Evidence map›Paper›PMID 32979154›Full record

ReviewInfection2021

Recommendations for screening, monitoring, prevention, and prophylaxis of infections in adult and pediatric patients receiving CAR T-cell therapy: a position paper.

Ibai Los-Arcos, Gloria Iacoboni, Manuela Aguilar-Guisado, Laia Alsina-Manrique, Cristina Díaz de Heredia, Claudia Fortuny-Guasch, Irene García-Cadenas, Carolina García-Vidal, Marta González-Vicent, Rafael Hernani and 13 more

Registry-linked trialOpen access · greenAbstract readReviewConsensus Statement
In one paragraph

Review in Infection, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06333275 (Restoration of Immunity to Vaccine Preventable Diseases After CART-T Cell Therapy), which is not on this map. Cited by 73 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
73citing papers in PubMed, 6 pooled it
5.5field-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.

NCT06333275 recruitingnot on this mapstarted 2023, after this paper: background citation

Restoration of Immunity to Vaccine Preventable Diseases After CART-T Cell Therapy

TypeobservationalSponsorInsel Gruppe AG, University Hospital BernRan2023 to 2026Enrolled80ConditionsVaccine Immunity in CAR-T Cell Therapy RecipientsArmsVaccines against: Diphtheria, tetanus, pertussis, polio, haemophilus influenza type b, varicella and measles
3 · Its place in the literature

Who cites it

73 citing papers in PubMed, 6 syntheses or guidelines pooled it, 133 citations in OpenAlex.

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  11. Preoperative cardiovascular evaluation in patients with cancer.Frontiers in cardiovascular medicine · 2026
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13 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

23 authors at 13 institutions in 1 country.

