Evidence map›Paper›PMID 32780846›Full record

ArticleBlood advances2020

Hematopoietic recovery in patients receiving chimeric antigen receptor T-cell therapy for hematologic malignancies.

Tania Jain, Andrea Knezevic, Martina Pennisi, Yunxin Chen, Josel D Ruiz, Terence J Purdon, Sean M Devlin, Melody Smith, Gunjan L Shah, Elizabeth Halton and 14 more

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

Article in Blood advances, 2020. 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 173 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
173citing papers in PubMed, 9 pooled it
13.6field-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.

NCT01044069 phase1active not recruitingnot on this map

A Phase I Trial of Precursor B Cell Acute Lymphoblastic Leukemia (B-ALL) Treated With Autologous T Cells Genetically Targeted to the B Cell Specific Antigen CD19

TypeinterventionalSponsorMemorial Sloan Kettering Cancer CenterRan2010 to 2027Enrolled93ConditionsLeukemia, Acute Lymphoblastic LeukemiaArmsgene-modified T cells targeted
NCT03070327 phase1active not recruitingnot on this map

A Phase I Trial of B-cell Maturation Antigen (BCMA) Targeted EGFRt/BCMA-41BBz Chimeric Antigen Receptor (CAR) Modified T Cells With or Without Lenalidomide for the Treatment of Multiple Myeloma (MM)

TypeinterventionalSponsorMemorial Sloan Kettering Cancer CenterRan2017 to 2027Enrolled20ConditionsMultiple MyelomaArmsEGFRt/BCMA-41BBz CAR T cell, Cyclophosphamide, Lenalidomide.
3 · Its place in the literature

Who cites it

173 citing papers in PubMed, 9 syntheses or guidelines pooled it, 255 citations in OpenAlex.

  1. Second Primary Malignancies after CAR T-Cell Therapy: A Systematic Review and Meta-analysis of 5,517 Lymphoma and Myeloma Patients.Clinical cancer research : an official journal of the American Association for Cancer Research · 2024
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113 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

24 authors at 3 institutions in 4 countries.

Tania JainAdult Bone Marrow Transplant Service and.
Andrea KnezevicDepartment of Biostatistics and Epidemiology, Memorial Sloan Kettering Cancer Center, New York, NY.
Martina PennisiDepartment of Oncology and Hemato-Oncology, University of Milan, Milan, Italy.
Yunxin ChenCellular Therapeutics Center, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.
Josel D RuizAdult Bone Marrow Transplant Service and.
Terence J PurdonCellular Therapeutics Center, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.
Sean M DevlinDepartment of Biostatistics and Epidemiology, Memorial Sloan Kettering Cancer Center, New York, NY.
Melody SmithAdult Bone Marrow Transplant Service and.
Gunjan L ShahAdult Bone Marrow Transplant Service and.
Elizabeth HaltonCellular Therapeutics Center, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.
Claudia DiamonteCellular Therapeutics Center, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.
Michael ScordoAdult Bone Marrow Transplant Service and.
Craig S SauterAdult Bone Marrow Transplant Service and.
Elena MeadDepartment of Anesthesiology and Critical Care Medicine.
Bianca D SantomassoBrain Tumor Service, Department of Neurology.
M Lia PalombaDepartment of Medicine and.
Connie W BatleviDepartment of Medicine and.
Molly A MaloyAdult Bone Marrow Transplant Service and.
Sergio GiraltAdult Bone Marrow Transplant Service and.
Eric SmithDepartment of Medicine and.
Renier BrentjensDepartment of Medicine and.
Jae H ParkDepartment of Medicine and.
Miguel-Angel PeralesAdult Bone Marrow Transplant Service and.
Sham MailankodyDepartment of Medicine and.
Memorial Sloan Kettering Cancer Center · USCornell University · USUniversity of Milan · IT

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

Factors contributing to hematopoietic recovery following chimeric antigen receptor (CAR) T-cell therapy have not been well studied. In an analysis of 83 patients with hematologic malignancies treated with CAR T-cell therapy, we describe patterns of hematopoietic recovery and evaluate potentially associated factors. We included patients who received axicabtagene ciloleucel (n = 30) or tisagenlecleucel (n = 10) for B-cell lymphoma, CD19-28z CAR T therapy for B-cell acute lymphoblastic leukemia (NCT01044069; n = 37), or B-cell maturation antigen targeting CAR T cells for multiple myeloma (NCT03070327; n = 6). Patients treated with CAR T cells who had not progressed, died, or received additional chemotherapy had "recovered" (per definition in Materials and methods section) hemoglobin, platelet, neutrophil, and white blood cell counts at rates of 61%, 51%, 33%, and 28% at month 1 postinfusion and 93%, 90%, 80%, and 59% at month 3 postinfusion, respectively. Univariate analysis showed that increasing grade of immune effector cell-associated neurological syndrome (ICANS), baseline cytopenias, CAR construct, and higher peak C-reactive protein or ferritin levels were statistically significantly associated with a lower likelihood of complete count recovery at 1 month; a similar trend was seen for cytokine release syndrome (CRS). After adjustment for baseline cytopenia and CAR construct, grade ≥3 CRS or ICANS remained significantly associated with the absence of complete count recovery at 1 month. Higher levels of vascular endothelial growth factor and macrophage-derived chemokines, although not statistically significant, were seen patients without complete count recovery at 1 month. This remains to be studied further in larger prospective studies.

Indexed as

Hematologic NeoplasmsHematopoietic Stem Cell TransplantationReceptors, Chimeric AntigenCell- and Tissue-Based TherapyHumansImmunotherapy, AdoptiveProspective StudiesVascular Endothelial Growth Factor AReceptors, Chimeric AntigenVascular Endothelial Growth Factor A

Identifiers

PMID32780846
PMCPMC7422135
OpenAlexW3048777956

What OpenQuestion holds

Textmetadata
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.