Evidence map›Paper›PMID 37774014›Full record

Trial reportBlood advances2023

Factors associated with long-term outcomes of CD19 CAR T-cell therapy for relapsed/refractory CLL.

Emily C Liang, Aya Albittar, Jennifer J Huang, Alexandre V Hirayama, Erik L Kimble, Andrew J Portuguese, Aude Chapuis, Mazyar Shadman, Brian G Till, Ryan D Cassaday and 6 more

2 registry-linked trialsOpen access · goldAbstract readClinical Trial, Phase IClinical Trial, Phase II
In one paragraph

Trial report in Blood advances, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
6.7field-weighted citation impact, top 3% 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.

NCT01865617 phase1 / phase2completednot on this map

Phase I/II Study of Immunotherapy for Advanced CD19+ Chronic Lymphocytic Leukemia, Acute Lymphoblastic Leukemia/Lymphoma and Non-Hodgkin Lymphoma With Defined Subsets of Autologous T Cells Engineered to Express a CD19-Specific Chimeric Antigen Receptor

TypeinterventionalSponsorFred Hutchinson Cancer CenterRan2013 to 2021Enrolled204ConditionsCD19-Positive Neoplastic Cells Present, Recurrent Adult Acute Lymphoblastic Leukemia, Recurrent Chronic Lymphocytic Leukemia, Recurrent Diffuse Large B-Cell LymphomaArmsAutologous Anti-CD19CAR-4-1BB-CD3zeta-EGFRt-expressing T Lymphocytes
NCT06758713 phase1recruitingnot on this mapstarted 2025, after this paper: background citation

Safety and Efficacy of Fourth-Generation CAR-T in the Treatment of Hematologic Malignancies

TypeinterventionalSponsorThe Third Affiliated Hospital of Southern Medical UniversityRan2025 to 2028Enrolled60ConditionsMultiple Myeloma, B-cell Lymphoma, Hematological MalignancyArmsCAR-T
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 29 citations in OpenAlex.

  1. Article
  2. Defective B cell tolerance in SLE lymph nodes underpins VHmedRxiv : the preprint server for health sciences · 2026
    Article
  3. Advancing Immunotherapy in Chronic Lymphocytic Leukemia.International journal of molecular sciences · 2026
    Review
  4. Review
  5. Imaging the efficacy and side effects of CAR T-cell therapy in children and young adults.Cancer imaging : the official publication of the International Cancer Imaging Society · 2026
    Review
  6. Review
  7. Review
  8. Dual-targeted ping-pong CAR T cells: Leveraging peripheral expansion to improve solid tumor immunotherapy.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  9. Article
  10. Review
  11. Review
  12. Article
  13. Review
  14. Article
  15. Article
  16. Review
  17. Review
  18. Relapsed/refractory CLL: the role of allo-SCT, CAR-T, and T-cell engagers.Hematology. American Society of Hematology. Education Program · 2024
    Review
  19. 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

16 authors at 2 institutions in 2 countries.

Emily C LiangClinical Research Division, Fred Hutchinson Cancer Center, Seattle, WA.ORCID 0000-0001-5790-4770
Aya AlbittarClinical Research Division, Fred Hutchinson Cancer Center, Seattle, WA.ORCID 0000-0003-4276-8774
Jennifer J HuangClinical Research Division, Fred Hutchinson Cancer Center, Seattle, WA.ORCID 0000-0003-0863-9389
Alexandre V HirayamaClinical Research Division, Fred Hutchinson Cancer Center, Seattle, WA.ORCID 0000-0001-7980-3882
Erik L KimbleClinical Research Division, Fred Hutchinson Cancer Center, Seattle, WA.ORCID 0000-0002-1885-1773
Andrew J PortugueseClinical Research Division, Fred Hutchinson Cancer Center, Seattle, WA.ORCID 0000-0003-1010-4578
Aude ChapuisClinical Research Division, Fred Hutchinson Cancer Center, Seattle, WA.ORCID 0000-0002-9574-5448
Mazyar ShadmanClinical Research Division, Fred Hutchinson Cancer Center, Seattle, WA.ORCID 0000-0002-3365-6562
Brian G TillClinical Research Division, Fred Hutchinson Cancer Center, Seattle, WA.ORCID 0000-0002-4718-8288
Ryan D CassadayClinical Research Division, Fred Hutchinson Cancer Center, Seattle, WA.ORCID 0000-0002-3424-2425
Filippo MilanoClinical Research Division, Fred Hutchinson Cancer Center, Seattle, WA.ORCID 0000-0003-3573-2159
Hans-Peter KiemClinical Research Division, Fred Hutchinson Cancer Center, Seattle, WA.ORCID 0000-0001-5949-4947
Stanley R RiddellClinical Research Division, Fred Hutchinson Cancer Center, Seattle, WA.ORCID 0000-0002-4688-9920
Cameron J TurtleFaculity of Medicine and Health, University of Sydney, Sydney, Australia.ORCID 0000-0002-4722-4461
David G MaloneyClinical Research Division, Fred Hutchinson Cancer Center, Seattle, WA.ORCID 0000-0002-8477-6919
Jordan GauthierClinical Research Division, Fred Hutchinson Cancer Center, Seattle, WA.ORCID 0000-0002-5769-8409
University of Washington · USThe University of Sydney · AU

