Evidence map›Paper›PMID 39200107›Full record

ArticleBiomedicines2024

Evaluation of Anti-CAR Linker mAbs for CAR T Monitoring after BiTEs/bsAbs and CAR T-Cell Pretreatment.

Anja Grahnert, Sabine Seiffert, Kerstin Wenk, Dominik Schmiedel, Andreas Boldt, Vladan Vucinic, Maximilian Merz, Uwe Platzbecker, Christian Klemann, Ulrike Koehl and 1 more

Abstract read
In one paragraph

Article in Biomedicines, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. 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

11 authors.

Anja GrahnertMedical Faculty, Institute of Clinical Immunology, Leipzig and University of Leipzig Medical Center, Leipzig University, 04103 Leipzig, Germany.ORCID 0000-0001-5239-5735
Sabine SeiffertMedical Faculty, Institute of Clinical Immunology, Leipzig and University of Leipzig Medical Center, Leipzig University, 04103 Leipzig, Germany.
Kerstin WenkMedical Faculty, Institute of Clinical Immunology, Leipzig and University of Leipzig Medical Center, Leipzig University, 04103 Leipzig, Germany.
Dominik SchmiedelFraunhofer Institute for Cell Therapy and Immunology, 04103 Leipzig, Germany.ORCID 0000-0003-3384-5651
Andreas BoldtMedical Faculty, Institute of Clinical Immunology, Leipzig and University of Leipzig Medical Center, Leipzig University, 04103 Leipzig, Germany.
Vladan VucinicDepartment of Hematology and Cell Therapy, Medical Faculty, Leipzig and University of Leipzig Medical Center, Leipzig University, 04103 Leipzig, Germany.
Maximilian MerzDepartment of Hematology and Cell Therapy, Medical Faculty, Leipzig and University of Leipzig Medical Center, Leipzig University, 04103 Leipzig, Germany.
Uwe PlatzbeckerDepartment of Hematology and Cell Therapy, Medical Faculty, Leipzig and University of Leipzig Medical Center, Leipzig University, 04103 Leipzig, Germany.ORCID 0000-0003-1863-3239
Christian KlemannDepartment of Pediatric Immunology, Pediatric Rheumatology and Infectiology, Clinic and Polyclinic for Pediatric and Adolescent Medicine, Leipzig and University of Leipzig Medical Center, Leipzig University, 04103 Leipzig, Germany.ORCID 0000-0002-5639-8690
Ulrike KoehlMedical Faculty, Institute of Clinical Immunology, Leipzig and University of Leipzig Medical Center, Leipzig University, 04103 Leipzig, Germany.
Maik FriedrichMedical Faculty, Institute of Clinical Immunology, Leipzig and University of Leipzig Medical Center, Leipzig University, 04103 Leipzig, Germany.ORCID 0000-0002-7221-4222

Funding

European Union's Horizon Europe Coordination and Support Action Grant agreement number 101059788Fraunhofer Gesellschaft Grant No 600 071; SME REPRO project
6 · The paper itself

Abstract

For the monitoring of chimeric antigen receptor (CAR) T-cell therapies, antigen-based CAR detection methods are usually applied. However, for each target-antigen, a separate detection system is required. Furthermore, when monitored CAR T-cells in the blood of patients treated with bispecific antibodies or T-cell engagers (bsAbs/BiTEs) recognize the same antigen, these methods produce false-positive results in clinical diagnostics. Anti-CAR-linker monoclonal antibodies (mAbs) targeting the linker sequence between the variable domains of the antigen binding CAR fragment promise a universal and unbiased CAR detection. To test this, we analyzed clinical specimens of all BCMA- and CD19-targeting CAR T-cell products currently approved for clinical use. We found a highly specific and sensitive CAR detection using anti-CAR-linker mAb in blood cells from patients treated with Ide-cel, Tisa-cel, Axi-cel, Brexu-cel, and Liso-cel. For Ide-cel and Tisa-cel, the sensitivity was significantly lower compared to that for antigen-based CAR detection assays. Strikingly, the specificity of anti-CAR linker mAb was not affected by the simultaneous presence of bispecific blinatumomab or teclistamab for Axi-cel, Brexu-cel, Liso-cel, or Ide-cel, respectively. Cilta-cel (containing a monomeric G

Indexed as

anti-CAR-linker mAbsbispecific antibodyBiTECARCAR T-cell monitoringcombination treatmentsdetectiondiagnostic

Identifiers

PMID39200107
PMCPMC11351819

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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.