Evidence map›Paper›PMID 33495553›Full record

ReviewNature reviews. Clinical oncology2021

Beyond the storm - subacute toxicities and late effects in children receiving CAR T cells.

Haneen Shalabi, Juliane Gust, Agne Taraseviciute, Pamela L Wolters, Allison B Leahy, Carlos Sandi, Theodore W Laetsch, Lori Wiener, Rebecca A Gardner, Veronique Nussenblatt and 11 more

Registry-linked trialAbstract readReview
In one paragraph

Review in Nature reviews. Clinical oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07479927 (Randomized Controlled Clinical Trial of Telematic Cognitive Training and Mindfulness in Pediatric Patients After CAR-T Cell Therapy, Single Hematopoietic Allogeneic Transplant or Chemotherapy. The PsyCARTkids Project), which is not on this map. Cited by 42 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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.

NCT07479927 narecruitingnot on this mapstarted 2025, after this paper: background citation

Randomized Controlled Clinical Trial of Telematic Cognitive Training and Mindfulness in Pediatric Patients After CAR-T Cell Therapy, Single Hematopoietic Allogeneic Transplant or Chemotherapy. The PsyCARTkids Project

TypeinterventionalSponsorHospital Universitario La PazRan2025 to 2027Enrolled40ConditionsAcute Lymphoblastic LeukemiaArmsDigital cognitive training, Online Mindfulness-Based Intervention
3 · Its place in the literature

Who cites it

42 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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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

21 authors.

Haneen ShalabiPediatric Oncology Branch, Center for Cancer Research, NCI, NIH, Bethesda, MD, USA.
Juliane GustSeattle Children's Research Institute, Seattle, WA, USA.
Agne TaraseviciuteCancer and Blood Disease Institute, Children's Hospital Los Angeles, Los Angeles, CA, USA.
Pamela L WoltersPediatric Oncology Branch, Center for Cancer Research, NCI, NIH, Bethesda, MD, USA.
Allison B LeahyDivision of Oncology, Department of Pediatrics, Children's Hospital of Philadelphia and Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Carlos SandiPediatric Oncology Branch, Center for Cancer Research, NCI, NIH, Bethesda, MD, USA.
Theodore W LaetschDivision of Oncology, Department of Pediatrics, Children's Hospital of Philadelphia and Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0002-8497-3138
Lori WienerPediatric Oncology Branch, Center for Cancer Research, NCI, NIH, Bethesda, MD, USA.ORCID http://orcid.org/0000-0002-9573-8870
Rebecca A GardnerSeattle Children's Research Institute, Seattle, WA, USA.
Veronique NussenblattNational Institute of Allergy and Infectious Disease, Clinical Center, NIH, Bethesda, MD, USA.
Joshua A HillVaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, WA, USA.
Kevin J CurranDepartment of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Timothy S OlsonDivision of Oncology, Department of Pediatrics, Children's Hospital of Philadelphia and Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Colleen AnnesleySeattle Children's Research Institute, Seattle, WA, USA.
Hao-Wei WangLaboratory of Pathology, NCI, NIH, Bethesda, MD, USA.ORCID http://orcid.org/0000-0002-5408-9253
Javed KhanOncogenomics Section, Genetics Branch, NCI, NIH, Bethesda, MD, USA.ORCID http://orcid.org/0000-0002-5858-0488
Marcelo C PasquiniBlood and Marrow Transplant and Cellular Therapy Program, Medical College of Wisconsin, Milwaukee, WI, USA.
Christine N DuncanDepartment of Pediatric Oncology, Dana-Farber/Boston Children's Cancer and Blood Disorders Center, Boston, MA, USA.
Stephan A GruppDivision of Oncology, Department of Pediatrics, Children's Hospital of Philadelphia and Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Michael A PulsipherCancer and Blood Disease Institute, Children's Hospital Los Angeles, Los Angeles, CA, USA.
Nirali N ShahPediatric Oncology Branch, Center for Cancer Research, NCI, NIH, Bethesda, MD, USA. Nirali.Shah@nih.gov.ORCID http://orcid.org/0000-0002-8474-9080

