Evidence map›Paper›PMID 31709501›Full record

Trial reportInternational journal of hematology2020

Efficacy and safety of tisagenlecleucel in Japanese pediatric and young adult patients with relapsed/refractory B cell acute lymphoblastic leukemia.

Hidefumi Hiramatsu, Souichi Adachi, Katsutsugu Umeda, Itaru Kato, Lamis Eldjerou, Andrea Chassot Agostinho, Kazuto Natsume, Kota Tokushige, Yoko Watanabe, Stephan A Grupp

Abstract readClinical Trial, Phase IIMulticenter Study
PubMed Publisher
In one paragraph

Trial report in International journal of hematology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 28% 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, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Observational
  4. Article
  5. Review
  6. Review
  7. Review
  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

10 authors at 4 institutions in 2 countries.

Hidefumi HiramatsuDepartment of Pediatrics, Graduate School of Medicine, Kyoto University, Kyoto, Japan. hiramatu@kuhp.kyoto-u.ac.jp.ORCID http://orcid.org/0000-0003-3136-5670
Souichi AdachiHuman Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
Katsutsugu UmedaDepartment of Pediatrics, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
Itaru KatoDepartment of Pediatrics, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
Lamis EldjerouNovartis Pharmaceuticals Co., East Hanover, NJ, USA.
Andrea Chassot AgostinhoNovartis Pharmaceuticals Co., East Hanover, NJ, USA.
Kazuto NatsumeNovartis Pharma KK, Tokyo, Japan.
Kota TokushigeNovartis Pharma KK, Tokyo, Japan.
Yoko WatanabeNovartis Pharma KK, Tokyo, Japan.
Stephan A GruppDivision of Oncology, Children's Hospital of Philadelphia, Philadelphia, PA, 19104, USA.
Kyoto University · JPNovartis (Japan) · JPNovartis (United States) · USChildren's Hospital of Philadelphia · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Tisagenlecleucel is an autologous T cell genetically modified ex vivo using a lentiviral vector encoding an anti-CD19 chimeric antigen receptor. Here, we present the efficacy and safety of tisagenlecleucel in a subgroup of Japanese patients with relapsed/refractory (r/r) B-cell acute lymphoblastic leukemia (ALL). ELIANA was a single-arm, open-label, multicenter, phase 2 study. Patients were aged ≥ 3 years at screening to ≤ 21 years at the time of diagnosis, and had ≥ 5% lymphoblasts in bone marrow at screening. Primary endpoint was overall remission rate [ORR; complete remission (CR) + CR with incomplete blood recovery (CRi)] within 3 months after infusion. As of April 13, 2018, eight patients were enrolled and six had been infused. ORR was 66.7% (95% confidence interval 22.3-95.7); three patients achieved CR and one patient had CRi. All patients with CR/CRi were negative for minimal residual disease. One patient had CR/CRi lasting 19.5 + months. Cytokine release syndrome (CRS) and neurological events occurred in 83% and 17% of patients, respectively. CRS resolved with anti-cytokine therapy and supportive care. Two deaths occurred due to disease progression. No cases of cerebral edema were observed. Tisagenlecleucel produced high remission rates and durable responses offering a new treatment option for Japanese pediatric and young adults with r/r B-ALL.

Indexed as

B-LymphocytesAdolescentAsian PeopleChildChild, PreschoolHumansPrecursor Cell Lymphoblastic Leukemia-LymphomaReceptors, Antigen, T-CellRecurrenceRemission InductionSafetyTreatment OutcomeYoung AdultReceptors, Antigen, T-CelltisagenlecleucelAcute lymphoblastic leukemiaCAR TCTL019ELIANATisagenlecleucel

Identifiers

PMID31709501
OpenAlexW2986743857

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.