Evidence map›Paper›PMID 34457269›Full record

ReviewTherapeutic advances in infectious disease

Infectious complications of CAR T-cell therapy: a clinical update.

Adam G Stewart, Andrea S Henden

2 registry-linked trialsOpen access · goldAbstract readReview
In one paragraph

Review in Therapeutic advances in infectious disease. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 51 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 1 pooled it
6.2field-weighted citation impact, top 2% 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.

NCT06333275 recruitingnot on this map

Restoration of Immunity to Vaccine Preventable Diseases After CART-T Cell Therapy

TypeobservationalSponsorInsel Gruppe AG, University Hospital BernRan2023 to 2026Enrolled80ConditionsVaccine Immunity in CAR-T Cell Therapy RecipientsArmsVaccines against: Diphtheria, tetanus, pertussis, polio, haemophilus influenza type b, varicella and measles
NCT06738082 completednot on this map

Influenza Vaccine Elicited Immune Response in Immunocompromised Patients

TypeobservationalSponsorInsel Gruppe AG, University Hospital BernRan2024 to 2025Enrolled147ConditionsInfluenza Vaccine, Immunocompromised PatientsArmsInfluenza vaccine
3 · Its place in the literature

Who cites it

51 citing papers in PubMed, 1 synthesis or guideline pooled it, 92 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Emerging strategies to reduce the side effects of CAR-T cell therapy: focusing on gene editing and nanotechnology.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Review
  6. Review
  7. Observational
  8. Article
  9. Review
  10. Management ofEClinicalMedicine · 2025
    Review
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. 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

2 authors at 2 institutions in 1 country.

Adam G StewartCentre for Clinical Research, Faculty of Medicine, The University of Queensland, Royal Brisbane and Women's Hospital Campus, Brisbane, QLD 4029, Australia.ORCID https://orcid.org/0000-0002-7262-7529
Andrea S HendenDepartment of Haematology and Bone Marrow Transplantation, Royal Brisbane and Women's Hospital, Brisbane, AustraliaQIMR Berghofer Institute of Medical Research, Brisbane, QLD, Australia.
QIMR Berghofer Medical Research Institute · AUThe University of Queensland · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chimeric antigen receptor (CAR) T-cell therapy is a revolutionary treatment modality used to treat haematological malignancies. Lymphocytes are engineered to produce CARs directed towards tumour cell antigens. Clinical trials have demonstrated impressive malignancy-related outcomes. Unfortunately, numerous off-target effects can cause toxicity-related adverse events in this population, the main being cytokine release syndrome and immune effector cell neurotoxicity syndrome. This causes significant patient morbidity and poor outcomes. Patients who receive CAR T-cell therapy are also profoundly immunosuppressed and often cytopenic, which is caused by a multitude of patient- and treatment-related factors. Thus, infection-related complications are also common in this group. Indeed, up to one third of patients will suffer a serious bacterial infection in the first 30 days after therapy. Viral respiratory tract infection appears to be the most common during the late phase and can be severe; one patient has died of influenza A infection. Fungal infection and cytomegalovirus (CMV) reactivation appear to be uncommon. Although institutional guidelines on infection-prevention strategies are available, there is a dearth of evidence to support their approach. Future research needs to target important unanswered questions that remain in this patient population in order to improve their short- and long-term outcomes.

Indexed as

chimeric antigen receptorimmunotherapyinfectious complications

Identifiers

PMID34457269
PMCPMC8388233
OpenAlexW3194417931

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.