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
Data Resource for Analyzing Blood &Marrow TransplantsU24CA076518 · NCI · MEDICAL COLLEGE OF WISCONSIN · PI Amy M Moskop, Bronwen Shaw · 1998 to 2026
$105.2M
Child Neurologist Career Development Program (CNCDP)K12NS098482 · NINDS · HUGO W. MOSER RES INST KENNEDY KRIEGER · PI SCHLAGGAR, BRADLEY L · 2016 to 2025
$26.2M
Physician Scientist Training in Clinical OncologyK12CA076931 · NCI · UNIVERSITY OF PENNSYLVANIA · PI STEPHEN Patrick HUNGER, LYNN M. SCHUCHTER · 1997 to 2026
$16.5M
BIOINFORMATICS: SYSTEMS BIOLOGY OF PEDIATRIC CANCERSZIABC011002 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI KHAN, JAVED · 2009 to 2025
$9.3M
Immuno-Oncology Translation Network (IOTN): Cellular Immunotherapy Data Resource (CIDR)U24CA233032 · NCI · MEDICAL COLLEGE OF WISCONSIN · PI PASQUINI, MARCELO C. · 2018 to 2019
$9.0M
Immunotherapeutic approaches to treat pediatric hematologic malignanciesZIABC011823 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI SHAH, NIRALI · 2019 to 2025
$6.1M
Defining and overcoming intrinsic T cell dysfunction to enable pediatric immunotherapyU01CA232361 · NCI · CHILDREN'S HOSP OF PHILADELPHIA · PI GRUPP, STEPHAN A., WEBER, EVAN WILLIAM · 2019 to 2019
$3.7M
Unrelated Donor BMT vs. Immune Suppression for Newly Diagnosed Severe Aplastic Anemia in Children and Young Adults: BMT CTN Core Center Renewal for the Pediatric Blood and Marrow Transplant ConsortiumUG1HL069254 · NHLBI · CHILDREN'S HOSPITAL OF LOS ANGELES · PI KEAN, LESLIE S · 2017 to 2023
$1.3M
Blood Brain Barrier Disruption during Chimeric Antigen Receptor (CAR) T cell therapyK08NS118138 · NINDS · SEATTLE CHILDREN'S HOSPITAL · PI GUST, JULIANE · 2020 to 2024
$879k
Intramural NIH HHS ZIA BC011823NCI NIH HHS K12 CA076931NCI NIH HHS P30 CA008748NCI NIH HHS U01 CA232361NCI NIH HHS U24 CA076518NCI NIH HHS U24 CA233032NHLBI NIH HHS UG1 HL069254NINDS NIH HHS K08 NS118138NINDS NIH HHS K12 NS098482
6 · The paper itself

Abstract

As clinical advances with chimeric antigen receptor (CAR) T cells are increasingly described and the potential for extending their therapeutic benefit grows, optimizing the implementation of this therapeutic modality is imperative. The recognition and management of cytokine release syndrome (CRS) marked a milestone in this field; however, beyond the understanding gained in treating CRS, a host of additional toxicities and/or potential late effects of CAR T cell therapy warrant further investigation. A multicentre initiative involving experts in paediatric cell therapy, supportive care and/or study of late effects from cancer and haematopoietic stem cell transplantation was convened to facilitate the comprehensive study of extended CAR T cell-mediated toxicities and establish a framework for new systematic investigations of CAR T cell-related adverse events. Together, this group identified six key focus areas: extended monitoring of neurotoxicity and neurocognitive function, psychosocial considerations, infection and immune reconstitution, other end organ toxicities, evaluation of subsequent neoplasms, and strategies to optimize remission durability. Herein, we present the current understanding, gaps in knowledge and future directions of research addressing these CAR T cell-related outcomes. This systematic framework to study extended toxicities and optimization strategies will facilitate the translation of acquired experience and knowledge for optimal application of CAR T cell therapies.

Indexed as

BiomarkersChildCytokine Release SyndromeHumansImmunotherapy, AdoptiveInfectionsNeoplasmsNeuroimagingNeurotoxicity SyndromesReceptors, Chimeric AntigenBiomarkersReceptors, Chimeric Antigen

Identifiers

PMID33495553
PMCPMC8335746

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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.