CD19-targeted T cells rapidly induce molecular remissions in adults with chemotherapy-refractory acute lymphoblastic leukemia
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Five adults with chemotherapy-refractory B-ALL were induced into molecular remissions after treatment with CD19 CAR-targeted T cells.
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All approved CAR T-cell products are second-generation CARs that incorporate CD28 or CD137 (4-1BB) co-stimulatory signals.
“All approved CAR T-cell products are second-generation CARs that incorporate CD28 or CD137 (4-1BB) co-stimulatory signals, which are essential for eliciting effector and memory cell expansion and persistence and a clinically relevant immune response (9-15).”
From Scalable Manufacturing of CAR T Cells for Cancer Immunotherapy (2021) · cites this paper as [10]
The Introduction identifies the study’s CD28-containing CAR as second-generation, and the Discussion describes a second-generation CAR containing 4-1BB. Neither section establishes that all approved CAR T-cell products use one of these designs; the paper discusses clinical studies rather than approved products. Page numbers are not available in our copy. (LLM, conf=0.86)
Experimental — accuracy not yet measuredMost clinical protocols and all commercially approved therapies have relied on viral vectors to deliver CAR transgenes into T cells.
“Further, most clinical protocols, and all the commercially approved therapies, have relied on viral vectors to deliver CAR transgenes into T cells (9-14,24-26).”
From Scalable Manufacturing of CAR T Cells for Cancer Immunotherapy (2021) · cites this paper as [10]
Materials and Methods (Generation of 19-28z CAR modified T cells; page unavailable) says the trial's T cells were transduced with gammaretroviral 19-28z supernatant, supporting this protocol as an example of viral-vector delivery. The paper does not establish that most clinical protocols or all commercially approved CAR-T therapies use viral vectors. (LLM, conf=0.88)
Experimental — accuracy not yet measuredMost CAR T cell trials to date have used autologous peripheral blood and apheresis as the main cell sources for manufacturing.
“First, most CAR T cell trials to date have used autologous peripheral blood and apheresis as the main cell sources for manufacturing (9-18,21,22).”
From Scalable Manufacturing of CAR T Cells for Cancer Immunotherapy (2021) · cites this paper as [10]
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Mikkilineni, L., Natrakul, D. A., Lam, N., Manasanch, E. E., Mann, J., Weissler, K. A., Wong, N., Brudno, J. N., Goff, S. L., Yang, J. C., et al. (2024) · Molecular Therapy · doi:10.1016/j.ymthe.2023.12.018 · Cited by 16 · see citing works
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- Authors
- Brentjens, R. J., Davila, M. L., Riviere, I., Park, J., Wang, X., Cowell, L. G., Bartido, S., Stefanski, J., Taylor, C., Olszewska, M., Borquez-Ojeda, O., Qu, J., Wasielewska, T., He, Q., Bernal, Y., Rijo, I. V., Hedvat, C., Kobos, R., Curran, K., Steinherz, P., Jurcic, J., Rosenblat, T., Maslak, P., Frattini, M., & Sadelain, M.
- Affiliations
- Memorial Sloan Kettering Cancer Center (US)
- Department of Medicine, Memorial Sloan-Kettering Cancer Center, New York, NY 10065, USA.
- The University of Texas Southwestern Medical Center (US)
- Cell Therapy and Cell Engineering Facility, Memorial Sloan-Kettering Cancer Center, New York, NY 10065, USA.
- Corresponding author
- Brentjens, Renier J.
- Davila, Marco L.
- Sadelain, Michel
- ORCID
- Venue
- Science Translational Medicine
- Published
- 2013-03-20
- Volume
- 5
- Issue
- 177
- Pages
- 177ra38-177ra38
- ISSN
- 1946-6234 (ISSN-L)
- 1946-6242
- PMC
- PMC3742551
- OpenAlex
- W2130338247
- Cited by
- 2,063
- References
- 0
- Citations by year
- 2026: 38 · 2025: 89 · 2024: 110 · 2023: 126 · 2022: 133 · 2021: 157 · 2020: 195 · 2019: 207 · 2018: 221 · 2017: 191 · 2016: 188 · 2015: 172 · 2014: 134 · 2013: 93 · 2012: 4
- FWCI
- 104.85
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Science Translational Medicine (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Cancer Institute (K08CA148821, P30CA008748, P30CA076292, T32CA009207, R25CA020449)
- National Institute of Allergy and Infectious Diseases (R01AI097403)
- Topics
- Health Sciences › Medicine › Oncology › CAR-T cell therapy research
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Acute Lymphoblastic Leukemia research
- Life Sciences › Immunology and Microbiology › Immunology › Immunotherapy and Immune Responses
- Keywords
- CD19 CAR T cells, relapsed B-cell acute lymphoblastic leukemia, minimal residual disease, molecular remission, cytokine release syndrome, autologous T cell therapy, refractory leukemia
- MeSH terms
- Adult, Aged, Cells, Cultured, Female, Humans, Immunotherapy, Male, Middle Aged, T-Lymphocytes, Treatment Outcome, Antigens, CD19, Precursor Cell Lymphoblastic Leukemia-Lymphoma, Young Adult
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