Evidence map›Paper›PMID 33021872›Full record

ArticleJournal of clinical oncology : official journal of the American Society of Clinical Oncology2020

Long-Term Follow-Up of Anti-CD19 Chimeric Antigen Receptor T-Cell Therapy.

Kathryn M Cappell, Richard M Sherry, James C Yang, Stephanie L Goff, Danielle A Vanasse, Lori McIntyre, Steven A Rosenberg, James N Kochenderfer

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

Article in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00924326 (An Assessment of the Safety and Feasibility of Administering T-Cells Expressing an Anti-CD19 Chimeric Antigen Receptor to Patients With B-Cell Lymphoma), which is not on this map. Cited by 191 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
191citing papers in PubMed, 7 pooled it
12.5field-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.

NCT00924326 phase1 / phase2completednot on this map

An Assessment of the Safety and Feasibility of Administering T-Cells Expressing an Anti-CD19 Chimeric Antigen Receptor to Patients With B-Cell Lymphoma

TypeinterventionalSponsorNational Cancer Institute (NCI)Ran2009 to 2021Enrolled43ConditionsPrimary Mediastinal B-cell Lymphoma, Diffuse, Large B-cell Lymphoma, Diffuse Large B-Cell Lymphoma Transformed From Follicular Lymphoma, Mantle CellArmsFludarabine, Cyclophosphamide, Anti-cluster of differentiation 19 (CD19)-CAR PBL, Aldesleukin
3 · Its place in the literature

Who cites it

191 citing papers in PubMed, 7 syntheses or guidelines pooled it, 298 citations in OpenAlex.

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  3. Second Primary Malignancies after CAR T-Cell Therapy: A Systematic Review and Meta-analysis of 5,517 Lymphoma and Myeloma Patients.Clinical cancer research : an official journal of the American Association for Cancer Research · 2024
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  19. Depletion of CD8Molecular therapy : the journal of the American Society of Gene Therapy · 2026
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131 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

8 authors at 2 institutions in 1 country.

Kathryn M CappellNational Institutes of Health (NIH)/National Heart, Lung, and Blood Institute Medical Oncology/Hematology Fellowship Program, Bethesda, MD.
Richard M SherrySurgery Branch, Center for Cancer Research, National Cancer Istitute, NIH, Bethesda, MD.
James C YangSurgery Branch, Center for Cancer Research, National Cancer Istitute, NIH, Bethesda, MD.
Stephanie L GoffSurgery Branch, Center for Cancer Research, National Cancer Istitute, NIH, Bethesda, MD.
Danielle A VanasseSurgery Branch, Center for Cancer Research, National Cancer Istitute, NIH, Bethesda, MD.
Lori McIntyreSurgery Branch, Center for Cancer Research, National Cancer Istitute, NIH, Bethesda, MD.
Steven A RosenbergSurgery Branch, Center for Cancer Research, National Cancer Istitute, NIH, Bethesda, MD.
James N KochenderferSurgery Branch, Center for Cancer Research, National Cancer Istitute, NIH, Bethesda, MD.
Center for Cancer Research · USNational Heart Lung and Blood Institute · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAnti-CD19 chimeric antigen receptors (CARs) are artificial fusion proteins that cause CD19-specific T-cell activation. Durability of remissions and incidence of long-term adverse events are critical factors determining the utility of anti-CD19 CAR T-cell therapy, but long-term follow-up of patients treated with anti-CD19 CAR T cells is limited. This work provides the longest follow-up of patients in remission after anti-CD19 CAR T-cell therapy.

methodsBetween 2009 and 2015, we administered 46 CAR T-cell treatments to 43 patients (ClinicalTrials.gov identifier: NCT00924326). Patients had relapsed B-cell malignancies of the following types: diffuse large B-cell lymphoma or primary mediastinal B-cell lymphoma (DLBCL/PMBCL; n = 28), low-grade B-cell lymphoma (n = 8), or chronic lymphocytic leukemia (CLL; n = 7). This report focuses on long-term outcomes of these patients. The CAR used was FMC63-28Z; axicabtagene ciloleucel uses the same CAR. Cyclophosphamide plus fludarabine conditioning chemotherapy was administered before CAR T cells.

resultsThe percentages of CAR T-cell treatments resulting in a > 3-year duration of response (DOR) were 51% (95% CI, 35% to 67%) for all evaluable treatments, 48% (95% CI, 28% to 69%) for DLBCL/PMBCL, 63% (95% CI, 25% to 92%) for low-grade lymphoma, and 50% (95% CI, 16% to 84%) for CLL. The median event-free survival of all 45 evaluable treatments was 55 months. Long-term adverse effects were rare, except for B-cell depletion and hypogammaglobulinemia. Median peak blood CAR-positive cell levels were higher among patients with a DOR of > 3 years (98/µL; range, 9-1,217/µL) than among patients with a DOR of < 3 years (18/µL; range, 0-308/μL,

conclusionComplete remissions of a variety of B-cell malignancies lasting ≥ 3 years occurred after 51% of evaluable anti-CD19 CAR T-cell treatments. Remissions of up to 9 years are ongoing. Late adverse events were rare.

Indexed as

AdultAgedAntigens, CD19B-LymphocytesFemaleFollow-Up StudiesHumansImmunoglobulinsImmunotherapy, AdoptiveLymphoma, B-CellMaleMiddle AgedReceptors, Chimeric AntigenSurvival RateAntigens, CD19CD19 molecule, humanImmunoglobulinsReceptors, Chimeric Antigen

Identifiers

PMID33021872
PMCPMC7655016
OpenAlexW3092522602

What OpenQuestion holds

Textmetadata
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.