Chimeric Antigen Receptor T Cells against CD19 for Multiple Myeloma
Open accessAbstract
A patient with refractory multiple myeloma received an infusion of CTL019 cells, a cellular therapy consisting of autologous T cells transduced with an anti-CD19 chimeric antigen receptor, after myeloablative chemotherapy (melphalan, 140 mg per square meter of body-surface area) and autologous stem-cell transplantation. Four years earlier, autologous transplantation with a higher melphalan dose (200 mg per square meter) had induced only a partial, transient response. Autologous transplantation followed by treatment with CTL019 cells led to a complete response with no evidence of progression and no measurable serum or urine monoclonal protein at the most recent evaluation, 12 months after treatment. This response was achieved despite the absence of CD19 expression in 99.95% of the patient's neoplastic plasma cells. (Funded by Novartis and others; ClinicalTrials.gov number, NCT02135406.).
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CAR T-cell therapy has demonstrated promising efficacy in B-cell hematologic malignancies.
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- Authors
- Garfall, A. L., Maus, M. V., Hwang, W.-T., Lacey, S. F., Mahnke, Y. D., Melenhorst, J. J., Zheng, Z., Vogl, D. T., Cohen, A. D., Weiss, B. M., Dengel, K., Kerr, N. D. S., Bagg, A., Levine, B. L., June, C. H., & Stadtmauer, E. A.
- Affiliations
- Abramson Cancer Center (US)
- ORCID
- Venue
- New England Journal of Medicine
- Publisher
- Massachusetts Medical Society
- Published
- 2015-09-10
- Volume
- 373
- Issue
- 11
- Pages
- 1040-1047
- ISSN
- 0028-4793 (ISSN-L)
- 1533-4406
- PMC
- PMC4646711
- OpenAlex
- W1647507681
- Cited by
- 624
- References
- 19
- Citations by year
- 2026: 12 · 2025: 17 · 2024: 30 · 2023: 60 · 2022: 55 · 2021: 61 · 2020: 69 · 2019: 68 · 2018: 65 · 2017: 86 · 2016: 90 · 2015: 10
- FWCI
- 36.54
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- New England Journal of Medicine (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Conquer Cancer Foundation
- Children's Hospital of Philadelphia
- University of Pennsylvania
- Institute for Translational Medicine and Therapeutics
- International Society for Advancement of Cytometry
- National Institutes of Health
- National Cancer Institute (R01CA165206, R01CA120409, K08CA166039, T32CA009615, K12CA076931, P30CA016520)
- Topics
- Health Sciences › Medicine › Oncology › CAR-T cell therapy research
- Health Sciences › Medicine › Hematology › Multiple Myeloma Research and Treatments
- Life Sciences › Immunology and Microbiology › Immunology › Immunotherapy and Immune Responses
- Keywords
- chimeric antigen receptor T cells, multiple myeloma, refractory multiple myeloma, autologous stem cell transplantation, myeloablative chemotherapy, melphalan, complete response, plasma cells
- MeSH terms
- Adult, Bone Marrow, Female, Humans, Multiple Myeloma, Receptors, Antigen, T-Cell, Remission Induction, Transplantation, Autologous, Antigens, CD19
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