Evidence map›Paper›PMID 32732355›Full record

ArticleHaematologica2021

Hematopoietic recovery and immune reconstitution after axicabtagene ciloleucel in patients with large B-cell lymphoma.

Paolo Strati, Ankur Varma, Sherry Adkins, Loretta J Nastoupil, Jason Westin, Fredrick B Hagemeister, Nathan H Fowler, Hun J Lee, Luis E Fayad, Felipe Samaniego and 9 more

2 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in Haematologica, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 92 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
92citing papers in PubMed, 2 pooled it
8.0field-weighted citation impact, top 2% 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.

NCT02348216 phase1 / phase2completednot on this map

A Phase 1/2 Multicenter Study Evaluating the Safety and Efficacy of KTE-C19 in Adults With Refractory Aggressive Non-Hodgkin Lymphoma

TypeinterventionalSponsorKite, A Gilead CompanyRan2015 to 2023Enrolled307ConditionsRefractory Diffuse Large B Cell Lymphoma (DLBCL), Relapsed Diffuse Large B-Cell Lymphoma, Transformed Follicular Lymphoma (TFL), Primary Mediastinal B-cell Lymphoma (PMBCL)ArmsAxicabtagene Ciloleucel, Fludarabine, Cyclophosphamide, Levetiracetam, Tocilizumab
NCT03153462 approved for marketingnot on this map

A Multicenter, Open-label, Expanded Access Study of Axicabtagene Ciloleucel for the Treatment of Subjects With Relapsed/Refractory Large B-cell Lymphoma.

Typeexpanded_accessSponsorKite, A Gilead CompanyConditionsRelapsed/Refractory Diffuse Large B Cell Lymphoma, Relapsed/Refractory Primary Mediastinal B Cell Lymphoma, Relapsed/Refractory Transformed Follicular Lymphoma, Relapsed/Refractory High-Grade B-Cell LymphomaArmsAxicabtagene Ciloleucel
3 · Its place in the literature

Who cites it

92 citing papers in PubMed, 2 syntheses or guidelines pooled it, 147 citations in OpenAlex.

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  13. CAR-T cell therapy for cancer: current challenges and future directions.Signal transduction and targeted therapy · 2025
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32 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

19 authors at 1 institution in 1 country.

Paolo StratiDept. of Lymphoma and Myeloma, The University of Texas MD Anderson Cancer Center, Houston, USA.
Ankur VarmaDept. of Stem Cell Transplantation, The University of Texas MD Anderson Cancer Center, Houston, USA.
Sherry AdkinsDept. of Lymphoma and Myeloma, The University of Texas MD Anderson Cancer Center, Houston, USA.
Loretta J NastoupilDept. of Lymphoma and Myeloma, The University of Texas MD Anderson Cancer Center, Houston, USA.
Jason WestinDept. of Lymphoma and Myeloma, The University of Texas MD Anderson Cancer Center, Houston, USA.
Fredrick B HagemeisterDept. of Lymphoma and Myeloma, The University of Texas MD Anderson Cancer Center, Houston, USA.
Nathan H FowlerDept. of Lymphoma and Myeloma, The University of Texas MD Anderson Cancer Center, Houston, USA.
Hun J LeeDept. of Lymphoma and Myeloma, The University of Texas MD Anderson Cancer Center, Houston, USA.
Luis E FayadDept. of Lymphoma and Myeloma, The University of Texas MD Anderson Cancer Center, Houston, USA.
Felipe SamaniegoDept. of Lymphoma and Myeloma, The University of Texas MD Anderson Cancer Center, Houston, USA.
Sairah AhmedDept. of Lymphoma and Myeloma, The University of Texas MD Anderson Cancer Center, Houston, USA.
Yiming ChenDept. of Lymphoma and Myeloma, The University of Texas MD Anderson Cancer Center, Houston, USA.
Sandra HorowitzDept. of Lymphoma and Myeloma, The University of Texas MD Anderson Cancer Center, Houston, USA.
Sara ArafatDept. of Lymphoma and Myeloma, The University of Texas MD Anderson Cancer Center, Houston, USA.
Swapna JohncyDept. of Lymphoma and Myeloma, The University of Texas MD Anderson Cancer Center, Houston, USA.
Partow KebriaeiDept. of Stem Cell Transplantation, The University of Texas MD Anderson Cancer Center, Houston, USA.
Victor Eduardo MulanovichDepartment of Infectious Disease, The University of Texas MD Anderson Cancer Center, Houston, USA.
Ella Ariza HerediaDepartment of Infectious Disease, The University of Texas MD Anderson Cancer Center, Houston, USA.
Sattva S NeelapuDept. of Lymphoma and Myeloma, The University of Texas MD Anderson Cancer Center, Houston, USA.
The University of Texas MD Anderson Cancer Center · US

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Scott Kopetz · 1985 to 2026
$290.8M
NCI NIH HHS P30 CA016672
6 · The paper itself

Abstract

Chimeric antigen receptor (CAR) T-cell therapy targeting CD19 may be associated with long-term adverse effects such as cytopenia and immune deficiency. In order to characterize these late events, we analyzed 31 patients with relapsed or refractory large B-cell lymphoma treated with axicabtagene ciloleucel at our institution on two clinical trials, ZUMA-1 (clinicaltrials gov. Identifier: NCT02348216) and ZUMA-9 (clinicaltrials gov. Identifier: NCT03153462). Complete blood counts, lymphocyte subsets, and immunoglobulin levels were measured serially until month 24 or progression. Fifteen (48%) patients had grade 3-4 cytopenia, including anemia (five, 16%), neutropenia (nine, 29%), or thrombocytopenia (13, 42%) at day 30. Cytopenia at day 30 was not significantly associated with later diagnosis of myelodysplasia. Among patients with ongoing remission, grade 3-4 cytopenia was observed in one of nine (11%) at 2 years. While peripheral CD8+ T cells recovered early, CD4+ T-cell recovery was delayed with a count of <200/mL in three of nine (33%) patients at 1 year and two of seven (29%) at 2 years. Immunoglobulin G levels normalized in five of nine (56%) patients at 2 years. Thirteen (42%) patients developed grade 3-4 infectious complications, including herpes zoster and Pneumocystis jiroveci pneumonia. These results suggest the need for prolonged monitoring and prophylaxis against opportunistic infections in these patients, to improve the longterm safety of axicabtagene ciloleucel therapy.

Indexed as

Immune ReconstitutionLymphoma, Large B-Cell, DiffuseNeutropeniaAntigens, CD19Biological ProductsHumansImmunotherapy, AdoptiveAntigens, CD19axicabtagene ciloleucelBiological Products

Identifiers

PMID32732355
PMCPMC8485681
OpenAlexW3046832427

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.