Evidence map›Paper›PMID 37667978›Full record

SynthesisCancer medicine2023

Effectiveness and safety of CD22 and CD19 dual-targeting chimeric antigen receptor T-cell therapy in patients with relapsed or refractory B-cell malignancies: A meta-analysis.

Thi Thuy Nguyen, Nguyen Thanh Nhu, Chia-Ling Chen, Chiou-Feng Lin

Registry-linked trialOpen access · goldAbstract readMeta-Analysis
In one paragraph

Synthesis in Cancer medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07094477 (An Exploratory Clinical Study on Targeted CD22/CD19 CAR-T Cell Immunotherapy for First-line Consolidation Therapy of High-risk Invasive B-cell Lymphoma), which is not on this map. Cited by 12 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 3 pooled it
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.

NCT07094477 phase2active not recruitingnot on this mapstarted 2025, after this paper: background citation

An Exploratory Clinical Study on Targeted CD22/CD19 CAR-T Cell Immunotherapy for First-line Consolidation Therapy of High-risk Invasive B-cell Lymphoma

TypeinterventionalSponsorDaihong LiuRan2025 to 2027Enrolled50ConditionsLymphomaArmsCD22/CD19 CAR-T cell immunotherapy
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 3 syntheses or guidelines pooled it, 13 citations in OpenAlex.

  1. Mapping the clinical landscape of multifunctional CAR T cells: Targets, trends, and synergies.Molecular therapy : the journal of the American Society of Gene Therapy · 2026
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. 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

4 authors at 3 institutions in 2 countries.

Thi Thuy NguyenInternational Ph.D. Program in Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan.ORCID 0000-0002-5050-574X
Nguyen Thanh NhuInternational Ph.D. Program in Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan.ORCID 0000-0002-1636-6061
Chia-Ling ChenSchool of Respiratory Therapy, College of Medicine, Taipei Medical University, Taipei, Taiwan.ORCID 0000-0003-2161-4362
Chiou-Feng LinDepartment of Microbiology and Immunology, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan.ORCID 0000-0003-4396-6086
Taipei Medical University · TWCan Tho University · VNHue University · VN

Funding

Ministry of Science and Technology, Taiwan MOST110-2320-B038-064-MY3Ministry of Science and Technology, Taiwan MOST111-2314-B038-120-MY3Ministry of Science and Technology, Taiwan MOST111-2320-B038-012Ministry of Science and Technology, Taiwan MOST111-2327-B006-005The industry-academia cooperation program TMU-MSD A-111-112
6 · The paper itself

Abstract

backgroundThe efficacy of CD22 or CD19 chimeric antigen receptor T (CAR-T) cells in the management of acute lymphoblastic leukemia (ALL) and non-Hodgkin lymphoma (NHL) was observed. Because antigen loss and lack of CAR-T-cell persistence are the leading causes of progressive disease following single-antigen targeting, we evaluated CD22/CD19 dual-targeting CAR-T-cell therapy efficacy and safety in relapsed/refractory B-cell malignancies.

methodsThe Web of Science, PubMed, Cochrane, and Embase databases were searched until July 2022. Patients confirmed with any relapsed/refractory B-cell hematological malignancies were included regardless of age, gender, or ethnicity, receiving CD22 and CD19-dual-targeting CAR-T-cell therapy. The studies conducted on patients with coexisting other cancer were excluded. We used random-effect models to explore the outcome, and heterogeneity was investigated by subgroup analysis.

resultsFourteen studies (405 patients) were included. The pooled overall response (OR) and complete remission (CR) were 97% and 93%, respectively, for ALL patients. The 1-year proportions of overall survival (OS) and progression-free survival (PFS) were 70% and 49%, respectively. For NHL, OR occurred in 85% of patients, and 57% experienced CR. The results illustrated that the 1-year OS and 1-year PFS were 77% and 65%, respectively. The subgroup analysis showed that the dual-targeting modality achieved higher CR in the following cases: coadministration of CD22/CD19-CAR-T cells and third-generation CAR-T cells combined with ASCT and BEAM pretreatment. The ALL and NHL groups seemed similar in treatment-related toxicity: all grade cytokine release syndrome (CRS), severe CRS, and neurotoxicity occurred in 86%, 7%, and 12% of patients, respectively.

conclusionsOur meta-analysis demonstrated that the CD22/CD19 dual-targeting CAR-T-cell strategy has high efficiency with tolerable adverse effects in B-cell malignancies.

Indexed as

Antigens, CD19Immunotherapy, AdoptiveLymphoma, B-CellReceptors, Chimeric AntigenSialic Acid Binding Ig-like Lectin 2HumansNeoplasm Recurrence, LocalTreatment OutcomeAntigens, CD19CD19 molecule, humanCD22 protein, humanReceptors, Chimeric AntigenSialic Acid Binding Ig-like Lectin 2B cell malignancieschimeric antigen receptor T (CAR-T) therapydual-targetingefficacysafety

Identifiers

PMID37667978
PMCPMC10557829
OpenAlexW4386437887

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.