Evidence map›Paper›PMID 33067318›Full record

ArticleJournal for immunotherapy of cancer2020

Management of a patient with mantle cell lymphoma who developed severe neurotoxicity after chimeric antigen receptor T-cell therapy in ZUMA-2.

Michael Wang, Preetesh Jain, T Linda Chi, Sheree E Chen, Amy Heimberger, Shiao-Pei Weathers, Lianqing Zheng, Arati V Rao, John M Rossi

Registry-linked trialOpen access · goldAbstract readCase ReportsMulticenter Study
In one paragraph

Article in Journal for immunotherapy of cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04880434 (A Phase 2 Multicenter Study Evaluating the Efficacy of KTE-X19 in Subjects With Relapsed/Refractory Mantle Cell Lymphoma), which is not on this map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.0field-weighted citation impact, top 21% 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.

NCT04880434 phase2completednot on this mapstarted 2021, after this paper: background citation

A Phase 2 Multicenter Study Evaluating the Efficacy of KTE-X19 in Subjects With Relapsed/Refractory Mantle Cell Lymphoma (ZUMA-2)

TypeinterventionalSponsorKite, A Gilead CompanyRan2021 to 2025Enrolled95ConditionsRelapsed/Refractory Mantle Cell LymphomaArmsFludarabine, Cyclophosphamide, Brexucabtagene autoleucel
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 23 citations in OpenAlex.

  1. Review
  2. Review
  3. Review
  4. Review
  5. Novel strategies to manage CAR-T cell toxicity.Nature reviews. Drug discovery · 2025
    Review
  6. Review
  7. Review
  8. Review
  9. Review
  10. Article
  11. Review
  12. Managing therapy-associated neurotoxicity in children with ALL.Hematology. American Society of Hematology. Education Program · 2021
    Review
  13. CAR-T and other adoptive cell therapies for B cell malignancies.Journal of the National Cancer Center · 2021
    Review
  14. Article
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

9 authors at 2 institutions in 1 country.

Michael WangDepartment of Lymphoma and Myeloma, University of Texas MD Anderson Cancer Center, Houston, Texas, USA miwang@mdanderson.org.
Preetesh JainDepartment of Lymphoma and Myeloma, University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
T Linda ChiDepartment of Neuroradiology, University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Sheree E ChenDepartment of Lymphoma and Myeloma, University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Amy HeimbergerDepartment of Neurosurgery, University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Shiao-Pei WeathersDepartment of Neuro-Oncology, University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Lianqing ZhengDepartment of Biometrics, Kite, A Gilead Company, Santa Monica, California, USA.
Arati V RaoDepartment of Clinical Development, Kite, A Gilead Company, Santa Monica, California, USA.
John M RossiDepartment of Translational Medicine, Kite, A Gilead Company, Santa Monica, California, USA.
The University of Texas MD Anderson Cancer Center · USGilead Sciences (United States) · US

Funding

Convalescent Plasma to Limit Coronavirus Associated ComplicationsUL1TR003167 · NCATS · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI KARP, DANIEL D, MCPHERSON, DAVID D · 2019 to 2023
$45.3M
NCATS NIH HHS UL1 TR003167
6 · The paper itself

Abstract

Cerebral edema following chimeric antigen receptor (CAR) T-cell therapy can be fatal. ZUMA-2 is a pivotal phase 2, multicenter study evaluating KTE-X19, an autologous anti-CD19 CAR T-cell therapy, in relapsed/refractory mantle cell lymphoma. We describe a 65-year-old patient in ZUMA-2 who developed cerebral edema following CAR T-cell therapy and had complete recovery after multimodality clinical intervention including rabbit antithymocyte globulin (ATG). Biomarker results show early and robust CAR T-cell expansion and related induction of inflammatory cytokines, followed by rapid declines in CAR T-cell and proinflammatory cytokine levels after ATG administration. This clinical profile highlights a potential relevance of ATG in treating severe CAR T-cell-related neurotoxicity.

Indexed as

AgedCell- and Tissue-Based TherapyHumansLymphoma, Mantle-CellMaleReceptors, Chimeric AntigenReceptors, Chimeric Antigencase reportschimeric antigen

Identifiers

PMID33067318
PMCPMC7570235
OpenAlexW3092753362

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.