Ibai Los-ArcosInfectious Diseases Department, Hospital Universitari Vall D'Hebron, Barcelona, Spain.
Gloria IacoboniDeparment of Hematology, Vall D'Hebron Institute of Oncology (VHIO), Hospital Universitari Vall D'Hebron, Barcelona, Spain.
Manuela Aguilar-GuisadoDepartment of Infectious Diseases, Microbiology and Preventive Medicine, University Hospital Virgen del Rocío/CSIC/Institute of Biomedicine of Seville (IBIS), Seville, Spain.
Laia Alsina-ManriqueClinical Immunology and Primary Immunodeficiencies Unit, Hospital Sant Joan de Deu, Barcelona, Spain.
Cristina Díaz de HerediaPaediatric Oncology and Hematology Department, Hematopoietic Stem Cell Transplantation, Hospital Universitari Vall D'Hebron, Barcelona, Spain.
Claudia Fortuny-GuaschInfectious Diseases Unit, Hospital Sant Joan de Deu, Barcelona, Spain.
Irene García-CadenasHematology Department, Hospital de La Santa Creu I Sant Pau, Sant Pau and Jose Carreras Leukemia Research Institutes, Autonomous University of Barcelona, Barcelona, Spain.
Carolina García-VidalDepartment of Infectious Diseases, Hospital Clínic, IDIBAPS (Institut D'Investigacions biomèdiques Agust Pi I Sunyer), Universitat de Barcelona, Barcelona, Spain.
Marta González-VicentHematopoietic Stem Cell Transplantation and Cellular Therapy Unit, Hospital Infantil Universitario "Niño Jesus", Madrid, Spain.
Rafael HernaniDepartment of Hematology, Hospital Clínico Universitario, Institute for Research INCLIVA, Valencia, Spain.
Mi KwonHaematology and Haemotherapy Department, Hospital General Universitario Gregorio Marañón, Gregorio Marañón Health Research Institute, Madrid, Spain.
Marina MachadoClinical Microbiology and Infectious Diseases, Hospital General Universitario Gregorio Marañón, Gregorio Marañón Health Research Institute, Madrid, Spain.
Xavier Martínez-GómezEpidemiology Department, Vall D'Hebron University Hospital, Universitat Autònoma de Barcelona, Barcelona, Spain.
Valentín Ortiz MaldonadoDepartment of Hematology, Hospital Clínic de Barcelona, Institut D'Investigacions Biomèdiques August Pi I Sunyer (IDIBAPS), University of Barcelona, Barcelona, Spain.
Carolina Pinto PlaInfectious Diseases Unit, Hospital Clínico Universitario, Instituto de Investigación INCLIVA, Valencia, Spain.
José Luis PiñanaHematology Division, Hospital Universitario Y politécnico La Fe, Instituto de investigación sanitaria La Fe, Valencia, CIBERONC, Instituto Carlos III, Madrid, Spain.
Virginia PomarInfectious Disease Unit, Internal Medicine Department, Hospital de La Santa Creu I Sant Pau, Barcelona, Spain.
Juan Luis Reguera-OrtegaDepartment of Haematology, University Hospital Virgen del Rocío/CSIC/Institute of Biomedicine of Seville (IBIS), Seville, Spain.
Miguel SalavertInfectious Diseases Unit, Área Clínica Médica, Hospital Universitario Y Politécnico La Fe, Valencia, Spain.
Pere Soler-PalacínPediatric Infectious Diseases and Immunodeficiencies Unit, Hospital, Universitari Vall D'Hebron, Barcelona, Spain.
Lourdes Vázquez-LópezDepartment of Haematology, University Hospital of Salamanca, Salamanca, Spain.
Pere BarbaDeparment of Hematology, Vall D'Hebron Institute of Oncology (VHIO), Hospital Universitari Vall D'Hebron, Barcelona, Spain. pbarba@vhio.net.ORCID http://orcid.org/0000-0003-1038-5197
Isabel Ruiz-CampsInfectious Diseases Department, Hospital Universitari Vall D'Hebron, Barcelona, Spain.
Universitat Autònoma de Barcelona · ESHospital General Universitario Gregorio Marañón · ESHospital Sant Joan de Déu Barcelona · ESINCLIVA Health Research Institute · ESInstituto de Biomedicina de Sevilla · ESVall d'Hebron Hospital Universitari · ESCentro de Investigación Biomédica en Red de Cáncer · ESConsorci Institut D'Investigacions Biomediques August Pi I Sunyer · ESHospital Clínic de Barcelona · ESHospital de Sant Pau · ESHospital Infantil Universitario Niño Jesús · ESHospital Universitari i Politècnic La Fe · ESUniversidad de Salamanca · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chimeric antigen receptor (CAR) T-cell therapy is one of the most promising emerging treatments for B-cell malignancies. Recently, two CAR T-cell products (axicabtagene ciloleucel and tisagenlecleucel) have been approved for patients with aggressive B-cell lymphoma and acute lymphoblastic leukemia; many other CAR-T constructs are in research for both hematological and non-hematological diseases. Most of the patients receiving CAR-T therapy will develop fever at some point after infusion, mainly due to cytokine release syndrome (CRS). The onset of CRS is often indistinguishable from an infection, which makes management of these patients challenging. In addition to the lymphodepleting chemotherapy and CAR T cells, the treatment of complications with corticosteroids and/or tocilizumab increases the risk of infection in these patients. Data regarding incidence, risk factors and prevention of infections in patients receiving CAR-T cell therapy are scarce. To assist in patient care, a multidisciplinary team from hospitals designated by the Spanish Ministry of Health to perform CAR-T therapy prepared these recommendations. We reviewed the literature on the incidence, risk factors, and management of infections in adult and pediatric patients receiving CAR-T cell treatment. Recommendations cover different areas: monitoring and treatment of hypogammaglobulinemia, prevention, prophylaxis, and management of bacterial, viral, and fungal infections as well as vaccination prior and after CAR-T cell therapy.

Indexed as

Immunotherapy, AdoptiveMycosesNeoplasmsAdultBacterial InfectionsChildHumansRisk FactorsT-LymphocytesVirus DiseasesBacterial infectionsB-cell acute lymphoblastic leukemiaChimeric antigen receptorDiffuse large B-cell lymphomaFungal infectionsViral infections

Identifiers

PMID32979154
PMCPMC7518951
OpenAlexW3087981485

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.