Evidence map›Paper›PMID 40410132›Full record

Trial reportNature communications2025

Durable response to CAR T is associated with elevated activation and clonotypic expansion of the cytotoxic native T cell repertoire.

Giulia Cheloni, Dimitra Karagkouni, Yered Pita-Juarez, Daniela Torres, Eleni Kanata, Jessica Liegel, Zachary Avigan, Isabella Saldarriaga, Georges Chedid, Kathrine Rallis and 7 more

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

Trial report in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02348216 (A Phase 1/2 Multicenter Study Evaluating the Safety and Efficacy of KTE-C19 in Adults With Refractory Aggressive Non-Hodgkin Lymphoma), which is not on this map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing 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.

NCT02348216 phase1 / phase2completednot on this map

A Phase 1/2 Multicenter Study Evaluating the Safety and Efficacy of KTE-C19 in Adults With Refractory Aggressive Non-Hodgkin Lymphoma

TypeinterventionalSponsorKite, A Gilead CompanyRan2015 to 2023Enrolled307ConditionsRefractory Diffuse Large B Cell Lymphoma (DLBCL), Relapsed Diffuse Large B-Cell Lymphoma, Transformed Follicular Lymphoma (TFL), Primary Mediastinal B-cell Lymphoma (PMBCL)ArmsAxicabtagene Ciloleucel, Fludarabine, Cyclophosphamide, Levetiracetam, Tocilizumab
3 · Its place in the literature

Who cites it

17 citing papers in PubMed.

  1. Trial
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  4. Engineering the next generation of cellular therapies for solid tumors: multi-specific armored CARs and TME reprogramming strategies.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    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

17 authors.

Giulia Cheloni *Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Dimitra Karagkouni *Cancer Center, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Yered Pita-JuarezCancer Center, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Daniela TorresDepartment of Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Eleni KanataDepartment of Pathology, Beth Israel Deaconess Medical Center, Boston, MA, USA.ORCID http://orcid.org/0009-0009-2828-2226
Jessica LiegelDepartment of Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Zachary AviganDepartment of Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Isabella SaldarriagaDepartment of Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Georges ChedidDepartment of Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Kathrine RallisDepartment of Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Brodie MilesKite, a Gilead Company, Santa Monica, CA, USA.
Gayatri TiwariKite, a Gilead Company, Santa Monica, CA, USA.
Jenny KimKite, a Gilead Company, Santa Monica, CA, USA.
Mike MattieKite, a Gilead Company, Santa Monica, CA, USA.
Jacalyn RosenblattDepartment of Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Ioannis S VlachosCancer Center, Beth Israel Deaconess Medical Center, Boston, MA, USA.ORCID http://orcid.org/0000-0002-8849-808X
David AviganDepartment of Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA. davigan@bidmc.harvard.edu.ORCID http://orcid.org/0000-0003-4624-6017

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

While Chimeric Antigen Receptor (CAR) T cell therapy may result in durable remissions in recurrent large B cell lymphoma, persistence is limited and the mechanisms underlying long-term response are not fully elucidated. Using longitudinal single-cell immunoprofiling, here we compare the immune landscape in durable remission versus early relapse patients following CD19 CAR T cell infusion in the NCT02348216 (ZUMA-1) trial. Four weeks post-infusion, both cohorts demonstrate low circulating CAR T cells. We observe that long-term remission is associated with elevated native cytotoxic and proinflammatory effector cells, and post-infusion clonotypic expansion of effector memory T cells. Conversely, early relapse is associated with impaired NK cell cytotoxicity and elevated immunoregulatory cells, potentially dampening native T cell activation. Thus, we suggest that durable remission to CAR T is associated with a distinct T cell signature and pattern of clonotypic expansion within the native T cell compartment post-therapy, consistent with their contribution to the maintenance of response.

Indexed as

Immunotherapy, AdoptiveLymphoma, Large B-Cell, DiffuseReceptors, Chimeric AntigenT-Lymphocytes, CytotoxicAntigens, CD19FemaleHumansKiller Cells, NaturalLymphocyte ActivationMaleMiddle AgedReceptors, Antigen, T-CellRemission InductionAntigens, CD19Receptors, Antigen, T-CellReceptors, Chimeric Antigen

Identifiers

PMID40410132
PMCPMC12102275

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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.