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B-cell depletion and remissions of malignancy along with cytokine-associated toxicity in a clinical trial of anti-CD19 chimeric-antigen-receptor–transduced T cells

Open access
Kochenderfer, James N., Dudley, Mark E., Feldman, Steven A., Wilson, Wyndham H., Spaner, David E., Maric, Irina, Stetler-Stevenson, Maryalice, Phan, Giao Q., Hughes, Marybeth S., Sherry, Richard M., Yang, James C., Kammula, Udai S., Devillier, Laura, Carpenter, Robert, Nathan, Debbie-Ann N., Morgan, Richard A., Laurencot, Carolyn, Rosenberg, Steven A.·2012·Blood

Abstract

We conducted a clinical trial to assess adoptive transfer of T cells genetically modified to express an anti-CD19 chimeric Ag receptor (CAR). Our clinical protocol consisted of chemotherapy followed by an infusion of anti–CD19-CAR–transduced T cells and a course of IL-2. Six of the 8 patients treated on our protocol obtained remissions of their advanced, progressive B-cell malignancies. Four of the 8 patients treated on the protocol had long-term depletion of normal polyclonal CD19+ B-lineage cells. Cells containing the anti-CD19 CAR gene were detected in the blood of all patients. Four of the 8 treated patients had prominent elevations in serum levels of the inflammatory cytokines IFNγ and TNF. The severity of acute toxicities experienced by the patients correlated with serum IFNγ and TNF levels. The infused anti–CD19-CAR–transduced T cells were a possible source of these inflammatory cytokines because we demonstrated peripheral blood T cells that produced TNF and IFNγ ex vivo in a CD19-specific manner after anti–CD19-CAR–transduced T-cell infusions. Anti–CD19-CAR–transduced T cells have great promise to improve the treatment of B-cell malignancies because of a potent ability to eradicate CD19+ cells in vivo; however, reversible cytokine-associated toxicities occurred after CAR–transduced T-cell infusions. This trial was registered with ClinicalTrials.gov as NCT00924326.

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Metadata

Authors
Kochenderfer, J. N., Dudley, M. E., Feldman, S. A., Wilson, W. H., Spaner, D. E., Maric, I., Stetler-Stevenson, M., Phan, G. Q., Hughes, M. S., Sherry, R. M., Yang, J. C., Kammula, U. S., Devillier, L., Carpenter, R., Nathan, D.-A. N., Morgan, R. A., Laurencot, C., & Rosenberg, S. A.
Venue
Blood
Published
2012-03-22
Volume
119
Issue
12
Pages
2709-2720
ISSN
  • 0006-4971 (ISSN-L)
  • 1528-0020
OpenAlex
W1963522404
Cited by
1,440
References
4
FWCI
39.84
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: B-cell depletion and remissions of malignancy along with cytokine-associated toxicity in a clinical trial of anti-CD19 chimeric-antigen-receptor–transduced T cells. https://app.cochat.ai/papers/10.1182/blood-2011-10-384388
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Kochenderfer, J. N., Dudley, M. E., Feldman, S. A., Wilson, W. H., Spaner, D. E., Maric, I., Stetler-Stevenson, M., Phan, G. Q., Hughes, M. S., Sherry, R. M., Yang, J. C., Kammula, U. S., Devillier, L., Carpenter, R., Nathan, D.-A. N., Morgan, R. A., Laurencot, C., & Rosenberg, S. A. (2012). B-cell depletion and remissions of malignancy along with cytokine-associated toxicity in a clinical trial of anti-CD19 chimeric-antigen-receptor–transduced T cells. Blood. https://doi.org/10.1182/blood-2011-10-384388

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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