Evidence map›Paper›PMID 40818458›Full record

ArticleCell reports. Medicine2025

Chlorotoxin-directed CAR T cell therapy for recurrent glioblastoma: Interim clinical experience demonstrating feasibility and safety.

Michael E Barish, Maryam Aftabizadeh, Jonathan Hibbard, M Suzette Blanchard, Julie R Ostberg, Jamie R Wagner, Mishika Manchanda, Jinny Paul, Tracy Stiller, Brenda Aguilar and 10 more

Registry-linked trialAbstract readClinical Trial, Phase I
In one paragraph

Article in Cell reports. 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 NCT04214392 (A Phase 1 Study to Evaluate Chimeric Antigen Receptor), which is not on this map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 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.

NCT04214392 phase1active not recruitingnot on this map

A Phase 1 Study to Evaluate Chimeric Antigen Receptor (CAR) T Cells With a Chlorotoxin Tumor-Targeting Domain for Patients With MMP2+ Recurrent or Progressive Glioblastoma

TypeinterventionalSponsorCity of Hope Medical CenterRan2020 to 2028Enrolled19ConditionsRecurrent Glioblastoma, Recurrent Malignant Glioma, Recurrent WHO Grade II Glioma, Recurrent WHO Grade III GliomaArmsChlorotoxin (EQ)-CD28-CD3zeta-CD19t-expressing CAR T-lymphocytes (via ICT delivery), Chlorotoxin (EQ)-CD28-CD3zeta-CD19t-expressing CAR T-lymphocytes (via ICT/ICV dual delivery)
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  11. Current Status and Evolution of Immunotherapy in Glioma Management.International journal of medical sciences · 2026
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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

20 authors.

Michael E BarishDepartment of Stem Cell Biology & Regenerative Medicine, City of Hope Beckman Research Institute and Medical Center, Duarte, CA 91010, USA.
Maryam AftabizadehDepartment of Hematology & Hematopoietic Cell Transplantation (T Cell Therapeutics Research Laboratories), City of Hope Beckman Research Institute and Medical Center, Duarte, CA 91010, USA.
Jonathan HibbardDepartment of Hematology & Hematopoietic Cell Transplantation (T Cell Therapeutics Research Laboratories), City of Hope Beckman Research Institute and Medical Center, Duarte, CA 91010, USA.
M Suzette BlanchardDepartment of Computational and Quantitative Medicine, City of Hope Beckman Research Institute and Medical Center, Duarte, CA 91010, USA.
Julie R OstbergDepartment of Hematology & Hematopoietic Cell Transplantation (T Cell Therapeutics Research Laboratories), City of Hope Beckman Research Institute and Medical Center, Duarte, CA 91010, USA.
Jamie R WagnerDepartment of Hematology & Hematopoietic Cell Transplantation (T Cell Therapeutics Research Laboratories), City of Hope Beckman Research Institute and Medical Center, Duarte, CA 91010, USA.
Mishika ManchandaDepartment of Hematology & Hematopoietic Cell Transplantation (T Cell Therapeutics Research Laboratories), City of Hope Beckman Research Institute and Medical Center, Duarte, CA 91010, USA.
Jinny PaulDepartment of Hematology & Hematopoietic Cell Transplantation (T Cell Therapeutics Research Laboratories), City of Hope Beckman Research Institute and Medical Center, Duarte, CA 91010, USA.
Tracy StillerDepartment of Computational and Quantitative Medicine, City of Hope Beckman Research Institute and Medical Center, Duarte, CA 91010, USA.
Brenda AguilarDepartment of Hematology & Hematopoietic Cell Transplantation (T Cell Therapeutics Research Laboratories), City of Hope Beckman Research Institute and Medical Center, Duarte, CA 91010, USA.
Renate StarrDepartment of Hematology & Hematopoietic Cell Transplantation (T Cell Therapeutics Research Laboratories), City of Hope Beckman Research Institute and Medical Center, Duarte, CA 91010, USA.
Leonidas ArvanitisDepartment of Pathology, City of Hope Beckman Research Institute and Medical Center, Duarte, CA 91010, USA.
Julie A ResslerDepartment of Diagnostic Radiology, City of Hope Beckman Research Institute and Medical Center, Duarte, CA 91010, USA.
Julie KilpatrickDepartment of Clinical Research, City of Hope Beckman Research Institute and Medical Center, Duarte, CA 91010, USA.
Yuthana KongDivision of Neurosurgery, City of Hope Beckman Research Institute and Medical Center, Duarte, CA 91010, USA.
Dongrui WangDepartment of Hematology & Hematopoietic Cell Transplantation (T Cell Therapeutics Research Laboratories), City of Hope Beckman Research Institute and Medical Center, Duarte, CA 91010, USA.
Stephen J FormanDepartment of Hematology & Hematopoietic Cell Transplantation (T Cell Therapeutics Research Laboratories), City of Hope Beckman Research Institute and Medical Center, Duarte, CA 91010, USA.
Massimo D'ApuzzoDepartment of Pathology, City of Hope Beckman Research Institute and Medical Center, Duarte, CA 91010, USA.
Christine E BrownDepartment of Hematology & Hematopoietic Cell Transplantation (T Cell Therapeutics Research Laboratories), City of Hope Beckman Research Institute and Medical Center, Duarte, CA 91010, USA. Electronic address: cbrown@coh.org.
Behnam BadieDivision of Neurosurgery, City of Hope Beckman Research Institute and Medical Center, Duarte, CA 91010, USA. Electronic address: bbadie@coh.org.

