Evidence map›Paper›PMID 33633361›Full record

ReviewNature reviews. Clinical oncology2021

Immunogenicity of CAR T cells in cancer therapy.

Dimitrios L Wagner, Enrico Fritsche, Michael A Pulsipher, Nabil Ahmed, Mohamad Hamieh, Meenakshi Hegde, Marco Ruella, Barbara Savoldo, Nirali N Shah, Cameron J Turtle and 2 more

3 registry-linked trialsOpen access · greenAbstract readReview
In one paragraph

Review in Nature reviews. Clinical oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 220 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
220citing papers in PubMed, 3 pooled it
19.7field-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.

NCT05477927 phase1recruitingnot on this mapstarted 2023, after this paper: background citation

A Phase I, Open-label, Single-arm, Dose-escalation and Expansion Study of Dual-targeting VEGFR1 and PD-L1 CAR-T Cells in Patients With Pleural, Peritoneal, or Leptomeningeal Metastases From Solid Tumors

TypeinterventionalSponsorSichuan UniversityRan2023 to 2028Enrolled40ConditionsMalignant Peritoneal Effusion, Malignant Ascites, Serous Cavity Metastatises, Leptomeningeal MetastasesArmsDual-targeting VEGFR1/PD-L1 CAR-T cells
NCT06084286 phase1recruitingnot on this mapstarted 2024, after this paper: background citation

A Phase I, Open-label, Single-arm, Dose-escalation and Expansion Study of Specific Dual-targeting CLDN18.2 and PD-L1 CAR-T for Patients with CLDN18.2-positive Advanced Solid Tumors

TypeinterventionalSponsorSichuan UniversityRan2024 to 2026Enrolled29ConditionsAdvanced Solid TumorArmsDual-targeting CLDN18.2 and PD-L1 CAR-T cells
NCT07432100 phase1not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Clinical Study on the Safety, Efficacy and Pharmacokinetics of Universal CLL1 Chimeric Antigen Receptor T-Cell in Relapsed/Refractory Acute Myeloid Leukemia

TypeinterventionalSponsorMingfeng ZhaoRan2026 to 2028Enrolled20ConditionsAcute Myeloid Leukemia, Chimeric Antigen Receptor T-cell, Universal CLL1 CAR-TArmsuniversal CLL1 CAR-T cells
3 · Its place in the literature

Who cites it

220 citing papers in PubMed, 3 syntheses or guidelines pooled it, 277 citations in OpenAlex.

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160 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

12 authors at 9 institutions in 2 countries.

Dimitrios L Wagner *Berlin Center for Advanced Therapies (BeCAT) and Berlin Institute of Health (BIH) Center for Regenerative Therapies (BCRT), Charité - Universitätsmedizin Berlin, Berlin, Germany.ORCID http://orcid.org/0000-0002-2189-3579
Enrico Fritsche *Berlin Center for Advanced Therapies (BeCAT) and Berlin Institute of Health (BIH) Center for Regenerative Therapies (BCRT), Charité - Universitätsmedizin Berlin, Berlin, Germany.
Michael A PulsipherSection of Transplantation and Cellular Therapy, Children's Hospital Los Angeles Cancer and Blood Disease Institute, USC Keck School of Medicine, Los Angeles, CA, USA.
Nabil AhmedTexas Children's Cancer and Hematology Centers, Texas Children's Hospital, Houston, TX, USA.
Mohamad HamiehCenter for Cell Engineering and Immunology Program, Sloan Kettering Institute, New York, NY, USA.
Meenakshi HegdeTexas Children's Cancer and Hematology Centers, Texas Children's Hospital, Houston, TX, USA.
Marco RuellaCenter for Cellular Immunotherapies, University of Pennsylvania Philadelphia, Philadelphia, PA, USA.
Barbara SavoldoLineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, NC, USA.
Nirali N ShahPediatric Oncology Branch, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, MD, USA.ORCID http://orcid.org/0000-0002-8474-9080
Cameron J TurtleClinical Research Division, Fred Hutchinson Cancer Research Center, University of Washington, Seattle, WA, USA.
Alan S WayneCancer and Blood Disease Institute, Division of Hematology-Oncology, Children's Hospital Los Angeles, Los Angeles, CA, USA.
Mohamed Abou-El-EneinBerlin Center for Advanced Therapies (BeCAT) and Berlin Institute of Health (BIH) Center for Regenerative Therapies (BCRT), Charité - Universitätsmedizin Berlin, Berlin, Germany. abouelenein@med.usc.edu.
Baylor College of Medicine · USBerlin-Brandenburger Centrum für Regenerative Therapien · DEUniversity of Southern California · USChildren's Hospital of Los Angeles · USHospital of the University of Pennsylvania · USKettering University · USNational Institutes of Health · USUniversity of North Carolina at Chapel Hill · USUniversity of Washington · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
USC/NORRIS COMPREHENSIVE CANCER CENTER (CORE) SUPPORTP30CA014089 · NCI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI Fumito Ito · 1985 to 2026
$181.4M
Immunotherapeutic approaches to treat pediatric hematologic malignanciesZIABC011823 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI SHAH, NIRALI · 2019 to 2025
$6.1M
Tailoring CAR T cell therapy for Hodgkin LymphomaR01CA247497 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI SAVOLDO, BARBARA · 2020 to 2024
$3.1M
Resistance To Targeted Immunotherapies:CART19 as a ParadigmR00CA212302 · NCI · UNIVERSITY OF PENNSYLVANIA · PI RUELLA, MARCO · 2018 to 2020
$608k
Resistance To Targeted Immunotherapies:CART19 as a ParadigmK99CA212302 · NCI · UNIVERSITY OF PENNSYLVANIA · PI RUELLA, MARCO · 2017 to 2018
$348k
NCI NIH HHS K99 CA212302NCI NIH HHS P30 CA008748NCI NIH HHS P30 CA014089NCI NIH HHS R00 CA212302NCI NIH HHS R01 CA247497
6 · The paper itself

Abstract

Patient-derived T cells genetically reprogrammed to express CD19-specific chimeric antigen receptors (CARs) have shown remarkable clinical responses and are commercially available for the treatment of patients with certain advanced-stage B cell malignancies. Nonetheless, several trials have revealed pre-existing and/or treatment-induced immune responses to the mouse-derived single-chain variable fragments included in these constructs. These responses might have contributed to both treatment failure and the limited success of redosing strategies observed in some patients. Data from early phase clinical trials suggest that CAR T cells are also associated with immunogenicity-related events in patients with solid tumours. Generally, the clinical implications of anti-CAR immune responses are poorly understood and highly variable between different CAR constructs and malignancies. These observations highlight an urgent need to uncover the mechanisms of immunogenicity in patients receiving CAR T cells and develop validated assays to enable clinical detection. In this Review, we describe the current clinical evidence of anti-CAR immune responses and discuss how new CAR T cell technologies might impact the risk of immunogenicity. We then suggest ways to reduce the risks of anti-CAR immune responses to CAR T cell products that are advancing towards the clinic. Finally, we summarize measures that investigators could consider in order to systematically monitor and better comprehend the possible effects of immunogenicity during trials involving CAR T cells as well as in routine clinical practice.

Indexed as

Antigens, CD19Clinical Trials as TopicGene EditingHumansImmunity, CellularImmunotherapy, AdoptiveMutationNeoplasmsReceptors, Chimeric AntigenTreatment FailureAntigens, CD19Receptors, Chimeric Antigen

Identifiers

PMID33633361
PMCPMC8923136
OpenAlexW3132274017

What OpenQuestion holds

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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.