Evidence map›Paper›PMID 39350423›Full record

ArticleCurrent cancer drug targets2025

Phase I Clinical Trial of CD19 CAR-T Cells Expressing CXCR5 Protein for the Treatment of Relapsed or Refractory B-cell Lymphoma.

Jiaxi Wang, Yirong Jiang, Min Luo, Wenyi Lu, Jixiang He, Meng Zhang, Zhuoxin Yao, Xin Jin, Xia Xiao, Jianhang Chen and 5 more

Abstract readClinical Trial, Phase I
PubMed Publisher
In one paragraph

Article in Current cancer drug targets, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

15 authors.

Jiaxi WangFirst Center Clinical College, Tianjin Medical University, Tianjin, China.
Yirong JiangDepartment of Hematology, Affiliated Dongguan People's Hospital, Southern Medical University, Dongguan, China.
Min LuoGuangzhou Bio-Gene Technology Co., Ltd., Guangzhou, Guangdong Province, China.
Wenyi LuDepartment of Hematology, Tianjin First Central Hospital, Tianjin, China.
Jixiang HeDepartment of Hematology, Affiliated Dongguan People's Hospital, Southern Medical University, Dongguan, China.
Meng ZhangFirst Center Clinical College, Tianjin Medical University, Tianjin, China.
Zhuoxin YaoDepartment of Hematology, Affiliated Dongguan People's Hospital, Southern Medical University, Dongguan, China.
Xin JinDepartment of Hematology, Tianjin First Central Hospital, Tianjin, China.
Xia XiaoDepartment of Hematology, Tianjin First Central Hospital, Tianjin, China.
Jianhang ChenDepartment of Hematology, Affiliated Dongguan People's Hospital, Southern Medical University, Dongguan, China.
Guangchao LiGuangzhou Bio-Gene Technology Co., Ltd., Guangzhou, Guangdong Province, China.
Wen DingGuangzhou Bio-Gene Technology Co., Ltd., Guangzhou, Guangdong Province, China.
Jie ZhouDepartment of Hematology, Deyang People's Hospital, Deyang, Sichuan Province, China.
Zhiyin ZhangGuangzhou Bio-Gene Technology Co., Ltd., Guangzhou, Guangdong Province, China.
Mingfeng ZhaoFirst Center Clinical College, Tianjin Medical University, Tianjin, China.

Funding

Dongguan science and technology bureau 202050715001214General Project of the National Natural Science Foundation of China 81970180Key Science and Technology Support Project of Tianjin Science and Technology Bureau 20YFZCSY00800Scientific Research Project Program of Sichuan Medical Association S20038Tianjin Key Medical Discipline (Specialty) Construction Project, and In-hospital topics at Tianjin First Central Hospital 2019CM13
6 · The paper itself

Abstract

backgroundIt is difficult for CD19 CAR-T cells to enter solid tumors, which is one reason for their poor efficacy in lymphoma treatment. The chemokine CXCL13 secreted by stromal cells of the lymph nodes induces the homing of B and T lymphocytes, which express its receptor CXCR5. Preclinical trials have shown that the expression of CXCR5 on CD19 CAR-T cells can increase their migration to the tumor microenvironment and enhance their antitumor function.

methodsWe engineered the CD19 CAR-T cells to express a second receptor, CXCR5. Then, we conducted a phase I clinical trial to evaluate the safety and efficacy of CXCR5 CD19 CAR-T cells in the treatment of relapsed or refractory (R/R) B-cell lymphoma.

resultsWe recruited 10 patients with R/R B-cell lymphoma undergoing CXCR5 CD19 CAR-T cell therapy. The objective response rate was 80%, and the complete response rate was 50%. The median follow-up time was 15.48 months (3.4-22.3 months), and the median Progression-Free Survival (PFS) time was 8.15 months (1.5-22.33 months). One patient received ASCT at 1.5 months (at PR) after infusion of CAR-T cells. The incidence of grade 1 and grade 2 Cytokine Release Syndrome (CRS) was 70% and 20%, respectively. No patient experienced grade 3 or higher levels of CRS, neurotoxicity, or infusion-related dose toxicity.

conclusionThe results obtained in this study suggest that CXCR5 CD19 CAR-T cells should be investigated in a trial with broader patient populations.

trial registrationThe trials were registered at www.chictr.org.cn as ChiCTR2100052677 and ChiCTR1900028692.

Indexed as

Antigens, CD19Immunotherapy, AdoptiveLymphoma, B-CellNeoplasm Recurrence, LocalReceptors, Chimeric AntigenReceptors, CXCR5AdultAgedFemaleHumansMaleMiddle AgedAntigens, CD19CD19 molecule, humanCXCR5 protein, humanReceptors, Chimeric AntigenReceptors, CXCR5CD19 CAR-TchemokinesCXCL13-CXCR5cytokine.immunity therapyLymphoma

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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.