2011
DOI: 10.1038/mt.2010.272
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T Cells Targeting Carcinoembryonic Antigen Can Mediate Regression of Metastatic Colorectal Cancer but Induce Severe Transient Colitis

Abstract: Autologous T lymphocytes genetically engineered to express a murine T cell receptor (TCR) against human carcinoembryonic antigen (CEA) were administered to three patients with metastatic colorectal cancer refractory to standard treatments. All patients experienced profound decreases in serum CEA levels (74-99%), and one patient had an objective regression of cancer metastatic to the lung and liver. However, a severe transient inflammatory colitis that represented a dose limiting toxicity was induced in all thr… Show more

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Cited by 872 publications
(727 citation statements)
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“…The provision of characterized TCRs with different tumor antigen specificities and HLA restrictions may fuel the development of therapies based on vaccination or adoptive transfer of TCR-engineered T cells that have recently led to promising results (48)(49)(50).…”
Section: Discussionmentioning
confidence: 99%
“…The provision of characterized TCRs with different tumor antigen specificities and HLA restrictions may fuel the development of therapies based on vaccination or adoptive transfer of TCR-engineered T cells that have recently led to promising results (48)(49)(50).…”
Section: Discussionmentioning
confidence: 99%
“…redirected PBLs can mediate tumor regression and may have a significant advantage over TILs in that PBLs can be targeted to a variety of cancers on the basis of the availability of a tumor-specific TCR or CAR ( Johnson et al, 2006( Johnson et al, , 2009Morgan et al, 2006;Brentjens et al, 2011;Kochenderfer et al, 2011;Parkhurst et al, 2011;Porter et al, 2011;Robbins et al, 2011;Savoldo et al, 2011).…”
Section: Discussionmentioning
confidence: 99%
“…For ex vivo gene therapy protocols, peripheral blood lymphocytes (PBLs) can be genetically modified to express a tumor-reactive T cell receptor (TCR) or chimeric antigen receptor (CAR) directed against antigens including, but not limited to, MART (melanoma antigen recognized by T cells)-1, gp100, carcinoembryonic antigen (CEA), NY-ESO-1, CD19, or other tumor antigens. In initial phase I/II clinical trials with limited numbers of patients treated, response rates ranged between 13 and 100% (Morgan et al, 2006;Kochenderfer et al, 2010;Kalos et al, 2011;Parkhurst et al, 2011;Porter et al, 2011;Robbins et al, 2011). Importantly, genetically modified PBLs can mediate tumor regression and can be redirected against a variety of cancers on the basis of the availability of tumorspecific TCRs or CARs.…”
Section: Introductionmentioning
confidence: 99%
“…Since then, other trials have tested TCRs against other antigens, including gp100 in melanoma (13), carcinoembryonic antigen (CEA) in colorectal cancer (14), and NY-ESO-1 (15) and MAGE-A3 (16) in melanoma and synovial sarcoma. Clinical responses were observed across trials.…”
Section: Tcr T Cells Tcr T Cells Are T Cells Cloned With Tcrs In Whichmentioning
confidence: 99%