Evidence map›Paper›PMID 34521107›Full record

Trial reportBlood advances2022

Sequential different B-cell antigen-targeted CAR T-cell therapy for pediatric refractory/relapsed Burkitt lymphoma.

Ying Liu, Biping Deng, Bo Hu, Wenqun Zhang, Qing Zhu, Yang Liu, Shan Wang, Pei Zhang, Ying Yang, Junhan Yang and 10 more

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in Blood advances, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 2 pooled it
3.4field-weighted citation impact, top 5% 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

39 citing papers in PubMed, 2 syntheses or guidelines pooled it, 55 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Review
  6. Article
  7. Review
  8. Observational
  9. Review
  10. Review
  11. Review
  12. Article
  13. Article
  14. [Journal of nuclear medicine : official publication, Society of Nuclear Medicine · 2025
    Article
  15. Targets for CAR Therapy in Multiple Myeloma.International journal of molecular sciences · 2025
    Review
  16. Viral oncogenesis in cancer: from mechanisms to therapeutics.Signal transduction and targeted therapy · 2025
    Review
  17. Article
  18. Article
  19. Review
  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

20 authors at 7 institutions in 3 countries.

Ying LiuDepartment of Pediatric Lymphoma.
Biping DengCytology Laboratory, and.
Bo HuDepartment of Pediatric Lymphoma.
Wenqun ZhangDepartment of Pediatric Lymphoma.
Qing ZhuDepartment of Pediatric Lymphoma.
Yang LiuDepartment of Pediatric Lymphoma.
Shan WangDepartment of Pediatric Lymphoma.
Pei ZhangDepartment of Pediatric Lymphoma.
Ying YangDepartment of Pediatric Lymphoma.
Junhan YangDepartment of Pediatric Lymphoma.
Qinlong ZhengMedical Laboratory, Beijing Boren Hospital, Beijing, China.
Xinjian YuMedical Laboratory, Beijing Boren Hospital, Beijing, China.
Zifen GaoDepartment of Pathology, Peking University Third Hospital, Beijing, China.
Chunju ZhouDepartment of Pathology, National Center for Children's Health, Beijing Children's Hospital, Capital Medical University, Beijing, China.
Wei HanDepartment of Epidemiology and Biostatistics, Institute of Basic Medical Sciences, Chinese Academy of Medical Sciences/School of Basic Medicine, Peking Union Medical College, Beijing, China.
Jing YangDepartment of Hematology/Oncology, National Center for Children's Health, Beijing Children's Hospital, Capital Medical University, Beijing, China.
Ling JinDepartment of Hematology/Oncology, National Center for Children's Health, Beijing Children's Hospital, Capital Medical University, Beijing, China.
Chunrong TongDepartment of Hematology, Beijing Boren Hospital, Beijing, China; and.
Alex H ChangClinical Translational Research Center, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai, China.
Yonghong ZhangDepartment of Pediatric Lymphoma.
Lymphoma Research Foundation · USCapital Medical University · CNBeijing Children’s Hospital · CNChinese Academy of Medical Sciences & Peking Union Medical College · CNInstitute of Cytology · RUPeking University Third Hospital · CNTongji University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Single antigen-targeted chimeric antigen receptor (CAR) T-cell therapy may be insufficient to induce a durable response in pediatric aggressive B-cell lymphomas. This clinical trial examined the feasibility of sequential different B-cell antigen-targeted CAR T-cell therapy for pediatric relapsed/refractory (R/R) Burkitt lymphoma. Twenty-three patients received the first CD19 CAR T-cell infusion. The patients who did not achieve an ongoing complete response (CR) underwent 1 or more sequential infusions of CAR T-cell therapy that targeted CD22 followed by CD20 according to their disease status and CAR T-cell persistence after each infusion. The median time from the last infusion to the cutoff date was 17 months (range, 15-23 months). The estimated 18-month CR rate was 78% (95% confidence interval [CI], 54%-91%). The estimated 18-month progression-free survival rate was 78% (95% CI, 55%-90%), with 78% (95% CI, 37%-94%) in patients with bulky disease and 60% (95% CI, 25%-83%) in patients with central nervous system (CNS) involvement. During the first CD19 CAR T-cell infusion, grade ≥3 cytokine release syndrome (CRS) occurred in 34.8% and neurotoxicity occurred in 21.7% of all patients. During subsequent infusions, there were only a few incidences of grade >2 CRS and neurotoxicity. All adverse events were reversible. The severity of neurotoxicity was not significantly different between patients with CNS involvement and those who did not have CNS involvement. Sequential CAR T-cell therapy may result in a durable response and is safe in pediatric R/R Burkitt lymphoma. Patients with CNS involvement may benefit from sequential CAR T-cell therapy. This trial was registered at www.chictr.org.cn/index.aspx as #ChiCTR1800014457.

Indexed as

Burkitt LymphomaReceptors, Chimeric AntigenAntigens, CD19ChildCytokine Release SyndromeHumansImmunotherapy, AdoptiveT-LymphocytesAntigens, CD19Receptors, Chimeric Antigen

Identifiers

PMID34521107
PMCPMC8945318
OpenAlexW3201026130

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.