Evidence map›Paper›PMID 35100373›Full record

ArticleNeuro-oncology2022

Off-the-shelf, steroid-resistant, IL13Rα2-specific CAR T cells for treatment of glioblastoma.

Christine E Brown, Analiz Rodriguez, Joycelynne Palmer, Julie R Ostberg, Araceli Naranjo, Jamie R Wagner, Brenda Aguilar, Renate Starr, Lihong Weng, Timothy W Synold and 13 more

Open access · hybridAbstract readClinical Trial, Phase I
In one paragraph

Article in Neuro-oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 111 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
111citing papers in PubMed, 4 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.

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

111 citing papers in PubMed, 4 syntheses or guidelines pooled it, 134 citations in OpenAlex.

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51 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

23 authors at 5 institutions in 1 country.

Christine E BrownDepartment of Hematology & Hematopoietic Cell Transplantation (T Cell Therapeutics Research Laboratories), City of Hope Beckman Research Institute and Medical Center; Duarte, California, USA.
Analiz RodriguezDepartment of Neurosurgery, City of Hope Beckman Research Institute and Medical Center; Duarte, California, USA.
Joycelynne PalmerDepartment of Computational and Quantitative Medicine, City of Hope Beckman Research Institute and Medical Center; Duarte, California, USA.
Julie R OstbergDepartment of Hematology & Hematopoietic Cell Transplantation (T Cell Therapeutics Research Laboratories), City of Hope Beckman Research Institute and Medical Center; Duarte, California, USA.
Araceli NaranjoDepartment of Hematology & Hematopoietic Cell Transplantation (T Cell Therapeutics Research Laboratories), City of Hope Beckman Research Institute and Medical Center; Duarte, California, USA.
Jamie R WagnerDepartment of Hematology & Hematopoietic Cell Transplantation (T Cell Therapeutics Research Laboratories), City of Hope Beckman Research Institute and Medical Center; Duarte, California, USA.
Brenda AguilarDepartment of Hematology & Hematopoietic Cell Transplantation (T Cell Therapeutics Research Laboratories), City of Hope Beckman Research Institute and Medical Center; Duarte, California, USA.
Renate StarrDepartment of Hematology & Hematopoietic Cell Transplantation (T Cell Therapeutics Research Laboratories), City of Hope Beckman Research Institute and Medical Center; Duarte, California, USA.
Lihong WengDepartment of Hematology & Hematopoietic Cell Transplantation (T Cell Therapeutics Research Laboratories), City of Hope Beckman Research Institute and Medical Center; Duarte, California, USA.
Timothy W SynoldDepartment of Cancer Biology, City of Hope Beckman Research Institute and Medical Center; Duarte, California, USA.
Vivi TranDepartment of Cancer Biology, City of Hope Beckman Research Institute and Medical Center; Duarte, California, USA.
Shelley WangSangamo Therapeutics, Inc., Richmond, California, USA.
Andreas ReikSangamo Therapeutics, Inc., Richmond, California, USA.
Massimo D'ApuzzoDepartment of Pathology, City of Hope Beckman Research Institute and Medical Center; Duarte, California, USA.
Julie A ResslerDepartment of Diagnostic Radiology, City of Hope Beckman Research Institute and Medical Center; Duarte, California, USA.
Yuanyue ZhouSangamo Therapeutics, Inc., Richmond, California, USA.
Matthew MendelSangamo Therapeutics, Inc., Richmond, California, USA.
Philip D GregorySangamo Therapeutics, Inc., Richmond, California, USA.
Michael C HolmesSangamo Therapeutics, Inc., Richmond, California, USA.
Winson W TangSangamo Therapeutics, Inc., Richmond, California, USA.
Stephen J FormanDepartment of Hematology & Hematopoietic Cell Transplantation (T Cell Therapeutics Research Laboratories), City of Hope Beckman Research Institute and Medical Center; Duarte, California, USA.
Michael C JensenBen Town Center for Childhood Cancer, Seattle Children's Research Institute, Seattle, Washington, USA.
Behnam BadieDepartment of Neurosurgery, City of Hope Beckman Research Institute and Medical Center; Duarte, California, USA.
Beckman Research InstituteSangamo BioSciences (United States) · USCity of Hope · USCity Of Hope National Medical Center · USSeattle Children's Hospital · US

