Evidence map›Paper›PMID 42235014›Full record

ArticleThe New England journal of medicine2026

Kidney Transplantation in Two Highly Sensitized Candidates after CAR T-Cell Therapy.

Vijay G Bhoj, Mary Kaminski, Huiwu Zhao, Kyle Jackson, Wei Wang, Chengyang Liu, Robert A Montgomery, Nicole Ali, Massimo Mangiola, Thomas R Spitzer and 27 more

2 registry-linked trialsAbstract readMulticenter StudyClinical Trial, Phase I
In one paragraph

Article in The New England journal of medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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.

NCT06056102 phase1recruitingnot on this map

Autologous Chimeric Antigen Receptor Engineered T Cell Immunotherapy for Desensitization in Patients Awaiting Kidney Transplantation

TypeinterventionalSponsorNational Institute of Allergy and Infectious Diseases (NIAID)Ran2024 to 2042Enrolled20ConditionsKidney Transplant, Kidney Failure, End Stage Renal Failure on DialysisArmsCyclophosphamide, CART-BCMA, huCART19, Fludarabine
NCT07689149 phase4not yet recruitingnot on this map

Safety and Efficacy of BiTE in Desensitization Therapy for Highly Sensitized Kidney Transplant Candidates With cPRA ≥ 90%

TypeinterventionalSponsorWest China HospitalRan2026 to 2029Enrolled20ConditionsKidney Transplantation Recipients, HLA SensitizationArmsBiTE (CD19 x CD3 Bispecific Antibody), BiTE (BCMA x CD3 Bispecific Antibody)
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Reshaping the landscape of HLA desensitization through immune engineering.Transplant international : official journal of the European Society for Organ Transplantation · 2026
    Article
  4. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

37 authors.

Vijay G BhojDepartment of Pathology and Laboratory Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia.
Mary KaminskiDepartment of Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia.
Huiwu ZhaoDepartment of Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia.
Kyle JacksonDepartment of Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia.
Wei WangDepartment of Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia.
Chengyang LiuDepartment of Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia.
Robert A MontgomeryDepartment of Surgery, New York University Grossman School of Medicine, New York.
Nicole AliDepartment of Medicine, New York University Grossman School of Medicine, New York.
Massimo MangiolaDepartment of Pathology, New York University Grossman School of Medicine, New York.
Thomas R SpitzerDepartment of Medicine, Harvard Medical School, Boston.
Kassem SafaDepartment of Medicine, Harvard Medical School, Boston.
Vikram PattanayakDepartment of Pathology, Harvard Medical School, Boston.
Raeda TajDepartment of Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia.ORCID 0000-0003-0602-8015
Joy ChiuDepartment of Microbiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia.
Thanh-Mai BuiDepartment of Pathology and Laboratory Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia.
Elizabeth M SonnenbergDepartment of Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia.
James F MarkmannDepartment of Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia.
Michael C MiloneDepartment of Pathology and Laboratory Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia.
Carl H JuneDepartment of Pathology and Laboratory Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia.ORCID 0000-0003-0241-3557
Don L SiegelDepartment of Pathology and Laboratory Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia.
Joseph A FraiettaDepartment of Pathology and Laboratory Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia.
Vanessa GonzalezDepartment of Pathology and Laboratory Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia.
Michela LocciDepartment of Microbiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia.
Matthew PalmerDepartment of Pathology and Laboratory Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia.
Dimitri MonosDepartment of Pathology and Laboratory Medicine, Children's Hospital of Philadelphia, Philadelphia.
Wei-Ting HwangDepartment of Biostatistics and Epidemiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia.
Tina SledgeDivision of Allergy, Immunology, and Transplantation, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD.
Nancy D BridgesDivision of Allergy, Immunology, and Transplantation, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD.
Julia S GoldsteinDivision of Allergy, Immunology, and Transplantation, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD.
Jonah OdimDivision of Allergy, Immunology, and Transplantation, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD.
Stuart C SweetDivision of Allergy, Immunology, and Transplantation, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD.
Behdad D BesharatianDepartment of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia.
Sabiha M HussainDepartment of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia.
Nicholas K BrownDepartment of Pathology and Laboratory Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia.
Malek KamounDepartment of Pathology and Laboratory Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia.
Alfred L GarfallDepartment of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia.ORCID 0000-0003-2791-5748
Ali NajiDepartment of Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia.

Funding

Autologous chimeric antigen receptor engineered T cell immunotherapy for desensitization in patients awaiting kidney transplantationU01AI163087 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI Vijay Bhoj, Alfred L. Garfall · 2021 to 2026
$19.2M
National Institute of Allergy and Infectious Diseases CTOT U01-AI163087NIAID NIH HHS U01 AI163087
6 · The paper itself

Abstract

HLA sensitization poses a major challenge to kidney transplantation for patients with end-stage kidney disease, especially for highly sensitized candidates. Attempts at antibody elimination (desensitization) have had inconsistent efficacy and have often failed to produce sustained reductions in anti-HLA antibodies in patients with the highest level of sensitization (calculated panel-reactive antibody score, ≥99.9%). We now report the results for the safety run-in cohort of a multicenter phase 1 clinical study evaluating the safety and efficacy of combined CD19-targeted and B-cell maturation antigen (BCMA)-targeted chimeric antigen receptor (CAR) T cells in eliminating the cellular sources of preformed anti-HLA antibodies (ClinicalTrials.gov number, NCT06056102). Kidney transplantation was performed in two highly sensitized candidates after desensitization with the use of dual CAR T-cell therapy.

Indexed as

Desensitization, ImmunologicGraft RejectionHLA AntigensImmunotherapy, AdoptiveIsoantibodiesKidney Failure, ChronicKidney TransplantationAntigens, CD19HumansMaleMiddle AgedPlasmapheresisReceptors, Chimeric AntigenT-LymphocytesAntigens, CD19HLA AntigensIsoantibodiesReceptors, Chimeric Antigen

Identifiers

PMID42235014
PMCPMC13240644

What OpenQuestion holds

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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.