Evidence map›Paper›PMID 29032736›Full record

ArticleImmunotherapy2017

Coccidioidomycosis, immunoglobulin deficiency: safety challenges with CAR T cells therapy for relapsed lymphoma.

Umar Zahid, Al-Aman Shaukat, Nida Hassan, Faiz Anwer

Open access · greenAbstract readCase Reports
In one paragraph

Article in Immunotherapy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.6field-weighted citation impact, top 29% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 15 citations in OpenAlex.

  1. Review
  2. Review
  3. A Case of Gastrointestinal Coccidiomycosis With Bowel Perforation Secondary to Relapsing DLBCL.Journal of community hospital internal medicine perspectives · 2024
    Article
  4. Article
  5. Review
  6. Are chimeric antigen receptor T cells (CAR-T cells) the future in immunotherapy for autoimmune diseases?Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2021
    Review
  7. Article
  8. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 2 countries.

Umar ZahidDepartment of Medicine, Division of Hematology, Oncology, Blood and marrow transplantation, University of Arizona, Tucson, AZ 85724, USA.
Al-Aman ShaukatDepartment of Medicine, James Paget University Hospitals NHS Foundation Trust, Gorleston, Great Yarmouth, Norfolk, R31 6LA, UK.
Nida HassanHealth Services Administration, Mel & Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ 85724, USA.
Faiz AnwerDepartment of Medicine, Division of Hematology, Oncology, Blood and marrow transplantation, University of Arizona, Tucson, AZ 85724, USA.
University of Arizona · USJames Paget University Hospitals NHS Foundation Trust · GB

Funding

VITAMIN AP30CA023074 · NCI · UNIVERSITY OF ARIZONA · PI Justin M Snider · 1985 to 2026
$110.2M
NCI NIH HHS P30 CA023074
6 · The paper itself

Abstract

Treatment of patients with relapsed or refractory lymphoma may require allogenic hematopoietic stem cell transplant (HSCT), but treatment of post-transplant relapse disease remains very challenging. Donor lymphocyte infusion and blinatumomab have been used with limited success for the treatment of relapse. Initial data on donor-derived CAR T cells has shown this modality to be safe and highly effective in various hematological malignancies. We present a case of a patient with highly refractory, transformed follicular lymphoma who failed both autologous and allogenic HSCT. Patient achieved long-lasting complete remission with the use of donor origin CD19 CAR T-cell therapy, without any evidence of graft-versus-host disease flare. Our patient later developed disseminated coccidioidomycosis and persistent hypogammaglobulinemia. Immunotherapy using CD19 CAR T cells can be a highly effective salvage modality, especially in cases of focal lymphoma relapse. Long-term immunosuppression secondary to B cell lymphopenia, hypogammaglobulinemia, immunoglobulin subclass deficiency, fungal infections and other infectious complications need to be monitored and promptly treated as indicated.

Indexed as

Hematopoietic Stem Cell TransplantationAgammaglobulinemiaAgedAntigens, CD19CoccidioidesCoccidioidomycosisGenetic EngineeringHumansImmunotherapy, AdoptiveLymphoma, Large B-Cell, DiffuseMaleReceptors, Antigen, T-CellRecurrenceRemission InductionT-LymphocytesAntigens, CD19Receptors, Antigen, T-Cellcoccidioidomycosisdonor-derived CAR T cellimmunoglobulin deficiency

Identifiers

PMID29032736
PMCPMC6040055
OpenAlexW2766366159

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.