Evidence map›Paper›PMID 33072320›Full record

ArticleClinical & translational immunology2020

Severe delayed pulmonary toxicity following PD-L1-specific CAR-T cell therapy for non-small cell lung cancer.

Heping Liu, Yuxiang Ma, Chaopin Yang, Shangzhou Xia, Qiuzhong Pan, Hongyun Zhao, Wenfeng Fang, Xi Chen, Yang Zhang, Benyan Zou and 9 more

Open access · goldAbstract readCase Reports
In one paragraph

Article in Clinical & translational immunology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
1.0field-weighted citation impact, top 21% 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

20 citing papers in PubMed, 24 citations in OpenAlex.

  1. Article
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  9. Article
  10. Article
  11. Long-term follow-up of CD19-CAR T-cell therapy in children and young adults with B-ALL.Hematology. American Society of Hematology. Education Program · 2023
    Review
  12. Review
  13. BiTE-Secreting CAR-γδT as a Dual Targeting Strategy for the Treatment of Solid Tumors.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2023
    Article
  14. Article
  15. Review
  16. Review
  17. Adoptive cell therapies in thoracic malignancies.Cancer immunology, immunotherapy : CII · 2022
    Review
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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

19 authors at 2 institutions in 1 country.

Heping LiuGuangzhou Yiyang Biotechnology Company Ltd Guangzhou China.
Yuxiang MaDepartment of Clinical Research Sun Yat-sen University Cancer Center State Key Laboratory of Oncology in South China Collaborative Innovation Center for Cancer Medicine Guangzhou China.
Chaopin YangDepartment of Biotherapy Sun Yat-sen University Cancer Center Guangzhou China.
Shangzhou XiaGuangzhou Yiyang Biotechnology Company Ltd Guangzhou China.
Qiuzhong PanDepartment of Biotherapy Sun Yat-sen University Cancer Center Guangzhou China.
Hongyun ZhaoDepartment of Clinical Research Sun Yat-sen University Cancer Center State Key Laboratory of Oncology in South China Collaborative Innovation Center for Cancer Medicine Guangzhou China.
Wenfeng FangDepartment of Medical Oncology Sun Yat-Sen University Cancer Center State Key Laboratory of Oncology in South China Collaborative Innovation Center for Cancer Medicine Guangzhou China.
Xi ChenDepartment of Medical Oncology Sun Yat-Sen University Cancer Center State Key Laboratory of Oncology in South China Collaborative Innovation Center for Cancer Medicine Guangzhou China.
Yang ZhangDepartment of Clinical Research Sun Yat-sen University Cancer Center State Key Laboratory of Oncology in South China Collaborative Innovation Center for Cancer Medicine Guangzhou China.
Benyan ZouDepartment of Medical Oncology Sun Yat-Sen University Cancer Center State Key Laboratory of Oncology in South China Collaborative Innovation Center for Cancer Medicine Guangzhou China.
Qiuyuan LiDepartment of Medical Oncology Sun Yat-Sen University Cancer Center State Key Laboratory of Oncology in South China Collaborative Innovation Center for Cancer Medicine Guangzhou China.
Yang WanGuangzhou Yiyang Biotechnology Company Ltd Guangzhou China.
Hao ChenDepartment of Biotherapy Sun Yat-sen University Cancer Center Guangzhou China.
Yan TangDepartment of Biotherapy Sun Yat-sen University Cancer Center Guangzhou China.
Jingjing ZhaoDepartment of Biotherapy Sun Yat-sen University Cancer Center Guangzhou China.
Desheng WengDepartment of Biotherapy Sun Yat-sen University Cancer Center Guangzhou China.
Liming XiaGuangzhou Yiyang Biotechnology Company Ltd Guangzhou China.
Li ZhangDepartment of Medical Oncology Sun Yat-Sen University Cancer Center State Key Laboratory of Oncology in South China Collaborative Innovation Center for Cancer Medicine Guangzhou China.
Jianchuan XiaDepartment of Biotherapy Sun Yat-sen University Cancer Center Guangzhou China.ORCID https://orcid.org/0000-0002-1268-3967
Sun Yat-sen University · CNGuangzhou Experimental Station · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis phase I study aimed to evaluate the antitumor effect and safety of programmed death-ligand-1 (PD-L1)-targeting autologous chimeric antigen receptor T (CAR-T) cells for patients with non-small cell lung cancer (NSCLC).

methodsProgrammed death-ligand-1-specific CAR-T cells were generated using lentiviral transduction. Four patients with NSCLC were recruited, but only one patient was finally involved. CAR-T cells were infused on three different days (total dose during therapy, 1 × 10

resultsCirculating CAR-T cells accounted for 3.30% of the patient's peripheral blood T cells detected by FACS analysis during the first follow-up (Day +29). The chest CT scan showed subtle tumor shrinkage (stable disease). On Day +43, the patient developed pyrexia without any known causes and dyspnoea that rapidly deteriorated to respiratory failure in 3 days. The chest X-ray and CT scan showed bilateral extensive pulmonary infiltration in addition to the tumor silhouette on the left upper lung. The interleukin (IL)-6 levels in serum dramatically increased (> 100-fold). The patient was immediately transferred to the ICU where he received oxygen and intravenous infusions of tocilizumab and methylprednisolone. His symptoms rapidly improved and the pulmonary inflammation gradually resolved.

conclusionThe clinical manifestations and test findings for this patient with NSCLC might represent unique clinical manifestations of solitary organ damage secondary to PD-L1-specific CAR-T cell therapy. The differential diagnosis, underlying mechanism and prevention and treatment strategies for such complications have also been discussed.

Indexed as

CAR‐TIL‐6NSCLCPD‐L1pulmonary toxicity

Identifiers

PMID33072320
PMCPMC7546952
OpenAlexW3092457862

What OpenQuestion holds

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LicenceCC BY-NC
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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.