Evidence map›Paper›PMID 32390002›Full record

ArticleBone marrow transplantation2020

Low toxicity and favorable overall survival in relapsed/refractory B-ALL following CAR T cells and CD34-selected T-cell depleted allogeneic hematopoietic cell transplant.

Vanessa A Fabrizio, Nancy A Kernan, Farid Boulad, Maria Cancio, Jennifer Allen, Meghan Higman, Steven P Margossian, Audrey Mauguen, Susan Prockop, Andromachi Scaradavou and 8 more

Open access · greenAbstract read
In one paragraph

Article in Bone marrow transplantation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 22% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Transplant in ALL: who, when, and how?Hematology. American Society of Hematology. Education Program · 2024
    Review
  8. CAR-NKT Cells in Asthma: Use of NKT as a Promising Cell for CAR Therapy.Clinical reviews in allergy & immunology · 2024
    Review
  9. Review
  10. Review
  11. Article
  12. Graft-versus-Host Disease Modulation by Innate T Cells.International journal of molecular sciences · 2023
    Review
  13. Article
  14. Article
  15. Review
  16. Clinical experience of CAR T cells for B cell acute lymphoblastic leukemia.Best practice & research. Clinical haematology · 2021
    Review
  17. Review
  18. 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

18 authors at 7 institutions in 1 country.

Vanessa A FabrizioDepartment of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID http://orcid.org/0000-0002-8405-1141
Nancy A KernanDepartment of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Farid BouladDepartment of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Maria CancioDepartment of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Jennifer AllenDepartment of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Meghan HigmanDepartment of Pediatrics, Roswell Park Comprehensive Cancer Center, Buffalo, NY, USA.
Steven P MargossianDepartment of Pediatric Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Audrey MauguenDepartment of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Susan ProckopDepartment of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Andromachi ScaradavouDepartment of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Niketa ShahDepartment of Pediatric Hematology/Oncology, Yale Cancer Center, New Haven, CT, USA.
Barbara SpitzerDepartment of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Elliot StieglitzDepartment of Pediatric Hematology/Oncology, UCSF Helen Diller Family Comprehensive Cancer Center, San Francisco, CA, USA.
Nicholas YeagerDepartment of Pediatric Hematology/Oncology, Nationwide Children's Hospital, Columbus, OH, USA.
Richard J O'ReillyDepartment of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Renier J BrentjensCenter for Cell Engineering, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Jaap Jan BoelensDepartment of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Kevin J CurranDepartment of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, NY, USA. currank@mskcc.org.
Memorial Sloan Kettering Cancer Center · USBoston Children's Hospital · USCornell University · USNationwide Children's Hospital · USRoswell Park Comprehensive Cancer Center · USUCSF Helen Diller Family Comprehensive Cancer Center · USYale Cancer Center · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
NCATS NIH HHS UL1 TR001863NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

To define the tolerability and outcome of allogeneic hematopoietic stem cell transplant (allo-HSCT) following CAR T-cell therapy, we retrospectively reviewed pediatric/young adult patients with relapsed/refractory B-ALL who underwent this treatment. Fifteen patients (median age 13 years; range 1-20 years) with a median potential follow-up of 39 months demonstrated 24-month cumulative incidence of relapse, cumulative incidence of TRM, and OS of 16% (95% CI: 0-37%), 20% (95% CI: 0-40%), and 80% (95% CI: 60-100%), respectively. Severe toxicity following CAR T cells did not impact OS (p = 0.27), while greater time from CAR T cells to allo-HSCT (>80 days) was associated with a decrease in OS. In comparing CD34-selected T-cell depleted (TCD; n = 9) vs unmodified (n = 6) allo-HSCT, the cumulative incidence of relapse, TRM, and OS at 24 months was 22% (95% CI: 0-49%) vs 0% (p = 0.14), 0% vs 50% [95% CI: 10-90%] (p = 0.02) and 100% vs 50% [95% CI: 10-90%] (p = 0.02). In this small cohort of patients, CAR T cells followed by a CD34-selected TCD allo-HSCT appears to result in less TRM and favorable OS when compared with unmodified allo-HSCT. There was no evidence that disease control was impacted by the type of consolidative allo-HSCT, which demonstrates the feasibility of this approach.

Indexed as

Graft vs Host DiseaseHematopoietic Stem Cell TransplantationChildHumansImmunotherapy, AdoptiveInfantNeoplasm Recurrence, LocalRetrospective StudiesT-LymphocytesYoung Adult

Identifiers

PMID32390002
PMCPMC7606268
OpenAlexW3023906755

What OpenQuestion holds

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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.