Funding

Transgenic Mouse FacilityP30CA033572 · NCI · CITY OF HOPE/BECKMAN RESEARCH INSTITUTE · PI XIWEI WU · 1985 to 2026
$86.3M
Role of Receptor for Advanced Glycation End Product (RAGE) Pathway in Brain TumorsR01CA155769 · NCI · BECKMAN RESEARCH INSTITUTE/CITY OF HOPE · PI BADIE, BEHNAM · 2011 to 2021
$3.8M
Clinical Evaluation of Chlorotoxin-redirected Chimeric Antigen Receptor (CAR) T cells for Treatment of GlioblastomaR01CA254271 · NCI · BECKMAN RESEARCH INSTITUTE/CITY OF HOPE · PI BADIE, BEHNAM, BROWN, CHRISTINE · 2020 to 2024
$3.7M
Clinical evaluation of IL13Ra2-targeted CAR T cell therapy in combination with nivolumab in patients with recurrent malignant gliomaR01CA236500 · NCI · BECKMAN RESEARCH INSTITUTE/CITY OF HOPE · PI BADIE, BEHNAM, BROWN, CHRISTINE · 2019 to 2024
$3.3M
NCI NIH HHS P30 CA033572NCI NIH HHS R01 CA155769NCI NIH HHS R01 CA236500NCI NIH HHS R01 CA254271
6 · The paper itself

Abstract

backgroundWide-spread application of chimeric antigen receptor (CAR) T cell therapy for cancer is limited by the current use of autologous CAR T cells necessitating the manufacture of individualized therapeutic products for each patient. To address this challenge, we have generated an off-the-shelf, allogeneic CAR T cell product for the treatment of glioblastoma (GBM), and present here the feasibility, safety, and therapeutic potential of this approach.

methodsWe generated for clinical use a healthy-donor derived IL13Rα2-targeted CAR+ (IL13-zetakine+) cytolytic T-lymphocyte (CTL) product genetically engineered using zinc finger nucleases (ZFNs) to permanently disrupt the glucocorticoid receptor (GR) (GRm13Z40-2) and endow resistance to glucocorticoid treatment. In a phase I safety and feasibility trial we evaluated these allogeneic GRm13Z40-2 T cells in combination with intracranial administration of recombinant human IL-2 (rhIL-2; aldesleukin) in six patients with unresectable recurrent GBM that were maintained on systemic dexamethasone (4-12 mg/day).

resultsThe GRm13Z40-2 product displayed dexamethasone-resistant effector activity without evidence for in vitro alloreactivity. Intracranial administration of GRm13Z40-2 in four doses of 108 cells over a two-week period with aldesleukin (9 infusions ranging from 2500-5000 IU) was well tolerated, with indications of transient tumor reduction and/or tumor necrosis at the site of T cell infusion in four of the six treated research subjects. Antibody reactivity against GRm13Z40-2 cells was detected in the serum of only one of the four tested subjects.

conclusionsThis first-in-human experience establishes a foundation for future adoptive therapy studies using off-the-shelf, zinc-finger modified, and/or glucocorticoid resistant CAR T cells.

Indexed as

GlioblastomaInterleukin-13 Receptor alpha2 SubunitDexamethasoneGlucocorticoidsHumansImmunotherapy, AdoptiveSteroidsT-LymphocytesXenograft Model Antitumor AssaysDexamethasoneGlucocorticoidsInterleukin-13 Receptor alpha2 SubunitSteroidsallogeneicglioblastomaglucocorticoid receptorIL13Rα2-CAR T cellsoff-the-shelf

Identifiers

PMID35100373
PMCPMC9340633
OpenAlexW4210430515

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.