, Israel.
Abraham AvigdorDepartment of Bone Marrow Transplantation, Sheba Medical Center, Tel Hashomer, Israel.
Jacob SchachterElla Lemelbaum Institute for Immuno Oncology, Sheba Medical Center, Tel Hashomer, Israel.
Michal J BesserElla Lemelbaum Institute for Immuno Oncology, Sheba Medical Center, Tel Hashomer, Israel Michal.Besser@sheba.health.gov.il.ORCID 0000-0002-9233-0458
Sheba Medical Center · ILTel Aviv University · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCD19 chimeric antigen receptor T (CAR-T) cells demonstrate remarkable remission rates in pediatric and adult patients with refractory or relapsed (r/r) acute lymphoblastic leukemia (ALL) and non-Hodgkin's lymphoma (NHL). In 2016, we initiated a clinical trial with in-house produced CD19 CAR-T cells with a CD28 co-stimulatory domain. We analyzed, for the first time, differences in production features and phenotype between ALL and NHL patients.

methodsNon-cryopreserved CAR-T cells were produced from patients' peripheral blood mononuclear cells within 9 to 10 days. 93 patients with r/r ALL and NHL were enrolled under the same study. CAR-T cells of ALL and NHL patients were produced simultaneously, allowing the head-to-head comparison.

resultsAll patients were heavily pretreated. Three patients dropped out from the study due to clinical deterioration (n=2) or production failure (n=1). Cells of ALL patients (n=37) expanded significantly better and contained more CAR-T cells than of NHL patients (n=53). Young age had a positive impact on the proliferation capacity. The infusion products from ALL patients contained significantly more naïve CAR-T cells and a significantly higher expression of the chemokine receptor CXCR3. PD-1, LAG-3, TIM-3, and CD28 were equally expressed. 100% of ALL patients and 94% of NHL patients received the target dose of 1×10e6 CAR-T/kg. The overall response rate was 84% (30/36) in ALL and 62% (32/52) in NHL. We further compared CAR-T cell infusion products to tumor infiltrating lymphocytes (TIL), another common type of T cell therapy, mainly clinically effective in solid tumors. CAR-T cells contained significantly more naïve T cells and central memory T cells and significantly less CCR5 compared to TIL infusion products.

conclusionsThe in-house production of CAR-T cells is highly efficient and fast. Clinical response rate is high. CAR-T cells can be successfully produced for 99% of patients in just 9 to 10 days. Cells derived from ALL patients demonstrate a higher proliferation rate and contain higher frequencies of CAR-T cells and naïve T cells than of NHL patients. In addition, understanding the differences between CAR-T and TIL infusion products, may provide an angle to develop CAR-T cells for the treatment of solid tumors in the future. TRIAL REGISTRATION NUMBER: ClinicalTrials.gov; CAR-T: NCT02772198, First posted: May 13, 2016; TIL: NCT00287131, First posted: February 6, 2006.

Indexed as

AdolescentAdultAge FactorsAntigens, CD19Drug Resistance, NeoplasmFemaleHumansImmunotherapyImmunotherapy, AdoptiveLeukocytes, MononuclearLymphocytes, Tumor-InfiltratingLymphoma, Non-HodgkinMalePrecursor Cell Lymphoblastic Leukemia-LymphomaReceptors, Chimeric AntigenTreatment OutcomeAntigens, CD19CD19 molecule, humanReceptors, Chimeric Antigencell engineeringhematologic neoplasmsimmunotherapyt-lymphocytestumours

Identifiers

PMID32152221
PMCPMC7061891
OpenAlexW3011877367

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.