Evidence map›Paper›PMID 38494922›Full record

ArticleClinical and translational science2024

First-in-human study of JNJ-67571244, a CD33 × CD3 bispecific antibody, in relapsed/refractory acute myeloid leukemia and myelodysplastic syndrome.

Rupa Narayan, Ana Alfonso Piérola, William B Donnellan, Antonieta Molero Yordi, Maher Abdul-Hay, Uwe Platzbecker, Marion Subklewe, Tapan Mahendra Kadia, Juan Manuel Alonso-Domínguez, James McCloskey and 10 more

Open access · goldAbstract readClinical Trial, Phase I
In one paragraph

Article in Clinical and translational science, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
10.0field-weighted citation impact, top 2% 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.

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

20 citing papers in PubMed, 22 citations in OpenAlex.

  1. Trial
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  8. Targeted therapies in pediatric oncology: A start.Molecular therapy. Oncology · 2026
    Review
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  19. Phagocytosis Checkpoints in Glioblastoma: CD47 and Beyond.Current issues in molecular biology · 2024
    Review
  20. 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

20 authors at 15 institutions in 6 countries.

Rupa NarayanDivision of Hematology/Oncology, Department of Medicine, Massachusetts General Hospital, Center for Leukemia, Boston, Massachusetts, USA.
Ana Alfonso PiérolaClínica Universidad de Navarra Pamplona, Pamplona, Spain.
William B DonnellanHematology/Medical Oncology, Tennessee Oncology/Sarah Cannon Research Institute, Nashville, Tennessee, USA.
Antonieta Molero YordiExperimental Hematology Unit, Department of Hematology, Vall d'Hebron Institute of Oncology (VHIO), University Hospital Vall d'Hebron, Barcelona, Spain.
Maher Abdul-HayDivision of Hematology & Medical Oncology, Perlmutter Cancer Center at NYU Langone Health, New York, New York, USA.ORCID 0000-0003-1041-7689
Uwe PlatzbeckerClinic and Polyclinic for Hematology, Cell Therapy and Hemostaseology, University Hospital in Leipzig, Leipzig, Germany.
Marion SubkleweLaboratory for Translational Cancer Immunology, Ludwig-Maximilians-Universität München, Munich, Germany.
Tapan Mahendra KadiaDepartment of Leukemia, Division of Cancer Medicine, MD Anderson Cancer Center, Houston, Texas, USA.
Juan Manuel Alonso-DomínguezHematología y Hemoterapia, Hospital Universitario Fundación Jiménez Díaz, Madrid, Spain.ORCID 0000-0001-6233-5912
James McCloskeyDivision of Leukemia, Hackensack University Medical Center, Hackensack, New Jersey, USA.
Kathryn BradfordJanssen Research & Development LLC, Spring House, Pennsylvania, USA.ORCID 0000-0002-5858-7954
Martin CurtisJanssen Research & Development LLC, Research Triangle Park, North Carolina, USA.
Nikki DaskalakisJanssen Research & Development LLC, Spring House, Pennsylvania, USA.
Christina GuttkeJanssen Research & Development LLC, Spring House, Pennsylvania, USA.
Karim SaferJanssen Research & Development LLC, Spring House, Pennsylvania, USA.
Brett HiebertJanssen Pharmaceutica NV, Research & Development, Beerse, Belgium.
Joseph MurphyJanssen Research & Development LLC, High Wycombe, UK.
Xiang LiJanssen Research & Development LLC, Spring House, Pennsylvania, USA.
Ken DuchinJanssen Research & Development LLC, Spring House, Pennsylvania, USA.
Daniel EstebanGrupo de Investigación, Hospital Clinico de Barcelona, Barcelona, Spain.
Springhouse · USClinica Universidad de Navarra · ESHackensack University Medical Center · USHebron University · PSHospital Clínic de Barcelona · ESHospital Universitario Fundación Jiménez Díaz · ESJanssen (Belgium) · BEJanssen (United Kingdom) · GBLudwig-Maximilians-Universität München · DEMassachusetts General Hospital · USNYU Langone Health · USResearch Triangle Park Foundation · USSarah Cannon · USThe University of Texas MD Anderson Cancer Center · USUniversity Hospital Leipzig · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Relapsed/refractory (r/r) acute myeloid leukemia (AML) and myelodysplastic syndrome (MDS) outcomes remain poor. A targeted cluster of differentiation (CD)33 × CD3 bispecific antibody, JNJ-67571244, was assessed to identify the maximum tolerated dose (MTD), recommended phase II dose (RP2D), safety and tolerability, and preliminary clinical activity in patients with r/rAML or r/rMDS. This first-in-human, open-label, phase I, dose-escalation/dose-expansion study included patients with r/rAML or r/rMDS who were ineligible for or had exhausted standard therapeutic options. JNJ-67571244 was administered intravenously or subcutaneously using step-up dosing until ≥1 discontinuation condition was met. Outcomes included safety/tolerability, preliminary clinical activity, and systemic pharmacokinetics and pharmacodynamics. The study was terminated after evaluating 10 dose-escalation cohorts (n = 68) and before starting dose-expansion. Overall, 11 (16.2%) patients experienced ≥1 dose-limiting toxicity; all experienced ≥1 treatment-emergent adverse event (TEAE; treatment related: 60 [88.2%]); and 64 (94.1%) experienced ≥1 TEAE of Grade ≥3 toxicity (treatment related: 28 [41.2%]). Although some patients had temporary disease burden reductions, no responses were seen. JNJ-67571244 administration increased multiple cytokines, which coincided with incidence of cytokine release syndrome, infusion-related reactions, and elevated liver function tests. A prolonged step-up strategy was tested to improve tolerability, though this approach did not prevent hepatotoxicity. T-cell activation following treatment suggested target engagement but did not correlate with clinical activity. Safely reaching the projected exposure level for JNJ-67571244 efficacy was not achieved, thus MTD and RP2D were not determined.

Indexed as

Antineoplastic AgentsLeukemia, Myeloid, AcuteMyelodysplastic SyndromesHumansSialic Acid Binding Ig-like Lectin 3Antineoplastic AgentsCD33 protein, humanSialic Acid Binding Ig-like Lectin 3

Identifiers

PMID38494922
PMCPMC10945216
OpenAlexW4392919813

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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.