Evidence map›Paper›PMID 30880998›Full record

ReviewTherapeutics and clinical risk management2019

Current approaches in the grading and management of cytokine release syndrome after chimeric antigen receptor T-cell therapy.

Lara L Riegler, Gavin P Jones, Daniel W Lee

3 registry-linked trialsOpen access · goldAbstract readReview
In one paragraph

Review in Therapeutics and clinical risk management, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 69 papers.

0numbers the graph read from it
0cells of the map it votes in
69citing papers in PubMed
9.2field-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.

NCT05776875 phase2terminatednot on this mapstarted 2023, after this paper: background citation

Atezolizumab and Bevacizumab in Combination With TACE for Patients With BCLC B HCC

TypeinterventionalSponsorYale UniversityRan2023 to 2024Enrolled3ConditionsHepatocellular Carcinoma, BCLC Stage B Hepatocellular CarcinomaArmsAtezolizumab Injection, Bevacizumab, Transarterial chemoembolization
NCT06416436 phase1withdrawnnot on this mapstarted 2024, after this paper: background citation

Immunotherapy in Combination With Ablative Radiosurgery to Ultra-high DoSes (ICARUS): A Phase I Dose-escalation Radiosurgery Study in Metastatic Cancers

TypeinterventionalSponsorUniversity of Kansas Medical CenterRan2024 to 2024Enrolled0ConditionsSolid TumorArmsAtezolizumab, Stereotactic Ablative Radiotherapy (SBRT)
NCT07709637 phase1active not recruitingnot on this mapstarted 2025, after this paper: background citation

A Single Center, Open-Label, Phase I Study to Evaluate the Safety, Tolerance, and Efficacy of Allogeneic LB-DTK-COV19 Cells in Severe Coronavirus Disease 2019 Patients

TypeinterventionalSponsorLucasBioRan2025 to 2026Enrolled1ConditionsCOVID-19, COVID-19 (SARS-CoV-2 Infection)ArmsLB-DTK-COV19
3 · Its place in the literature

Who cites it

69 citing papers in PubMed, 137 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Review
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  8. Deep insight into cytokine storm: from pathogenesis to treatment.Signal transduction and targeted therapy · 2025
    Review
  9. Review
  10. Article
  11. Article
  12. Review
  13. Patient-reported outcomes after CAR T-cell therapy in patients with hematological malignancies.Hematology. American Society of Hematology. Education Program · 2024
    Review
  14. Review
  15. Review
  16. Article
  17. Managing side effects: guidance for use of immunotherapies in multiple myeloma.Hematology. American Society of Hematology. Education Program · 2023
    Review
  18. Early and Late Toxicities of Chimeric Antigen Receptor T-Cells.Hematology/oncology clinics of North America · 2023
    Review
  19. Review
  20. Article

9 more citing papers are in PubMed but not listed here.

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

3 authors at 1 institution in 1 country.

Lara L RieglerDivision of Pediatric Hematology/Oncology, Department of Pediatrics, University of Virginia, Charlottesville, VA, USA, dwl4q@virginia.edu.
Gavin P JonesSchool of Medicine, University of Virginia, Charlottesville, VA, USA.
Daniel W LeeDivision of Pediatric Hematology/Oncology, Department of Pediatrics, University of Virginia, Charlottesville, VA, USA, dwl4q@virginia.edu.
University of Virginia · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

With immunotherapy innovations for cancer treatment, in particular chimeric antigen receptor (CAR) T cells, becoming more successful and prevalent, strategies to mitigate and manage their toxicities are required. Anti-CD19 CAR T-cell therapy has revolutionized the treatment of relapsed/refractory pediatric and adult acute lymphoblastic leukemia and refractory adult non-Hodgkin lymphoma, resulting in the expanded use of CAR T cells in multicenter trials and as US FDA-approved products. Cytokine release syndrome (CRS) and CAR-associated neurotoxicity, which can occur independently or concurrently with CRS, are two potentially life-threatening toxicities of CAR T-cell therapy. In this review, we will focus on describing the pathophysiology behind CRS, the proposed definitions of and grading systems for CRS, and innovative options for treating this potentially lethal systemic inflammatory condition.

Indexed as

adoptive cellular immunotherapyCAR-associated neurotoxicityCD19 CAR T cellsImmune Effector Cell-Associated Neurotoxicity Syndromeleukemiatocilizumab

Identifiers

PMID30880998
PMCPMC6400118
OpenAlexW2917403768

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.