Evidence map›Paper›PMID 24876563›Full record

ArticleBlood2014

Current concepts in the diagnosis and management of cytokine release syndrome.

Daniel W Lee, Rebecca Gardner, David L Porter, Chrystal U Louis, Nabil Ahmed, Michael Jensen, Stephan A Grupp, Crystal L Mackall

Erratum issued 8 registry-linked trialsAbstract readCase Reports
In one paragraph

Article in Blood, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to 8 registered trials, which are not on this map. Cited by 1,636 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1,636citing papers in PubMed, 4 pooled it
47.7field-weighted citation impact, top 1% of its field
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.

NCT02601313 phase2completednot on this mapstarted 2015, after this paper: background citation

A Phase 2 Multicenter Study Evaluating the Efficacy of KTE-X19 in Subjects With Relapsed/Refractory Mantle Cell Lymphoma

TypeinterventionalSponsorKite, A Gilead CompanyRan2015 to 2023Enrolled105ConditionsRelapsed/Refractory Mantle Cell LymphomaArmsbrexucabtagene autoleucel, Cyclophosphamide, Fludarabine, Axicabtagene Ciloleucel
NCT03605589 phase1withdrawnnot on this mapstarted 2018, after this paper: background citation

A Pilot Study of Blinatumomab in Combination With a PD1 Inhibitor, Pembrolizumab, in Pediatric and Young Adult Patients With Relapsed/Refractory CD19 Positive B-cell Acute Leukemia or Lymphoma

TypeinterventionalSponsorChildren's Hospital Medical Center, CincinnatiRan2018 to 2022Enrolled0ConditionsLeukemia, B-cell, Lymphoma, B-CellArmsBlinatumomab, Pembrolizumab
NCT03672305 early_phase1unknown statusnot on this mapstarted 2018, after this paper: background citation

Single-center, Open Clinical Study on the Efficacy and Safety of c-Met/PD-L1 Chimeric Antigen Receptor T Cell Injection in the Treatment of Primary Hepatocellular Carcinoma

TypeinterventionalSponsorThe Second Hospital of Nanjing Medical UniversityRan2018 to 2019Enrolled50ConditionsPrimary Hepatocellular CarcinomaArmsc-Met/PD-L1 CAR-T cell injection
NCT03751072 completednot on this mapstarted 2018, after this paper: background citation

Efficacy and Toxicity of Blinatumomab in the French Compassionate Use Program (ATU) for Adult Patients With B-cell Precursor Acute Lymphoblastic Leukemia (BCP-ALL) Refractory, in Relapse, or With Positive Minimal Residual Disease.

TypeobservationalSponsorGroup for Research in Adult Acute Lymphoblastic LeukemiaRan2018 to 2019Enrolled92ConditionsAcute Lymphoblastic Leukemia, in Relapse, Acute Lymphoblastic Leukemia With Failed Remission
NCT03919240 phase1 / phase2active not recruitingnot on this mapstarted 2015, after this paper: background citation

CD19-targeting Chimeric Antigen Receptor T-cell Therapy for Patients With Refractory and Relapsed B-cell Acute Lymphoblastic Leukemia

TypeinterventionalSponsorThe First Affiliated Hospital of Soochow UniversityRan2015 to 2027Enrolled196ConditionsAcute Lymphoblastic Leukemia With Failed RemissionArmsCAR T-cell therapy
NCT04598334 unknown statusnot on this mapstarted 2022, after this paper: background citation

Investigating the Inflammatory Cytokines and Cytokine Storm Among Bangladeshi Patients With COVID-19: a Prospective, Observational Study

TypeobservationalSponsorInternational Centre for Diarrhoeal Disease Research, BangladeshRan2022 to 2022Enrolled75ConditionsCytokine Storm, COVID-19
NCT07319676 phase1 / phase2recruitingnot on this mapstarted 2026, after this paper: background citation

