Evidence map›Paper›PMID 33230187›Full record

ArticleBone marrow transplantation2021

Anti-CD19 CAR-T therapy for EBV-negative posttransplantation lymphoproliferative disease-a single center case series.

Efrat Luttwak, David Hagin, Chava Perry, Ofir Wolach, Gilad Itchaki, Odelia Amit, Yael Bar-On, Tal Freund, Sigi Kay, Rinat Eshel and 2 more

Abstract read
PubMed Publisher
In one paragraph

Article in Bone marrow transplantation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 11% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Review
  10. Review
  11. Review
  12. Transplant Onconephrology: An Update.Seminars in nephrology · 2022
    Review
  13. Article
  14. Transplant Onconephrology in Patients With Kidney Transplants.Advances in chronic kidney disease · 2022
    Review
  15. Review
  16. Chemotherapy, targeted therapy and immunotherapy: Which drugs can be safely used in the solid organ transplant recipients?Transplant international : official journal of the European Society for Organ Transplantation · 2021
    Review
  17. Article
  18. 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

12 authors at 1 institution in 1 country.

Efrat LuttwakBMT Unit, Tel Aviv (Sourasky) Medical Center, Tel Aviv, Israel. efratlu@tlvmc.gov.il.ORCID http://orcid.org/0000-0003-0212-2135
David HaginSackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Chava PerrySackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Ofir WolachSackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.ORCID http://orcid.org/0000-0002-8662-0707
Gilad ItchakiSackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Odelia AmitBMT Unit, Tel Aviv (Sourasky) Medical Center, Tel Aviv, Israel.
Yael Bar-OnBMT Unit, Tel Aviv (Sourasky) Medical Center, Tel Aviv, Israel.
Tal FreundSackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Sigi KaySackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Rinat EshelBMT Unit, Tel Aviv (Sourasky) Medical Center, Tel Aviv, Israel.
Irit AviviSackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.ORCID http://orcid.org/0000-0001-8663-444X
Ron RamBMT Unit, Tel Aviv (Sourasky) Medical Center, Tel Aviv, Israel.
Tel Aviv University · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Posttransplantation lymphoproliferative disease (PTLD) is a potentially fatal disorder arising after solid organ or hematopoietic cell transplantation. Survival rates of PTLD with diffuse large B-cell lymphoma (DLBCL) phenotype have improved due to the introduction of rituximab, however, reports on curative management of refractory PTLD are scarce. Here, we describe successful management of three patients with refractory EBV-negative PTLD with chimeric antigen receptor T-cell (CAR-T) therapy. All patients continued calcineurin inhibitors throughout the whole course of treatment. T-cell immunophenotyping was performed on both the apheresed cells and CAR-T product to investigate the T-cell compartment subpopulations. All three patients responded to a single infusion of tisagenlecleucel and two of them achieved CR. Toxicity profile was similar to other patients with non-PTLD DLBCL treated with CAR-T. No transplanted graft dysfunction was observed during the course of therapy. To our knowledge, this is the first report demonstrating that patients with EBV-negative refractory PTLD may benefit from CAR-T therapy, similarly to other patients with relapse/refractory DLBCL. A larger cohort of patients is needed to further establish proof-of-concept.

Indexed as

Immunotherapy, AdoptiveLymphoproliferative DisordersReceptors, Chimeric AntigenAntigens, CD19Herpesvirus 4, HumanHumansNeoplasm Recurrence, LocalAntigens, CD19Receptors, Chimeric Antigen

Identifiers

PMID33230187
OpenAlexW3110519250

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.