Evidence map›Paper›PMID 36413381›Full record

ArticleBlood cancer discovery2023

Anti-BCMA/CD19 CAR T Cells with Early Immunomodulatory Maintenance for Multiple Myeloma Responding to Initial or Later-Line Therapy.

Alfred L Garfall, Adam D Cohen, Sandra P Susanibar-Adaniya, Wei-Ting Hwang, Dan T Vogl, Adam J Waxman, Simon F Lacey, Vanessa E Gonzalez, Joseph A Fraietta, Minnal Gupta and 29 more

Abstract read
In one paragraph

Article in Blood cancer discovery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 4 pooled it
–field-weighted citation impact
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

44 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Guideline
  5. Trial
  6. Review
  7. Review
  8. Article
  9. CD4Nature medicine · 2026
    Article
  10. Article
  11. Review
  12. Article
  13. Review
  14. Article
  15. Review
  16. Review
  17. Approaches To Managing Relapsed Myeloma: Switching Drug Class or Retreatment With Same Drug Class?Indian journal of hematology & blood transfusion : an official journal of Indian Society of Hematology and Blood Transfusion · 2025
    Review
  18. Review
  19. Depletion of Tregs from CD4The FEBS journal · 2025
    Article
  20. Review
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

39 authors.

Alfred L GarfallDivision of Hematology-Oncology, Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.ORCID 0000-0003-2791-5748
Adam D CohenDivision of Hematology-Oncology, Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.ORCID 0000-0003-0939-3843
Sandra P Susanibar-AdaniyaDivision of Hematology-Oncology, Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.ORCID 0000-0003-0703-2518
Wei-Ting HwangAbramson Cancer Center, University of Pennsylvania, Philadelphia, Pennsylvania.ORCID 0000-0003-2829-2167
Dan T VoglDivision of Hematology-Oncology, Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.ORCID 0000-0002-2935-2566
Adam J WaxmanDivision of Hematology-Oncology, Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.ORCID 0000-0001-5217-1221
Simon F LaceyCenter for Cellular Immunotherapies, University of Pennsylvania, Philadelphia, Pennsylvania.ORCID 0000-0003-2882-1962
Vanessa E GonzalezCenter for Cellular Immunotherapies, University of Pennsylvania, Philadelphia, Pennsylvania.ORCID 0000-0003-3603-7457
Joseph A FraiettaCenter for Cellular Immunotherapies, University of Pennsylvania, Philadelphia, Pennsylvania.ORCID 0000-0001-7900-8993
Minnal GuptaCenter for Cellular Immunotherapies, University of Pennsylvania, Philadelphia, Pennsylvania.ORCID 0000-0002-8528-9944
Irina KulikovskayaCenter for Cellular Immunotherapies, University of Pennsylvania, Philadelphia, Pennsylvania.ORCID 0000-0003-2972-5454
Lifeng TianCenter for Cellular Immunotherapies, University of Pennsylvania, Philadelphia, Pennsylvania.ORCID 0000-0001-9740-5327
Fang ChenCenter for Cellular Immunotherapies, University of Pennsylvania, Philadelphia, Pennsylvania.ORCID 0000-0002-1719-3887
Natalka KoterbaCenter for Cellular Immunotherapies, University of Pennsylvania, Philadelphia, Pennsylvania.ORCID 0000-0003-0844-2551
Robert L BartoszekCenter for Cellular Immunotherapies, University of Pennsylvania, Philadelphia, Pennsylvania.ORCID 0000-0003-1417-4661
Margaret PatchinCenter for Cellular Immunotherapies, University of Pennsylvania, Philadelphia, Pennsylvania.ORCID 0000-0001-7672-2446
Rong XuCenter for Cellular Immunotherapies, University of Pennsylvania, Philadelphia, Pennsylvania.ORCID 0000-0001-8571-3218
Gabriela PlesaCenter for Cellular Immunotherapies, University of Pennsylvania, Philadelphia, Pennsylvania.ORCID 0000-0002-4279-5943
Don L SiegelAbramson Cancer Center, University of Pennsylvania, Philadelphia, Pennsylvania.ORCID 0000-0003-2098-2251
Andrea BrennanCenter for Cellular Immunotherapies, University of Pennsylvania, Philadelphia, Pennsylvania.ORCID 0000-0002-4925-6109
Anne Marie NelsonCenter for Cellular Immunotherapies, University of Pennsylvania, Philadelphia, Pennsylvania.ORCID 0000-0001-6453-7366
Regina FerthioCenter for Cellular Immunotherapies, University of Pennsylvania, Philadelphia, Pennsylvania.ORCID 0000-0003-1589-6420
Angela CoseyCenter for Cellular Immunotherapies, University of Pennsylvania, Philadelphia, Pennsylvania.ORCID 0000-0001-7950-1497
Kim-Marie SheaCenter for Cellular Immunotherapies, University of Pennsylvania, Philadelphia, Pennsylvania.ORCID 0000-0001-9664-9717
Rachel LeskowitzCenter for Cellular Immunotherapies, University of Pennsylvania, Philadelphia, Pennsylvania.ORCID 0000-0003-0583-8446
Megan FourCenter for Cellular Immunotherapies, University of Pennsylvania, Philadelphia, Pennsylvania.ORCID 0000-0002-4031-9572
Wesley V WilsonCenter for Cellular Immunotherapies, University of Pennsylvania, Philadelphia, Pennsylvania.ORCID 0000-0003-2506-5698
Fei MiaoCenter for Cellular Immunotherapies, University of Pennsylvania, Philadelphia, Pennsylvania.ORCID 0000-0003-4683-1558
Eric LancasterDepartment of Neurology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.ORCID 0000-0001-6131-2698
Beatriz M CarrenoAbramson Cancer Center, University of Pennsylvania, Philadelphia, Pennsylvania.ORCID 0000-0002-8123-2035
Gerald P LinetteDivision of Hematology-Oncology, Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.ORCID 0000-0001-6147-6115
Elizabeth O HexnerDivision of Hematology-Oncology, Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.ORCID 0000-0002-1125-4060
Regina M YoungCenter for Cellular Immunotherapies, University of Pennsylvania, Philadelphia, Pennsylvania.ORCID 0000-0002-0158-9449
Dexiu BuNovartis Institutes for Biomedical Research, Cambridge, Massachusetts.ORCID 0000-0003-0117-673X
Keith G MansfieldNovartis Institutes for Biomedical Research, Cambridge, Massachusetts.ORCID 0000-0002-5191-270X
Jennifer L BrogdonNovartis Institutes for Biomedical Research, Cambridge, Massachusetts.ORCID 0000-0002-2084-832X
Carl H JuneAbramson Cancer Center, University of Pennsylvania, Philadelphia, Pennsylvania.ORCID 0000-0003-0241-3557
Michael C Milone *Abramson Cancer Center, University of Pennsylvania, Philadelphia, Pennsylvania.ORCID 0000-0002-1580-9844
Edward A Stadtmauer *Division of Hematology-Oncology, Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.ORCID 0000-0002-3935-6069