Antigen Targeted T Cell Therapy for Relapsed/Refractory B Cell Lymphomas

TypeinterventionalSponsorNational University Hospital, SingaporeRan2026 to 2040Enrolled30ConditionsB-cell Lymphoma RefractoryArmsCART infusion
NCT07390071 narecruitingnot on this mapstarted 2025, after this paper: background citation

Multimodal Telerehabilitation in Patients Undergoing CAR-T Cell Immunotherapy

TypeinterventionalSponsorUniversity of UtahRan2025 to 2029Enrolled40ConditionsLymphoma, Myeloma, Cytokine Release Syndrome, Immune Effector Cell Associated Neurotoxicity SyndromeArmsHome Automated Telemanagement (HAT) Patient Unit
3 · Its place in the literature

Who cites it

1,636 citing papers in PubMed, 4 syntheses or guidelines pooled it, 2,742 citations in OpenAlex.

  1. Pooled it
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  6. Axicabtagene Ciloleucel in Combination with Atezolizumab in Patients with Refractory Diffuse Large B-Cell Lymphoma: The Phase 1/2 ZUMA-6 Trial.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
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1,576 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 1 country.

Daniel W LeePediatric Oncology Branch, National Cancer Institute, Bethesda, MD;
Rebecca GardnerSeattle Children's Hospital, Seattle, WA;
David L PorterDivision of Hematology-Oncology, University of Pennsylvania, Philadelphia, PA;
Chrystal U LouisTexas Children's Hospital, Center for Cell and Gene Therapy, Baylor College of Medicine, Houston, TX; and.
Nabil AhmedTexas Children's Hospital, Center for Cell and Gene Therapy, Baylor College of Medicine, Houston, TX; and.
Michael JensenSeattle Children's Hospital, Seattle, WA;
Stephan A GruppDivision of Hematology-Oncology, University of Pennsylvania, Philadelphia, PA; Children's Hospital of Philadelphia Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Crystal L MackallPediatric Oncology Branch, National Cancer Institute, Bethesda, MD;
National Cancer Institute · USSeattle Children's Hospital · USUniversity of Pennsylvania · USBaylor College of Medicine · USTexas Children's Hospital · US

Funding

Tissue ResourceP50CA126752 · NCI · BAYLOR COLLEGE OF MEDICINE · PI Leonid S Metelitsa · 2007 to 2026
$51.4M
VECTOR PRODUCTIONP01CA094237 · NCI · BAYLOR COLLEGE OF MEDICINE · PI HESLOP, HELEN E, ROONEY, CLIONA M. · 2002 to 2017
$27.8M
Clinical Trials of Immunotherapies for Childhood CancerZIABC011498 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI MACKALL, CRYSTAL · 2013 to 2015
$2.9M
Intramural NIH HHSNCI NIH HHS P01 CA094237NCI NIH HHS P50 CA126752
6 · The paper itself

Abstract

As immune-based therapies for cancer become potent, more effective, and more widely available, optimal management of their unique toxicities becomes increasingly important. Cytokine release syndrome (CRS) is a potentially life-threatening toxicity that has been observed following administration of natural and bispecific antibodies and, more recently, following adoptive T-cell therapies for cancer. CRS is associated with elevated circulating levels of several cytokines including interleukin (IL)-6 and interferon γ, and uncontrolled studies demonstrate that immunosuppression using tocilizumab, an anti-IL-6 receptor antibody, with or without corticosteroids, can reverse the syndrome. However, because early and aggressive immunosuppression could limit the efficacy of the immunotherapy, current approaches seek to limit administration of immunosuppressive therapy to patients at risk for life-threatening consequences of the syndrome. This report presents a novel system to grade the severity of CRS in individual patients and a treatment algorithm for management of CRS based on severity. The goal of our approach is to maximize the chance for therapeutic benefit from the immunotherapy while minimizing the risk for life threatening complications of CRS.

Indexed as

ChildCytokinesFemaleHumansImmune System DiseasesLeukemiaParaneoplastic SyndromesYoung AdultCytokines

Identifiers

PMID24876563
PMCPMC4093680
OpenAlexW2082708772

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

and 2 more above

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.