Evidence map›Paper›PMID 39528665›Full record

Trial reportNature medicine2025

TRBC1-CAR T cell therapy in peripheral T cell lymphoma: a phase 1/2 trial.

Kate Cwynarski, Gloria Iacoboni, Eleni Tholouli, Tobias Menne, David A Irvine, Nivetha Balasubramaniam, Leigh Wood, Justin Shang, Eric Xue, Yiyun Zhang and 17 more

Registry-linked trialAbstract readClinical Trial, Phase IClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Nature medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03590574 (A Single Arm, Open Label, Multi-centre, Phase I/II Study Evaluating the Safety and Clinical Activity of AUTO4, a CAR T-cell Treatment Targeting TRBC1, in Patients With Relapsed or Refractory TRBC1 Positive Selected T Cell Non-Hodgkin Lymphoma), which is not on this map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
–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.

NCT03590574 phase1 / phase2terminatednot on this map

A Single Arm, Open Label, Multi-centre, Phase I/II Study Evaluating the Safety and Clinical Activity of AUTO4, a CAR T-cell Treatment Targeting TRBC1, in Patients With Relapsed or Refractory TRBC1 Positive Selected T Cell Non-Hodgkin Lymphoma

TypeinterventionalSponsorAutolus LimitedRan2018 to 2024Enrolled20ConditionsT Cell Non-Hodgkin Lymphoma, Peripheral T-Cell Lymphoma, Not Otherwise Specified, Angioimmunoblastic T-cell Lymphoma, Anaplastic Large Cell LymphomaArmsAUTO4
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  13. Have CARs stalled for non-B-cell malignancies? Where are we, and where are we going?Hematology. American Society of Hematology. Education Program · 2025
    Review
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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

27 authors.

Kate CwynarskiDepartment of Haematology, University College London, London, UK.ORCID 0000-0001-9936-3431
Gloria IacoboniDepartment of Haematology, Vall d'Hebron University Hospital, Barcelona, Spain.
Eleni TholouliDepartment of Haematology, Manchester Royal Infirmary, Manchester, UK.
Tobias MenneThe Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK.
David A IrvineQueen Elizabeth University Hospital, Glasgow, UK.
Nivetha BalasubramaniamUniversity College London Hospital, London, UK.
Leigh WoodUniversity College London Hospital, London, UK.
Justin ShangAutolus Therapeutics, London, UK.
Eric XueAutolus Therapeutics, London, UK.
Yiyun ZhangAutolus Therapeutics, London, UK.
Silvia BasilicoAutolus Therapeutics, London, UK.
Margarida NevesAutolus Therapeutics, London, UK.
Meera RaymondAutolus Therapeutics, London, UK.
Ian ScottAutolus Therapeutics, London, UK.
Mohamed El-KholyAutolus Therapeutics, London, UK.
Ram JhaAutolus Therapeutics, London, UK.
Heather Dainton-SmithAutolus Therapeutics, London, UK.
Rehan HussainAutolus Therapeutics, London, UK.
William DayAutolus Therapeutics, London, UK.
Mathieu FerrariAutolus Therapeutics, London, UK.ORCID 0000-0001-8535-7348
Simon ThomasAutolus Therapeutics, London, UK.
Koki LilovaAutolus Therapeutics, London, UK.
Wolfram BruggerAutolus Therapeutics, London, UK.
Teresa MarafiotiUniversity College London Hospital, London, UK.
Pierre Lao-SirieixAutolus Therapeutics, London, UK.
Paul MaciociaDepartment of Haematology, University College London, London, UK.ORCID 0000-0002-9757-8073
Martin PuleDepartment of Haematology, University College London, London, UK. m.pule@ucl.ac.uk.ORCID 0000-0002-8347-9867

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Relapsed/refractory peripheral T cell lymphomas (PTCLs) are aggressive tumors with a poor prognosis. Unlike B cell lymphomas, treatment of PTCL has not benefited from advances in immunotherapy. This is largely due to a lack of suitable target antigens that discriminate malignant from normal T cells, thus avoiding severe immunosuppression consequent to depletion of the entire T cell compartment. We recently described a targeting strategy based on the mutually exclusive expression of T cell antigen receptor beta-chain constant domain (TRBC) 1 and 2. Selective targeting of the T cell antigen receptor beta-chain expressed by the (clonal) malignancy spares normal T cells expressing the other chain. The LibraT1 study is an ongoing, multicenter, international, single-arm phase 1/2 study of TRBC1-directed autologous chimeric antigen receptor (CAR) T cells (AUTO4) in relapsed/refractory TRBC1-positive PTCL. Primary objectives were assessment of safety and tolerability of AUTO4 infusion. Key secondary endpoints included efficacy, CAR T cell expansion and persistence. Here we describe the findings from dose escalation in LibraT1 in the first ten patients, in a non-prespecified interim analysis. AUTO4 resulted in low frequency of severe immunotoxicity, with one of ten patients developing grade 3 cytokine release syndrome. Complete metabolic response was observed in four of ten evaluable patients, with remissions being durable beyond 1 year in two patients. While an absence of circulating CAR T cells was observed, CAR T cells were readily detected in lymph node biopsy samples from sites of original disease suggesting homing to tumor sites. These results support the continuing exploration of TRBC1 targeting in PTCL. ClinicalTrials.gov registration: NCT03590574 .

Indexed as

Immunotherapy, AdoptiveLymphoma, T-Cell, PeripheralReceptors, Antigen, T-Cell, alpha-betaReceptors, Chimeric AntigenT-LymphocytesAdultAgedFemaleHumansMaleMiddle AgedReceptors, Antigen, T-Cell, alpha-betaReceptors, Chimeric Antigen

Identifiers

PMID39528665
PMCPMC11750712

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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.