Funding

Translational Bioimaging Core Shared ResourceP30CA015704 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI Eric Collisson · 1985 to 2026
$296.4M
CORE--VECTOR PRODUCTIONP30DK056465 · NIDDK · FRED HUTCHINSON CANCER RESEARCH CENTER · PI BERNSTEIN, IRWIN D · 1999 to 2014
$14.9M
RESEARCH TRAINING IN HEMATOLOGYT32HL007093 · NHLBI · UNIVERSITY OF WASHINGTON · PI Janis L Abkowitz · 1985 to 2026
$13.9M
CAREER DEVELOPMENT IN PEDIATRIC AND MEDICAL ONCOLOGYK12CA076930 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI DAVIDSON, NANCY ELLEN, MESHINCHI, SOHEIL · 1997 to 2025
$13.1M
Targeted Therapy for LeukemiaR35CA197734 · NCI · UNIVERSITY OF CINCINNATI · PI BYRD, JOHN C. · 2015 to 2021
$6.6M
Medical Scientist Training Program Training GrantT32GM145449 · NIGMS · DUKE UNIVERSITY · PI Christopher D Kontos · 2022 to 2026
$6.6M
Targeted therapy of B cell malignances with CAR-T cells of defined compositionR01CA136551 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI JENSEN, MICHAEL C, RIDDELL, STANLEY R. · 2009 to 2018
$5.5M
PURPOSE OF THE NGVB CONTRACT IS TO CONTINUE SUPPORTING GENE THERAPY RESEARCH.75N92019D00018 · OD · INDIANA UNIVERSITY INDIANAPOLIS · 2019 to 2023
$1.7M
REGULATION OF THE BIOSYNTHESIS OF THE OPIOID PEPTIDES AND OTHER NEUROPEPTIDESZ01HL000018 · NHLBI · HEART, LUNG, AND BLOOD INSTITUTE · PI SABOL, S L · 1985 to 1992
–
NCI NIH HHS K12 CA076930NCI NIH HHS P30 CA015704NCI NIH HHS R01 CA136551NCI NIH HHS R35 CA197734NHLBI NIH HHS 75N92019D00018NHLBI NIH HHS T32 HL007093NIDDK NIH HHS P30 DK056465NIGMS NIH HHS T32 GM145449
6 · The paper itself

Abstract

High response rates have been reported after CD19-targeted chimeric antigen receptor-modified (CD19 CAR) T-cell therapy for relapsed/refractory (R/R) chronic lymphocytic leukemia (CLL), yet the factors associated with duration of response in this setting are poorly characterized. We analyzed long-term outcomes in 47 patients with R/R CLL and/or Richter transformation treated on our phase 1/2 clinical trial of CD19 CAR T-cell therapy with an updated median follow-up of 79.6 months. Median progression-free survival (PFS) was 8.9 months, and the 6-year PFS was 17.8%. Maximum standardized uptake value (hazard ratio [HR], 1.15; 95% confidence interval [CI], 1.07-1.23; P < .001) and bulky disease (≥5 cm; HR, 2.12; 95% CI, 1.06-4.26; P = .034) before lymphodepletion were associated with shorter PFS. Day +28 complete response by positron emission tomography-computed tomography (HR, 0.13; 95% CI, 0.04-0.40; P < .001), day +28 measurable residual disease (MRD) negativity by multiparameter flow cytometry (HR, 0.08; 95% CI, 0.03-0.22; P < .001), day +28 MRD negativity by next-generation sequencing (HR, 0.21; 95% CI, 0.08-0.51; P < .001), higher peak CD8+ CAR T-cell expansion (HR, 0.49; 95% CI; 0.36-0.68; P < .001), higher peak CD4+ CAR T-cell expansion (HR, 0.47; 95% CI; 0.33-0.69; P < .001), and longer CAR T-cell persistence (HR, 0.56; 95% CI, 0.44-0.72; P < .001) were associated with longer PFS. The 6-year duration of response and overall survival were 26.4% and 31.2%, respectively. CD19 CAR T-cell therapy achieved durable responses with curative potential in a subset of patients with R/R CLL. This trial was registered at www.clinicaltrials.gov as #NCT01865617.

Indexed as

Leukemia, Lymphocytic, Chronic, B-CellLymphoma, B-CellReceptors, Chimeric AntigenAntigens, CD19HumansImmunotherapy, AdoptiveReceptors, Antigen, T-CellAntigens, CD19Receptors, Antigen, T-CellReceptors, Chimeric Antigen

Identifiers

PMID37774014
PMCPMC10690558
OpenAlexW4387164530

What OpenQuestion holds

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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.