Evidence map›Paper›PMID 34478487›Full record

ArticleBlood advances2021

Comparison of 2-year outcomes with CAR T cells (ZUMA-1) vs salvage chemotherapy in refractory large B-cell lymphoma.

Sattva S Neelapu, Frederick L Locke, Nancy L Bartlett, Lazaros J Lekakis, Patrick M Reagan, David B Miklos, Caron A Jacobson, Ira Braunschweig, Olalekan O Oluwole, Tanya Siddiqi and 9 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Blood advances, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02348216 (A Phase 1/2 Multicenter Study Evaluating the Safety and Efficacy of KTE-C19 in Adults With Refractory Aggressive Non-Hodgkin Lymphoma), which is not on this map. Cited by 56 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed, 4 pooled it
5.5field-weighted citation impact, top 3% 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.

NCT02348216 phase1 / phase2completednot on this map

A Phase 1/2 Multicenter Study Evaluating the Safety and Efficacy of KTE-C19 in Adults With Refractory Aggressive Non-Hodgkin Lymphoma

TypeinterventionalSponsorKite, A Gilead CompanyRan2015 to 2023Enrolled307ConditionsRefractory Diffuse Large B Cell Lymphoma (DLBCL), Relapsed Diffuse Large B-Cell Lymphoma, Transformed Follicular Lymphoma (TFL), Primary Mediastinal B-cell Lymphoma (PMBCL)ArmsAxicabtagene Ciloleucel, Fludarabine, Cyclophosphamide, Levetiracetam, Tocilizumab
3 · Its place in the literature

Who cites it

56 citing papers in PubMed, 4 syntheses or guidelines pooled it, 80 citations in OpenAlex.

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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

19 authors at 15 institutions in 4 countries.

Sattva S NeelapuDepartment of Lymphoma and Myeloma, The University of Texas MD Anderson Cancer Center, Houston, TX.ORCID 0000-0003-1045-4914
Frederick L LockeDepartment of Blood and Marrow Transplant and Cellular Immunotherapy, Moffitt Cancer Center, Tampa, FL.
Nancy L BartlettSiteman Cancer Center, Washington University Medical School, St Louis, MO.ORCID 0000-0001-8470-394X
Lazaros J LekakisSylvester Comprehensive Care Center, University of Miami Health System, Miami, FL.
Patrick M ReaganJames P. Wilmot Cancer Institute, University of Rochester School of Medicine, Rochester, NY.
David B MiklosDepartment of Medicine - Blood and Marrow Transplantation, Stanford University School of Medicine, Stanford, CA.ORCID 0000-0003-0717-4305
Caron A JacobsonDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA.
Ira BraunschweigMontefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY.
Olalekan O OluwoleDivision of Hematology/Oncology, Vanderbilt-Ingram Cancer Center, Vanderbilt University Medical Center, Nashville, TN.ORCID 0000-0001-8525-9641
Tanya SiddiqiDepartment of Hematology and Hematopoietic Cell Transplantation, City of Hope National Medical Center, Duarte, CA.ORCID 0000-0001-5292-8298
Yi LinDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN.
Michael CrumpCanadian Cancer Trials Group, Queen's University, Kingston, ON, Canada.
John KuruvillaPrincess Margaret Cancer Center, Toronto, ON, Canada.
Eric Van Den NesteDepartment of Hematology, Cliniques Universitaires UCL Saint-Luc, Brussels, Belgium.
Umar FarooqDivision of Hematology, Oncology, and Blood and Marrow Transplantation, Department of Internal Medicine, University of Iowa, Iowa City, IA.
Lynn NavaleKite, a Gilead Company, Santa Monica, CA.
Venita DePuyBowden Analytics, Raleigh, NC; and.
Jenny J KimKite, a Gilead Company, Santa Monica, CA.
Christian GisselbrechtHôpital Saint Louis, Paris, France.
Albert Einstein College of Medicine · USCity Of Hope National Medical Center · USCliniques Universitaires Saint-Luc · BEDana-Farber Cancer Institute · USHôpital Saint-Louis · FRMayo Clinic in Arizona · USMoffitt Cancer Center · USPrincess Margaret Cancer Centre · CAQueen's University · CAStanford University · USThe University of Texas MD Anderson Cancer Center · USUniversity of Iowa · USUniversity of Miami Health System · USUniversity of Rochester · USVanderbilt University Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The SCHOLAR-1 international retrospective study highlighted poor clinical outcomes and survival among patients with refractory large B-cell lymphoma (LBCL) treated with conventional chemotherapy. Axicabtagene ciloleucel (axi-cel), an autologous anti-CD19 chimeric antigen receptor (CAR) T-cell therapy, demonstrated durable responses in patients with refractory LBCL in the pivotal phase 1/2 ZUMA-1 study (NCT02348216). Here, we compared SCHOLAR-1 with the 2-year outcomes of ZUMA-1. Prior to comparison of clinical outcomes, propensity scoring (based on a broad set of prognostic covariates) was used to create balance between ZUMA-1 and SCHOLAR-1 patients. In the pivotal phase 2 portion of ZUMA-1, 101 patients received axi-cel and were evaluable for response and survival. In SCHOLAR-1, 434 and 424 patients were evaluable for response and survival, respectively. ZUMA-1 patients were more heavily pretreated than were SCHOLAR-1 patients. The median follow-up was 27.1 months in ZUMA-1. The objective response rate (ORR) and complete response rate were 83% and 54% in ZUMA-1 vs 34% and 12% in SCHOLAR-1, respectively. The 2-year survival rate was 54% in ZUMA-1 and 20% in SCHOLAR-1, and a 73% reduction in the risk of death was observed in ZUMA-1 vs SCHOLAR-1. These results were consistent with those of an additional standardization analysis in which strata were limited to 2 prognostic factors (refractory categorization and presence/absence of stem cell transplant after refractoriness to chemotherapy) to conserve sample size. Despite the limitations of a nonrandomized analysis, these results indicate that axi-cel produces durable responses and a substantial survival benefit vs non-CAR T-cell salvage regimens for patients with refractory LBCL.

Indexed as

Lymphoma, Large B-Cell, DiffuseHumansRetrospective StudiesSalvage TherapySurvival RateT-Lymphocytes

Identifiers

PMID34478487
PMCPMC8945634
OpenAlexW3198124923

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.