Evidence map›Paper›PMID 41146230›Full record

ReviewJournal of hematology & oncology2025

Challenges and limitations of chimeric antigen receptor T-cell therapies in solid tumors: why are approvals restricted to hematologic malignancies?

Manh-Cuong Vo, Van-Dinh-Huan Tran, Van-Tan Nguyen, Nodirjon Ruzimurodov, Dung Tran Trung, Sang Ki Kim, Sung-Hoon Jung, Je-Jung Lee

Abstract readReview
In one paragraph

Review in Journal of hematology & oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing 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

25 citing papers in PubMed.

  1. Review
  2. Head and neck squamous cell carcinoma: current and emerging therapeutic strategies.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 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

8 authors.

Manh-Cuong VoInstitute of Research and Development, Duy Tan University, Danang, Vietnam.
Van-Dinh-Huan TranResearch Center for Cancer Immunotherapy, Chonnam National University Hwasun Hospital, Hwasun, Jeollanamdo, Republic of Korea.
Van-Tan NguyenResearch Center for Cancer Immunotherapy, Chonnam National University Hwasun Hospital, Hwasun, Jeollanamdo, Republic of Korea.
Nodirjon RuzimurodovInstitute of Immunology and Human Genomics, Academy of Sciences, Tashkent, Uzbekistan.
Dung Tran TrungCenter of Orthopaedic and Sport Medicine, Vinmec Healthcare System and VinUniversity, Hanoi, Vietnam.
Sang Ki KimResearch Center for Cancer Immunotherapy, Chonnam National University Hwasun Hospital, Hwasun, Jeollanamdo, Republic of Korea.
Sung-Hoon JungResearch Center for Cancer Immunotherapy, Chonnam National University Hwasun Hospital, Hwasun, Jeollanamdo, Republic of Korea. shglory@hanmail.net.
Je-Jung LeeResearch Center for Cancer Immunotherapy, Chonnam National University Hwasun Hospital, Hwasun, Jeollanamdo, Republic of Korea. drjejung@chonnam.ac.kr.

Funding

National Research Foundation of Korea No. RS-2023-00207920
6 · The paper itself

Abstract

Chimeric antigen receptor T-cell (CAR-T) therapy has revolutionized the treatment of hematologic malignancies, offering a highly personalized and potent immunotherapeutic approach. To date, the U.S. Food and Drug Administration has approved seven CAR-T therapies targeting CD19 and B-cell maturation antigen; each demonstrated remarkable clinical efficacy across various hematologic malignancies. Despite significant advancements in preclinical studies and clinical trials, no CAR-T therapy has been approved for solid tumors, which account for the majority of cancer cases worldwide. These key challenges include the lack of distinct and accessible target antigens, the immunosuppressive tumor microenvironment (TME) that impairs immune cell efficacy, the heterogeneity of solid tumors that complicates treatment uniformity, and the potential risks of off-tumor toxicity. These obstacles represent a complex array of biological and clinical obstacles, distinct from the more favorable immune environment of hematologic cancers that has been pivotal to the success of CAR-T therapy. Preclinical studies in multiple myeloma emphasize memory T-cell optimization and combinatorial strategies to enhance CAR-T efficacy in solid tumors. Our review emphasizes innovative strategies to address these key challenges in CAR-T therapy for solid tumors, including advanced multi-antigen targeting approaches, reprogramming of the TME, and the development of next-generation safety measures to mitigate toxicity risks. By addressing both scientific and clinical obstacles, this review envisions a future in which CAR-T therapy's full potential extends beyond hematologic malignancies, transforming the landscape of oncology and improving outcomes for patients with solid tumors.

Indexed as

Hematologic NeoplasmsImmunotherapy, AdoptiveNeoplasmsReceptors, Chimeric AntigenAnimalsHumansTumor MicroenvironmentReceptors, Chimeric Antigen

Identifiers

PMID41146230
PMCPMC12557894

What OpenQuestion holds

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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.