Evidence map›Paper›PMID 31648329›Full record

ArticleBlood advances2019

Safety of allogeneic hematopoietic cell transplant in adults after CD19-targeted CAR T-cell therapy.

Mazyar Shadman, Jordan Gauthier, Kevin A Hay, Jenna M Voutsinas, Filippo Milano, Ang Li, Alexandre V Hirayama, Mohamed L Sorror, Sindhu Cherian, Xueyan Chen and 6 more

Open access · goldAbstract read
In one paragraph

Article in Blood advances, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed, 2 pooled it
5.7field-weighted citation impact, top 3% 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

57 citing papers in PubMed, 2 syntheses or guidelines pooled it, 100 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Trial
  4. Trial
  5. Review
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Review
  12. Review
  13. Article
  14. Article
  15. Managing Invasive Fungal Infections During Allogeneic Hematopoietic Transplantation: A 2025 Update.Mediterranean journal of hematology and infectious diseases · 2025
    Review
  16. Transplant in ALL: who, when, and how?Hematology. American Society of Hematology. Education Program · 2024
    Review
  17. Review
  18. Review
  19. Review
  20. Observational
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

16 authors at 3 institutions in 2 countries.

Mazyar ShadmanClinical Research Division, Fred Hutch, Seattle, WA.
Jordan GauthierClinical Research Division, Fred Hutch, Seattle, WA.
Kevin A HayDepartment of Medicine, University of British Columbia, Vancouver, BC, Canada; and.
Jenna M VoutsinasClinical Research Division, Fred Hutch, Seattle, WA.
Filippo MilanoClinical Research Division, Fred Hutch, Seattle, WA.
Ang LiClinical Research Division, Fred Hutch, Seattle, WA.
Alexandre V HirayamaClinical Research Division, Fred Hutch, Seattle, WA.
Mohamed L SorrorClinical Research Division, Fred Hutch, Seattle, WA.
Sindhu CherianDepartment of Laboratory Medicine, University of Washington, Seattle, WA.
Xueyan ChenDepartment of Laboratory Medicine, University of Washington, Seattle, WA.
Ryan D CassadayClinical Research Division, Fred Hutch, Seattle, WA.
Brian G TillClinical Research Division, Fred Hutch, Seattle, WA.
Ajay K GopalClinical Research Division, Fred Hutch, Seattle, WA.
Brenda M SandmaierClinical Research Division, Fred Hutch, Seattle, WA.
David G MaloneyClinical Research Division, Fred Hutch, Seattle, WA.
Cameron J TurtleClinical Research Division, Fred Hutch, Seattle, WA.
University of Washington · USFred Hutch Cancer Center · USUniversity of British Columbia · CA

Funding

Translational Bioimaging Core Shared ResourceP30CA015704 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI Marian Esvelt · 1985 to 2026
$296.4M
NCI NIH HHS P30 CA015704
6 · The paper itself

Abstract

Allogeneic hematopoietic cell transplantation (allo-HCT) is offered to selected patients after chimeric antigen receptor-modified T-cell (CAR-T) therapy. Lymphodepleting chemotherapy and CAR-T therapy have immunosuppressive and immunomodulatory effects that could alter the safety profile of subsequent allo-HCT. We reviewed our experience with 32 adults (acute lymphoblastic leukemia [ALL], n = 19; B-cell non-Hodgkin lymphoma [NHL]/chronic lymphocytic leukemia [CLL], n = 13) who received an allo-HCT after CAR-T therapy, with a focus on posttransplant toxicities. Myeloablative conditioning (MAC) was used in 74% of ALL patients and 39% of NHL/CLL patients. The median time from CAR-T therapy to allo-HCT was 72 days in ALL patients and 122 days in NHL/CLL patients. Cumulative incidences of grade 3-4 acute graft-versus-host disease (GVHD) and chronic GVHD were 25% and 10%, respectively. All patients had neutrophil recovery (median, 18.5 days) and all but 3 had platelet recovery (median, 12 days). Twenty-two percent had viral or systemic fungal infection within 100 days after allo-HCT. The 100-day and 1-year cumulative incidences of NRM were 16% and 21%, respectively, for ALL patients and 15% and 33%, respectively, for NHL/CLL patients. In ALL patients, later utilization of allo-HCT after CAR-T therapy was associated with higher mortality. In NHL/CLL patients, MAC was associated with higher mortality. Toxicities did not exceed the expected incidences in this high-risk population.

Indexed as

Hematopoietic Stem Cell TransplantationImmunotherapy, AdoptiveAdultAgedAntigens, CD19FemaleGraft vs Host DiseaseHumansMaleMiddle AgedPrognosisReceptors, Antigen, T-CellReceptors, Chimeric AntigenT-LymphocytesTransplantation, HomologousTreatment OutcomeAntigens, CD19Receptors, Antigen, T-CellReceptors, Chimeric Antigen

Identifiers

PMID31648329
PMCPMC6849954
OpenAlexW2981626013

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.