Evidence map›Paper›PMID 40390044›Full record

ArticleJournal of translational medicine2025

Optimized GMP-grade production of non-viral Sleeping Beauty-generated CARCIK cells for enhanced fitness and clinical scalability.

Ilaria Pisani, Giusi Melita, Patricia Borges de Souza, Stefania Galimberti, Angela Maria Savino, Jolanda Sarno, Beatrice Landoni, Stefano Crippa, Elisa Gotti, Carolina Cuofano and 23 more

Registry-linked trialAbstract read
In one paragraph

Article in Journal of translational 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 NCT05869279 (Phase I/II Trial to Determine the in Vivo Engraftment, Safety and Clinical Activity of Allogeneic CIK Cells Transduced With a Transposon CD19-chimeric Antigen Receptor), which is not on this 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.

NCT05869279 phase1 / phase2recruitingnot on this map

Phase I/II Trial to Determine the in Vivo Engraftment, Safety and Clinical Activity of Allogeneic CIK Cells Transduced With a Transposon CD19-chimeric Antigen Receptor (CARCIK-CD19) Gene in Adult and Pediatric Patients With Relapsed/Refractory B-cell Non-Hodgkin Lymphoma

TypeinterventionalSponsorFondazione Matilde Tettamanti Menotti De Marchi OnlusRan2023 to 2027Enrolled29ConditionsB-cell NHL, CLLArmsCARCIK-CD19
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

33 authors.

Ilaria Pisani *Tettamanti Center, Fondazione IRCCS San Gerardo dei Tintori, Monza, Italy.
Giusi Melita *Tettamanti Center, Fondazione IRCCS San Gerardo dei Tintori, Monza, Italy.
Patricia Borges de SouzaAdvanced Cellular Therapies and Rare Tumors Unit, IRCCS Istituto Romagnolo per lo Studio dei Tumori (IRST) "Dino Amadori" S.r.l., Meldola, Italy.
Stefania GalimbertiBicocca Bioinformatics Biostatistics and Bioimaging B4 Center, School of Medicine and Surgery, University of Milano-Bicocca, Monza, Italy.
Angela Maria SavinoDepartment of Medicine and Surgery, University of Milano-Bicocca, Milan, Italy.
Jolanda SarnoDepartment of Medicine and Surgery, University of Milano-Bicocca, Milan, Italy.
Beatrice LandoniTettamanti Center, Fondazione IRCCS San Gerardo dei Tintori, Monza, Italy.
Stefano CrippaTettamanti Center, Fondazione IRCCS San Gerardo dei Tintori, Monza, Italy.
Elisa GottiCenter of Cellular Therapy "G. Lanzani", Division of Hematology, ASST Papa Giovanni XXIII, Bergamo, 24122, Italy.
Carolina CuofanoCenter of Cellular Therapy "G. Lanzani", Division of Hematology, ASST Papa Giovanni XXIII, Bergamo, 24122, Italy.
Olga PedriniCenter of Cellular Therapy "G. Lanzani", Division of Hematology, ASST Papa Giovanni XXIII, Bergamo, 24122, Italy.
Chiara CapelliCenter of Cellular Therapy "G. Lanzani", Division of Hematology, ASST Papa Giovanni XXIII, Bergamo, 24122, Italy.
Giada MateraLaboratorio di Terapia Cellulare e Genica Stefano Verri, Fondazione IRCCS San Gerardo dei Tintori, Monza, Italy.
Daniela BelottiLaboratorio di Terapia Cellulare e Genica Stefano Verri, Fondazione IRCCS San Gerardo dei Tintori, Monza, Italy.
Stefania CesanaLaboratorio di Terapia Cellulare e Genica Stefano Verri, Fondazione IRCCS San Gerardo dei Tintori, Monza, Italy.
Benedetta CabiatiLaboratorio di Terapia Cellulare e Genica Stefano Verri, Fondazione IRCCS San Gerardo dei Tintori, Monza, Italy.
Michele QuaroniLaboratorio di Terapia Cellulare e Genica Stefano Verri, Fondazione IRCCS San Gerardo dei Tintori, Monza, Italy.
Valentina ColomboLaboratorio di Terapia Cellulare e Genica Stefano Verri, Fondazione IRCCS San Gerardo dei Tintori, Monza, Italy.
Massimiliano MazzaAdvanced Cellular Therapies and Rare Tumors Unit, IRCCS Istituto Romagnolo per lo Studio dei Tumori (IRST) "Dino Amadori" S.r.l., Meldola, Italy.
Barbara VerganiDepartment of Medicine and Surgery, University of Milano-Bicocca, Milan, Italy.
Anna GaimariAdvanced Cellular Therapies and Rare Tumors Unit, IRCCS Istituto Romagnolo per lo Studio dei Tumori (IRST) "Dino Amadori" S.r.l., Meldola, Italy.
Fabio NicoliniAdvanced Cellular Therapies and Rare Tumors Unit, IRCCS Istituto Romagnolo per lo Studio dei Tumori (IRST) "Dino Amadori" S.r.l., Meldola, Italy.
Marcella TazzariAdvanced Cellular Therapies and Rare Tumors Unit, IRCCS Istituto Romagnolo per lo Studio dei Tumori (IRST) "Dino Amadori" S.r.l., Meldola, Italy.
Martine BocchiniAdvanced Cellular Therapies and Rare Tumors Unit, IRCCS Istituto Romagnolo per lo Studio dei Tumori (IRST) "Dino Amadori" S.r.l., Meldola, Italy.
Marta SerafiniTettamanti Center, Fondazione IRCCS San Gerardo dei Tintori, Monza, Italy.
Alessandro RambaldiDepartment of Oncology and Hematology, University of Milan, Milan, Italy.
Benedetta RambaldiDepartment of Oncology-Hematology, Azienda Socio-Sanitaria Territoriale Papa Giovanni XXIII, Bergamo, Italy.
Giuseppe DastoliTettamanti Center, Fondazione IRCCS San Gerardo dei Tintori, Monza, Italy.
Andrea BiondiTettamanti Center, Fondazione IRCCS San Gerardo dei Tintori, Monza, Italy.
Giuseppe GaipaTettamanti Center, Fondazione IRCCS San Gerardo dei Tintori, Monza, Italy. giuseppe.gaipa@irccs-sangerardo.it.ORCID 0000-0002-1006-5946
Martino IntronaCenter of Cellular Therapy "G. Lanzani", Division of Hematology, ASST Papa Giovanni XXIII, Bergamo, 24122, Italy.
Josée GolayCenter of Cellular Therapy "G. Lanzani", Division of Hematology, ASST Papa Giovanni XXIII, Bergamo, 24122, Italy.
Sarah TettamantiTettamanti Center, Fondazione IRCCS San Gerardo dei Tintori, Monza, Italy.ORCID 0000-0002-7327-418X

