Evidence map›Paper›PMID 37540566›Full record

Trial reportClinical cancer research : an official journal of the American Association for Cancer Research2023

Single-Cell RNA Analysis Reveals Cell-Intrinsic Functions of CAR T Cells Correlating with Response in a Phase II Study of Lymphoma Patients.

Tina Sarén, Mohanraj Ramachandran, Gustav Gammelgård, Tanja Lövgren, Claudio Mirabello, Åsa K Björklund, Kristina Wikström, Jamileh Hashemi, Eva Freyhult, Håkan Ahlström and 5 more

Registry-linked trialOpen access · hybridAbstract readClinical Trial, Phase II
In one paragraph

Trial report in Clinical cancer research : an official journal of the American Association for Cancer Research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03068416 (CD19-targeting, 3rd Generation CAR T Cells for Refractory B Cells Malignancy - a Phase II Trial.), which is not on this map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
3.0field-weighted citation impact, top 8% 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.

NCT03068416 phase2completednot on this map

CD19-targeting, 3rd Generation CAR T Cells for Refractory B Cells Malignancy - a Phase II Trial.

TypeinterventionalSponsorUppsala UniversityRan2017 to 2021Enrolled24ConditionsB-cell Leukemia, B-Cell LymphomaArmsCAR T cells
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 13 citations in OpenAlex.

  1. Trial
  2. Mapping clinical CAR-T cells: insights from scRNA-seq.Trends in molecular medicine · 2026
    Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
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  9. Article
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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

15 authors at 4 institutions in 1 country.

Tina Sarén *Department of Immunology, Genetics and Pathology, Uppsala University, Science for Life Laboratory, Uppsala, Sweden.ORCID 0000-0001-5227-6779
Mohanraj Ramachandran *Department of Immunology, Genetics and Pathology, Uppsala University, Science for Life Laboratory, Uppsala, Sweden.ORCID 0000-0003-2685-0575
Gustav GammelgårdDepartment of Immunology, Genetics and Pathology, Uppsala University, Science for Life Laboratory, Uppsala, Sweden.ORCID 0009-0008-5522-0103
Tanja LövgrenDepartment of Immunology, Genetics and Pathology, Uppsala University, Science for Life Laboratory, Uppsala, Sweden.ORCID 0000-0003-2170-0682
Claudio MirabelloIFM Bioinformatics, National Bioinformatics Infrastructure Sweden, Science for Life Laboratory, Linköping University, Linköping, Sweden.ORCID 0000-0001-7868-034X
Åsa K BjörklundDepartment of Life Sciences, National Bioinformatics Infrastructure Sweden, Science for Life Laboratory, Chalmers University of Technology, Göteborg, Sweden.ORCID 0000-0003-2224-7090
Kristina WikströmVECURA, Karolinska University Hospital Huddinge, Stockholm, Sweden.ORCID 0009-0000-1027-2534
Jamileh HashemiDepartment of Immunology, Genetics and Pathology, Uppsala University, Science for Life Laboratory, Uppsala, Sweden.ORCID 0000-0002-4997-3765
Eva FreyhultDepartment of Medical Sciences, Uppsala University, Uppsala, Sweden.ORCID 0000-0003-0226-1047
Håkan AhlströmDepartment of Surgical Sciences, Uppsala University, Uppsala, Sweden.ORCID 0000-0002-8701-969X
Rose-Marie AminiDepartment of Immunology, Genetics and Pathology, Uppsala University, Science for Life Laboratory, Uppsala, Sweden.ORCID 0000-0003-0901-5252
Hans HagbergDepartment of Immunology, Genetics and Pathology, Uppsala University, Science for Life Laboratory, Uppsala, Sweden.ORCID 0000-0001-7855-2452
Angelica LoskogDepartment of Immunology, Genetics and Pathology, Uppsala University, Science for Life Laboratory, Uppsala, Sweden.ORCID 0000-0001-8583-6138
Gunilla Enblad *Department of Immunology, Genetics and Pathology, Uppsala University, Science for Life Laboratory, Uppsala, Sweden.ORCID 0000-0002-0594-724X
Magnus Essand *Department of Immunology, Genetics and Pathology, Uppsala University, Science for Life Laboratory, Uppsala, Sweden.ORCID 0000-0002-9725-0422
Science for Life Laboratory · SEUppsala University · SEKarolinska University Hospital · SELinköping University · SE

Funding

AFA Försäkring (AFA Insurance)Cancerfonden (Swedish Cancer Society) 19 0184PjCancerfonden (Swedish Cancer Society) 20 0756 PjFCancerfonden (Swedish Cancer Society) 20 1303 PjFKnut och Alice Wallenbergs Stiftelse (Knut and Alice Wallenberg Foundation) KAW 2017.0003Lions Cancer Fund at Uppsala University HospitalSwedish State Support for Clinical ResearchVetenskapsrådet (VR) 2019-01326Vetenskapsrådet (VR) 2019-01721
6 · The paper itself

Abstract

purposeAlthough CD19 chimeric antigen receptor T cells (CAR-T) therapy has shown remarkable success in B-cell malignancies, a substantial fraction of patients do not obtain a long-term clinical response. This could be influenced by the quality of the individual CAR-T infusion product. To shed some light on this, clinical outcome was correlated to characteristics of CAR-T infusion products. PATIENTS AND

methodsIn this phase II study, patients with B-cell lymphoma (n = 23) or leukemia (n = 1) received one or two infusions of third-generation CD19-directed CAR-Ts (2 × 108/m2). The clinical trial was registered at clinicaltrials.gov: NCT03068416. We investigated the transcriptional profile of individual CD19 CAR-T infusion products using targeted single-cell RNA sequencing and multicolor flow cytometry.

resultsTwo CAR-T infusions were not better than one in the settings used in this study. As for the CAR-T infusion products, we found that effector-like CD8+CAR-Ts with a high polyfunctionality, high cytotoxic and cytokine production profile, and low dysfunctional signature were associated with clinical response. An extended ex vivo expansion time during CAR-T manufacturing negatively influenced the proportion of effector CD8+CAR-Ts in the infusion product.

conclusionsWe identified cell-intrinsic characteristics of effector CD8+CAR-Ts correlating with response that could be used as an indicator for clinical outcome. The results in the study also serve as a guide to CAR-T manufacturing practices.

Indexed as

Immunotherapy, AdoptiveLymphoma, B-CellReceptors, Chimeric AntigenSingle-Cell AnalysisAdultAgedAntigens, CD19FemaleHumansMaleMiddle AgedReceptors, Antigen, T-CellTreatment OutcomeAntigens, CD19Receptors, Antigen, T-CellReceptors, Chimeric Antigen

Identifiers

PMID37540566
PMCPMC10570681
OpenAlexW4385575555

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.