Evidence map›Paper›PMID 34133196›Full record

ArticleJournal of clinical oncology : official journal of the American Society of Clinical Oncology2021

Monitoring of Circulating Tumor DNA Improves Early Relapse Detection After Axicabtagene Ciloleucel Infusion in Large B-Cell Lymphoma: Results of a Prospective Multi-Institutional Trial.

Matthew J Frank, Nasheed M Hossain, Ali Bukhari, Erin Dean, Jay Y Spiegel, Gursharan K Claire, Ilan Kirsch, Allison P Jacob, Chelsea D Mullins, Lik Wee Lee and 8 more

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 107 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
107citing papers in PubMed, 2 pooled it
10.2field-weighted citation impact, top 1% 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

107 citing papers in PubMed, 2 syntheses or guidelines pooled it, 145 citations in OpenAlex.

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  9. Standardized FDG-PET interpretation during CAR T-cell therapy in R/R DLBCL: a DESCAR-T study.European journal of nuclear medicine and molecular imaging · 2026
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47 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

18 authors at 5 institutions in 1 country.

Matthew J FrankDivision of Blood and Stem Cell Transplantation, Department of Medicine, Stanford University, Stanford, CA.ORCID 0000-0002-2356-3354
Nasheed M HossainLoyola University Chicago, Stritch School of Medicine, Maywood, IL.ORCID 0000-0002-3278-655X
Ali BukhariUniversity of Maryland School of Medicine, Greenebaum Comprehensive Cancer Center, Baltimore, MD.ORCID 0000-0002-5326-2261
Erin DeanMoffitt Cancer Center, Tampa, FL.ORCID 0000-0003-3153-223X
Jay Y SpiegelDivision of Blood and Stem Cell Transplantation, Department of Medicine, Stanford University, Stanford, CA.ORCID 0000-0001-6491-0044
Gursharan K ClaireDivision of Blood and Stem Cell Transplantation, Department of Medicine, Stanford University, Stanford, CA.ORCID 0000-0003-3775-7149
Ilan KirschAdaptive Biotechnologies, Seattle, WA.
Allison P JacobAdaptive Biotechnologies, Seattle, WA.
Chelsea D MullinsAdaptive Biotechnologies, Seattle, WA.
Lik Wee LeeAdaptive Biotechnologies, Seattle, WA.
Katherine A KongDivision of Blood and Stem Cell Transplantation, Department of Medicine, Stanford University, Stanford, CA.
Juliana CraigDivision of Blood and Stem Cell Transplantation, Department of Medicine, Stanford University, Stanford, CA.ORCID 0000-0002-5644-2292
Crystal L MackallDivision of Blood and Stem Cell Transplantation, Department of Medicine, Stanford University, Stanford, CA.ORCID 0000-0003-0359-9023
Aaron P RapoportUniversity of Maryland School of Medicine, Greenebaum Comprehensive Cancer Center, Baltimore, MD.
Michael D JainMoffitt Cancer Center, Tampa, FL.ORCID 0000-0002-7789-1257
Saurabh DahiyaUniversity of Maryland School of Medicine, Greenebaum Comprehensive Cancer Center, Baltimore, MD.ORCID 0000-0001-8291-1796
Frederick L LockeMoffitt Cancer Center, Tampa, FL.ORCID 0000-0001-9063-6691
David B MiklosDivision of Blood and Stem Cell Transplantation, Department of Medicine, Stanford University, Stanford, CA.ORCID 0000-0003-0717-4305
Stanford Cancer InstituteAdaptive Biotechnologies (United States) · USMoffitt Cancer Center · USUniversity of Maryland, Baltimore · USLoyola University Chicago · US

Funding

TRANSLATIONAL RESEARCHP30CA076292 · NCI · UNIVERSITY OF SOUTH FLORIDA · PI KENNETH Lynn WRIGHT · 1998 to 2026
$93.5M
TUMOR SPECIFIC CYTOTOXIC T-LYMPHOCYTES IN BONE MARROW TRANSPLANTATIONP01CA049605 · NCI · STANFORD UNIVERSITY · PI David B. Miklos · 1989 to 2026
$73.3M
Translational Oncology Research Program (Project-005)P30CA124435 · NCI · STANFORD UNIVERSITY · PI Melinda L. Telli · 2007 to 2026
$71.4M
Training Program in Hematopoietic Cell TransplantationT32HL007952 · NHLBI · STANFORD UNIVERSITY · PI NEGRIN, ROBERT S · 2001 to 2021
$2.1M
Lymphoma Antigen Density and Circulating Tumor DNA Profiling As Determinants of Novel CAR TherapiesK08CA248968 · NCI · STANFORD UNIVERSITY · PI FRANK, MATTHEW J. · 2020 to 2024
$845k
NCI NIH HHS K08 CA248968NCI NIH HHS P01 CA049605NCI NIH HHS P30 CA076292NCI NIH HHS P30 CA124435NHLBI NIH HHS T32 HL007952
6 · The paper itself

Abstract

purposeAlthough the majority of patients with relapsed or refractory large B-cell lymphoma respond to axicabtagene ciloleucel (axi-cel), only a minority of patients have durable remissions. This prospective multicenter study explored the prognostic value of circulating tumor DNA (ctDNA) before and after standard-of-care axi-cel for predicting patient outcomes.

methodsLymphoma-specific variable, diversity, and joining gene segments (VDJ) clonotype ctDNA sequences were frequently monitored via next-generation sequencing from the time of starting lymphodepleting chemotherapy until progression or 1 year after axi-cel infusion. We assessed the prognostic value of ctDNA to predict outcomes and axi-cel-related toxicity.

resultsA tumor clonotype was successfully detected in 69 of 72 (96%) enrolled patients. Higher pretreatment ctDNA concentrations were associated with progression after axi-cel infusion and developing cytokine release syndrome and/or immune effector cell-associated neurotoxicity syndrome. Twenty-three of 33 (70%) durably responding patients versus 4 of 31 (13%) progressing patients demonstrated nondetectable ctDNA 1 week after axi-cel infusion (

conclusionNoninvasive ctDNA assessments can risk stratify and predict outcomes of patients undergoing axi-cel for the treatment of large B-cell lymphoma. These results provide a rationale for designing ctDNA-based risk-adaptive chimeric antigen receptor T-cell clinical trials.

Indexed as

AdultAgedBiological ProductsCirculating Tumor DNAFemaleHumansLymphoma, Large B-Cell, DiffuseMaleMiddle AgedNeoplasm Recurrence, LocalProspective StudiesYoung Adultaxicabtagene ciloleucelBiological ProductsCirculating Tumor DNA

Identifiers

PMID34133196
PMCPMC10166351
OpenAlexW3172603079

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.