Funding

Project 3: Combinatorial and gene-editing approaches to enhance the efficacy of CAR T cell therapy of multiple myeloma.P01CA214278 · NCI · UNIVERSITY OF PENNSYLVANIA · PI DONALD Lawrence SIEGEL · 2017 to 2026
$26.8M
Physician Scientist Training in Clinical OncologyK12CA076931 · NCI · UNIVERSITY OF PENNSYLVANIA · PI STEPHEN Patrick HUNGER, LYNN M. SCHUCHTER · 1997 to 2026
$16.5M
CANCER RESEARCH TRAINING PROGRAMT32CA009615 · NCI · UNIVERSITY OF PENNSYLVANIA · PI Gregory L Beatty, MICHAEL D HOGARTY · 1988 to 2026
$10.4M
Anti-Sox2 immunotherapy to prevent multiple myeloma relapseR21CA238108 · NCI · UNIVERSITY OF PENNSYLVANIA · PI GARFALL, ALFRED L. · 2020 to 2020
$424k
Leukemia and Lymphoma Society (LLS) 2329-20NCI NIH HHS K12 CA076931NCI NIH HHS P01 CA214278NCI NIH HHS R21 CA238108NCI NIH HHS T32 CA009615Novartis Institutes for BioMedical Research (NIBR)
6 · The paper itself

Abstract

We conducted a phase I clinical trial of anti-BCMA chimeric antigen receptor T cells (CART-BCMA) with or without anti-CD19 CAR T cells (huCART19) in multiple myeloma (MM) patients responding to third- or later-line therapy (phase A, N = 10) or high-risk patients responding to first-line therapy (phase B, N = 20), followed by early lenalidomide or pomalidomide maintenance. We observed no high-grade cytokine release syndrome (CRS) and only one instance of low-grade neurologic toxicity. Among 15 subjects with measurable disease, 10 exhibited partial response (PR) or better; among 26 subjects responding to prior therapy, 9 improved their response category and 4 converted to minimal residual disease (MRD)-negative complete response/stringent complete response. Early maintenance therapy was safe, feasible, and coincided in some patients with CAR T-cell reexpansion and late-onset, durable clinical response. Outcomes with CART-BCMA + huCART19 were similar to CART-BCMA alone. Collectively, our results demonstrate favorable safety, pharmacokinetics, and antimyeloma activity of dual-target CAR T-cell therapy in early lines of MM treatment. SIGNIFICANCE: CAR T cells in early lines of MM therapy could be safer and more effective than in the advanced setting, where prior studies have focused. We evaluated the safety, pharmacokinetics, and efficacy of CAR T cells in patients with low disease burden, responding to current therapy, combined with standard maintenance therapy. This article is highlighted in the In This Issue feature, p. 101.

Indexed as

Multiple MyelomaReceptors, Chimeric AntigenAntigens, CD19HumansImmunotherapy, AdoptiveLenalidomideT-LymphocytesAntigens, CD19LenalidomideReceptors, Chimeric Antigen

Identifiers

PMID36413381
PMCPMC9975770

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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.