Funding

Transgenic Mouse FacilityP30CA033572 · NCI · CITY OF HOPE/BECKMAN RESEARCH INSTITUTE · PI John Charles Williams · 1985 to 2026
$86.3M
Clinical Evaluation of Chlorotoxin-redirected Chimeric Antigen Receptor (CAR) T cells for Treatment of GlioblastomaR01CA254271 · NCI · BECKMAN RESEARCH INSTITUTE/CITY OF HOPE · PI BADIE, BEHNAM, BROWN, CHRISTINE · 2020 to 2024
$3.7M
Improving Glioma Immunotherapy Efficacy by Regulating Tumor InflammationR01NS134116 · NINDS · BECKMAN RESEARCH INSTITUTE/CITY OF HOPE · PI Behnam Badie · 2023 to 2026
$2.2M
PURPOSE OF THE NGVB CONTRACT IS TO CONTINUE SUPPORTING GENE THERAPY RESEARCH.75N92019D00018 · OD · INDIANA UNIVERSITY INDIANAPOLIS · 2019 to 2023
$1.7M
NCI NIH HHS P30 CA033572NCI NIH HHS R01 CA254271NHLBI NIH HHS 75N92019D00018NINDS NIH HHS R01 NS134116
6 · The paper itself

Abstract

A challenge in treating glioblastoma (GBM) is its phenotypic heterogeneity between patients and within tumors. Chlorotoxin (CLTX), a peptide from scorpion venom, broadly binds glioma cells through a mechanism involving surface matrix metalloproteinase-2 (MMP-2). We previously developed chimeric antigen receptor (CAR) T cells incorporating CLTX as the GBM recognition domain. Here, we report interim clinical experience of a phase 1 trial evaluating intracavity/intratumoral (ICT) delivery of CLTX-CAR T cells in four patients with MMP-2-expressing recurrent GBM (NCT04214392), with the primary objectives of feasibility and safety. The therapy is well tolerated with no dose-limiting toxicities. Three of the four participants (75%) exhibit a best response of stable disease. CLTX-CAR T cells are detected in the tumor cavity fluid and at lower levels in the blood. Human anti-CAR antibody assays do not detect humoral immunogenicity against the CLTX-CAR. These observations support further clinical evaluation of CLTX-CAR therapy.

Indexed as

Brain NeoplasmsGlioblastomaImmunotherapy, AdoptiveNeoplasm Recurrence, LocalReceptors, Chimeric AntigenScorpion VenomsT-LymphocytesAdultAgedFeasibility StudiesFemaleHumansMaleMatrix Metalloproteinase 2Middle AgedChlorotoxinMatrix Metalloproteinase 2Receptors, Chimeric AntigenScorpion Venomschimeric antigen receptorchlorotoxinimmunotherapyphase 1 clinical trialT cells

Identifiers

PMID40818458
PMCPMC12432350

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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.