Evidence map›Paper›PMID 33824268›Full record

ReviewBlood cancer journal2021

CAR-T cell therapy: current limitations and potential strategies.

Robert C Sterner, Rosalie M Sterner

2 registry-linked trialsOpen access · goldAbstract readReview
In one paragraph

Review in Blood cancer journal, 2021. 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 1,719 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1,719citing papers in PubMed, 3 pooled it
147.6field-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.

NCT06333275 recruitingnot on this mapstarted 2023, after this paper: background citation

Restoration of Immunity to Vaccine Preventable Diseases After CART-T Cell Therapy

TypeobservationalSponsorInsel Gruppe AG, University Hospital BernRan2023 to 2026Enrolled80ConditionsVaccine Immunity in CAR-T Cell Therapy RecipientsArmsVaccines against: Diphtheria, tetanus, pertussis, polio, haemophilus influenza type b, varicella and measles
NCT07390071 narecruitingnot on this mapstarted 2025, after this paper: background citation

Multimodal Telerehabilitation in Patients Undergoing CAR-T Cell Immunotherapy

TypeinterventionalSponsorUniversity of UtahRan2025 to 2029Enrolled40ConditionsLymphoma, Myeloma, Cytokine Release Syndrome, Immune Effector Cell Associated Neurotoxicity SyndromeArmsHome Automated Telemanagement (HAT) Patient Unit
3 · Its place in the literature

Who cites it

1,719 citing papers in PubMed, 3 syntheses or guidelines pooled it, 2,614 citations in OpenAlex.

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  9. Interferon regulatory factors orchestrate CD8International journal of molecular medicine · 2026
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1,659 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

2 authors at 1 institution in 1 country.

Robert C SternerMedical Scientist Training Program, University of Wisconsin-Madison, School of Medicine and Public Health, Madison, WI, USA.ORCID http://orcid.org/0000-0001-8195-4970
Rosalie M SternerDepartment of Surgery, Mayo Clinic, Rochester, MN, USA. sterner.rosalie@mayo.edu.ORCID http://orcid.org/0000-0002-9323-3625
Mayo Clinic · US

Funding

INTEGRATED TRAINING FOR PHYSICIAN-SCIENTISTST32GM008692 · NIGMS · UNIVERSITY OF WISCONSIN-MADISON · PI BURKARD, MARK E · 1998 to 2020
$10.3M
NIGMS NIH HHS T32 GM008692
6 · The paper itself

Abstract

Chimeric antigen receptor (CAR)-T cell therapy is a revolutionary new pillar in cancer treatment. Although treatment with CAR-T cells has produced remarkable clinical responses with certain subsets of B cell leukemia or lymphoma, many challenges limit the therapeutic efficacy of CAR-T cells in solid tumors and hematological malignancies. Barriers to effective CAR-T cell therapy include severe life-threatening toxicities, modest anti-tumor activity, antigen escape, restricted trafficking, and limited tumor infiltration. In addition, the host and tumor microenvironment interactions with CAR-T cells critically alter CAR-T cell function. Furthermore, a complex workforce is required to develop and implement these treatments. In order to overcome these significant challenges, innovative strategies and approaches to engineer more powerful CAR-T cells with improved anti-tumor activity and decreased toxicity are necessary. In this review, we discuss recent innovations in CAR-T cell engineering to improve clinical efficacy in both hematological malignancy and solid tumors and strategies to overcome limitations of CAR-T cell therapy in both hematological malignancy and solid tumors.

Indexed as

AnimalsHematologic NeoplasmsHumansImmunotherapy, AdoptiveNeoplasmsReceptors, Chimeric AntigenT-LymphocytesTumor MicroenvironmentReceptors, Chimeric Antigen

Identifiers

PMID33824268
PMCPMC8024391
OpenAlexW3148729173

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.