Evidence map›Paper›PMID 37709295›Full record

ArticleJournal for immunotherapy of cancer2023

AKT inhibition generates potent polyfunctional clinical grade AUTO1 CAR T-cells, enhancing function and survival.

Vedika Mehra, Giulia Agliardi, Juliana Dias Alves Pinto, Manar S Shafat, Amaia Cadinanos Garai, Louisa Green, Alastair Hotblack, Fred Arce Vargas, Karl S Peggs, Anniek B van der Waart and 3 more

Abstract read
In one paragraph

Article in Journal for immunotherapy of cancer, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–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

15 citing papers in PubMed.

  1. A renaissance in targeting the PI3K/AKT/mTOR pathway.Nature reviews. Drug discovery · 2026
    Review
  2. Review
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. TIL Therapy in Lung Cancer: Current Progress and Perspectives.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2024
    Review
  11. Review
  12. Review
  13. Article
  14. Article
  15. Article
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

13 authors.

Vedika MehraResearch Department of Haematology, University College London, London, UK.ORCID 0000-0003-4977-8545
Giulia AgliardiResearch Department of Haematology, University College London, London, UK.
Juliana Dias Alves PintoResearch Department of Haematology, University College London, London, UK.ORCID 0000-0001-6768-410X
Manar S ShafatResearch Department of Haematology, University College London, London, UK.
Amaia Cadinanos GaraiResearch Department of Haematology, University College London, London, UK.
Louisa GreenResearch Department of Haematology, University College London, London, UK.
Alastair HotblackResearch Department of Haematology, University College London, London, UK.
Fred Arce VargasAutolus Ltd, London, UK.
Karl S PeggsResearch Department of Haematology, University College London, London, UK.
Anniek B van der WaartDepartment of Laboratory Medicine, Laboratory of Hematology, Radboud Institute for Molecular Life Sciences, Radboudumc, Nijmegen, The Netherlands.
Harry DolstraDepartment of Laboratory Medicine, Laboratory of Hematology, Radboud Institute for Molecular Life Sciences, Radboudumc, Nijmegen, The Netherlands.
Martin A PuleResearch Department of Haematology, University College London, London, UK.ORCID 0000-0002-8347-9867
Claire RoddieResearch Department of Haematology, University College London, London, UK c.roddie@ucl.ac.uk.

Funding

Department of Health IS-BTU-0214-10074
6 · The paper itself

Abstract

backgroundAUTO1 is a fast off-rate CD19-targeting chimeric antigen receptor (CAR), which has been successfully tested in adult lymphoblastic leukemia. Tscm/Tcm-enriched CAR-T populations confer the best expansion and persistence, but Tscm/Tcm numbers are poor in heavily pretreated adult patients. To improve this, we evaluate the use of AKT inhibitor (VIII) with the aim of uncoupling T-cell expansion from differentiation, to enrich Tscm/Tcm subsets.

methodsVIII was incorporated into the AUTO1 manufacturing process based on the semiautomated the CliniMACS Prodigy platform at both small and cGMP scale.

resultsAUTO1 manufactured with VIII showed Tscm/Tcm enrichment, improved expansion and cytotoxicity in vitro and superior antitumor activity in vivo. Further, VIII induced AUTO1 Th1/Th17 skewing, increased polyfunctionality, and conferred a unique metabolic profile and a novel signature for autophagy to support enhanced expansion and cytotoxicity. We show that VIII-cultured AUTO1 products from B-ALL patients on the ALLCAR19 study possess superior phenotype, metabolism, and function than parallel control products and that VIII-based manufacture is scalable to cGMP.

conclusionUltimately, AUTO1 generated with VIII may begin to overcome the product specific factors contributing to CD19+relapse.

Indexed as

Burkitt LymphomaReceptors, Chimeric AntigenAdaptor Proteins, Signal TransducingAdultAngiogenesis InhibitorsAntigens, CD19HumansProto-Oncogene Proteins c-aktT-LymphocytesAdaptor Proteins, Signal TransducingAngiogenesis InhibitorsAntigens, CD19Proto-Oncogene Proteins c-aktReceptors, Chimeric AntigenCytokinesImmunotherapyT-LymphocytesTranslational Medical Research

Identifiers

PMID37709295
PMCPMC10503365

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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.