Evidence map›Paper›PMID 33002134›Full record

Observational studyBlood advances2020

Outcomes in patients with DLBCL treated with commercial CAR T cells compared with alternate therapies.

David Sermer, Connie Batlevi, M Lia Palomba, Gunjan Shah, Richard J Lin, Miguel-Angel Perales, Michael Scordo, Parastoo Dahi, Martina Pennisi, Aishat Afuye and 22 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Blood advances, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 76 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
76citing papers in PubMed, 3 pooled it
5.4field-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.

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

76 citing papers in PubMed, 3 syntheses or guidelines pooled it, 115 citations in OpenAlex.

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16 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

32 authors at 3 institutions in 1 country.

David SermerLymphoma Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.
Connie BatleviLymphoma Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.
M Lia PalombaLymphoma Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.
Gunjan ShahDepartment of Medicine, Weill Cornell Medical College, New York, NY; and.
Richard J LinDepartment of Medicine, Weill Cornell Medical College, New York, NY; and.
Miguel-Angel PeralesDepartment of Medicine, Weill Cornell Medical College, New York, NY; and.
Michael ScordoDepartment of Medicine, Weill Cornell Medical College, New York, NY; and.
Parastoo DahiDepartment of Medicine, Weill Cornell Medical College, New York, NY; and.
Martina PennisiAdult Bone Marrow Transplant Service, Department of Medicine.
Aishat AfuyeAdult Bone Marrow Transplant Service, Department of Medicine.
Mari Lynne SilverbergAdult Bone Marrow Transplant Service, Department of Medicine.
Caleb HoDepartment of Pathology.
Jessica FlynnDepartment of Epidemiology and Biostatistics, and.
Sean DevlinDepartment of Epidemiology and Biostatistics, and.
Philip CaronLymphoma Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.
Audrey HamiltonLymphoma Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.
Paul HamlinLymphoma Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.
Steven HorwitzLymphoma Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.
Erel JoffeLymphoma Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.
Anita KumarLymphoma Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.
Matthew MatasarLymphoma Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.
Ariela NoyLymphoma Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.
Colette OwensLymphoma Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.
Alison MoskowitzLymphoma Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.
David StrausLymphoma Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.
Gottfried von KeudellLymphoma Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.
Ildefonso Rodriguez-RiveraLymphoma Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.
Lorenzo FalchiLymphoma Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.
Andrew ZelenetzLymphoma Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.
Joachim YahalomDepartment of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, NY.
Anas YounesLymphoma Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.
Craig SauterDepartment of Medicine, Weill Cornell Medical College, New York, NY; and.
Memorial Sloan Kettering Cancer Center · USCornell University · USCancer Research And Biostatistics · 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

The prognosis of patients with relapsed or refractory (R/R) diffuse large B-cell lymphoma (DLBCL) is poor. Chimeric antigen receptor (CAR) T-cell therapy has been approved for R/R DLBCL after 2 prior lines of therapy based on data from single-arm phase 2 trials, with complete responses (CRs) in 40% to 60% of patients. However, a direct comparison with other treatments is not available and, moreover, its true efficacy in real-world patients is unknown. In this single center, retrospective, observational study of 215 patients, we compared outcomes in patients treated with CAR T-cell therapy (n = 69) with a historical population treated with alternate therapies (n = 146). Patients treated with CAR T cell vs alternate therapies demonstrated a CR rate of 52% vs 22% (P < .001), median progression-free survival (PFS) of 5.2 vs 2.3 months (P = .01), and median overall survival (OS) of 19.3 vs 6.5 months (P = .006), and this advantage appeared to persist irrespective of the number of lines of prior therapy. After adjusting for unfavorable pretreatment disease characteristics, superior overall response rate in the CAR T cohort remained significant; however, differences in PFS and OS between cohorts did not. In addition, patients who responded to alternate therapies demonstrated prolonged remissions comparable to those who responded to CAR T therapy. We contend that in select clinical scenarios alternate therapies may be as efficacious as CAR T therapy; thus, additional study is warranted, ideally with randomized prospective trials.

Indexed as

Antigens, CD19Lymphoma, Large B-Cell, DiffuseHumansProspective StudiesRetrospective StudiesT-LymphocytesAntigens, CD19

Identifiers

PMID33002134
PMCPMC7556134
OpenAlexW3090872582

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.