Funding

Fondazione AIRC per la ricerca sul cancro ETS 21147Fondazione AIRC per la ricerca sul cancro ETS 30974Fondazione Regionale per la Ricerca Biomedica CP2_10/2018Ministero della Salute CN3 - National Center for Gene Therapy and Drugs based on RNA TechnologyMinistero della Salute Hub Life Science- Terapia Avanzata (LSH-TA) PNC-E3-2022-23683269Ministero della Salute Research Project on CAR-T cells for hematological malignancies and solid tumors", as part of the Alliance Against Cancer (ACC) network initiative-grant number: RCR-2023-23684268
6 · The paper itself

Abstract

backgroundStrict adherence to GMP guidelines and regulatory compliance is crucial when transitioning from research to clinical-grade production of ATMPs like CAR T cells. The success of CAR T cell therapy in treating hematological malignancies highlights the need for closed or automated systems to ensure quality and efficacy. Recent evidence also suggests that ex vivo culture conditions can significantly impact CAR T cell functionality.

methodsWe present our optimized methodology for expanding Sleeping Beauty transposon-engineered Chimeric Antigen Receptor-Cytokine-Induced Killer (CARCIK) cells using G-Rex devices and evaluate its impact on CARCIK cell phenotype and T cell fitness.

resultsBuilding on our previously validated protocol, we introduced key simplifications to optimize the CARCIK differentiation process. Delaying the nucleofection step eliminated the need for feeder cells while maintaining efficient CAR expression and high cell viability. Transitioning from T-flasks to G-Rex bioreactors reduced operator hands-on time from 21 to 28 days to 14-17 days and resulted in a less differentiated CARCIK cell product. Metabolic and transcriptional analyses showed that the novel protocol improves CARCIK cell fitness and in vivo efficacy against B-cell lymphoma. The novel method was validated in Good Manufacturing Practices (GMP) conditions at our two Cell Factories and yielded enough numbers of CARCIK-CD19 cells for clinical use.

conclusionsOptimizing non-viral CARCIK cell production using G-Rex bioreactors and refined timing adjustments has streamlined the workflow, enhanced cell fitness, and resulted in a highly effective therapeutic product with demonstrated in vivo efficacy in mice. These improvements reduced manipulation and contamination risks, while optimizing logistics and space efficiency, facilitating allogeneic CARCIK generation for a current phase I/II clinical trial (NCT05869279) in patients with R/R CD19 + non-Hodgkin Lymphoma (B-cell NHL) and Chronic Lymphocytic Leukemia (CLL), confirming the approach's scalability and clinical potential.

Indexed as

Cell Culture TechniquesDNA Transposable ElementsReceptors, Chimeric AntigenTransposasesAnimalsBioreactorsCell DifferentiationCell SurvivalCytokinesHumansImmunotherapy, AdoptiveMiceCytokinesDNA Transposable ElementsReceptors, Chimeric AntigenTransposasesCAR T cellsGood manufacturing practices (GMP)Hematological malignanciesSleeping beauty transposonT cell fitnessWorkflow optimization

Identifiers

PMID40390044
PMCPMC12087026

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LicenceCC BY-NC-ND
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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.