Evidence map›Paper›PMID 34673903›Full record

ArticleBlood advances2022

Allogeneic transplant and CAR-T therapy after autologous transplant failure in DLBCL: a noncomparative cohort analysis.

Mehdi Hamadani, Ajay K Gopal, Marcelo Pasquini, Soyoung Kim, Xianmiao Qiu, Sairah Ahmed, Aleksandr Lazaryan, Vijaya Raj Bhatt, Andrew Daly, Premal Lulla and 12 more

Open access · goldAbstract read
In one paragraph

Article in Blood advances, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 3 pooled it
2.9field-weighted citation impact, top 7% 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

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

  1. Pooled it
  2. Pooled it
  3. Guideline
  4. Review
  5. Article
  6. Article
  7. Development of A Novel Scoring Index to Quantify the Need for Nutritional Support Interventions During Stem Cell Transplant and Gene Therapy in Children.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2025
    Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Review
  13. Article
  14. Article
  15. Observational
  16. Review
  17. Review
  18. Article
  19. Article
  20. Review
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

22 authors at 16 institutions in 1 country.

Mehdi HamadaniBMT & Cellular Therapy Program, Department of Medicine, and.ORCID 0000-0001-5372-510X
Ajay K GopalClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA.
Marcelo PasquiniCenter for International Blood and Marrow Transplant Research, Department of Medicine, Medical College of Wisconsin, Milwaukee, WI.ORCID 0000-0003-1579-2293
Soyoung KimCenter for International Blood and Marrow Transplant Research, Department of Medicine, Medical College of Wisconsin, Milwaukee, WI.ORCID 0000-0003-1404-0575
Xianmiao QiuCenter for International Blood and Marrow Transplant Research, Department of Medicine, Medical College of Wisconsin, Milwaukee, WI.
Sairah AhmedDepartment of Lymphoma/Myeloma and Stem Cell Transplantation, University of Texas MD Anderson Cancer Center, Houston, TX.ORCID 0000-0001-7302-8299
Aleksandr LazaryanDepartment of Blood and Marrow Transplant and Cellular Immunotherapy (BMT CI), H. Lee Moffitt Cancer Center & Research Institute, Tampa, FL.ORCID 0000-0001-9605-6436
Vijaya Raj BhattThe Fred and Pamela Buffett Cancer Center, University of Nebraska Medical Center, Omaha, NE.ORCID 0000-0003-2513-0533
Andrew DalyTom Baker Cancer Center, Calgary, Alberta, Canada.
Premal LullaBaylor College of Medicine Center for Cell and Gene Therapy, Houston, TX.ORCID 0000-0002-7707-2331
Stefan CiureaHematopoietic Stem Cell Transplantation and Cellular Therapy Program, University of California, Irvine, Orange, CA.ORCID 0000-0001-8597-3271
Jordan GauthierClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA.ORCID 0000-0002-5769-8409
Vaibhav AgrawalDivision of Blood and Marrow Transplantation, Department of Medicine, Stanford University School of Medicine, Stanford, CA.
Natalie S GroverLineberger Comprehensive Cancer Center, Department of Medicine, University of North Carolina, Chapel Hill, NC.ORCID 0000-0002-1346-3157
Lazaros LekakisDivision of Transplantation and Cellular Therapy, University of Miami Hospital and Clinics, Sylvester Comprehensive Cancer Center, Miami, FL.
Dipenkumar ModiDivision of Oncology, Karmanos Cancer Center/Wayne State University, Detroit, MI.ORCID 0000-0001-6525-8844
Parastoo B DahiDepartment of Medicine, Adult Bone Marrow Transplant Service, Memorial Sloan-Kettering Cancer Center, New York, NY.ORCID 0000-0002-0794-3226
Megan M HerrRoswell Park Comprehensive Cancer Center, Buffalo, NY.ORCID 0000-0001-5768-9396
P Connor JohnsonMassachusetts General Hospital Cancer Center, Boston, MA.ORCID 0000-0002-3943-6608
Hamza HashmiMedical University of South Carolina, Charleston, SC; and.ORCID 0000-0002-4129-5867
Peiman HemattiDivision of Hematology/Oncology/Bone Marrow Transplantation, Department of Medicine, University of Wisconsin, Madison, WI.
Frederick L LockeDepartment of Blood and Marrow Transplant and Cellular Immunotherapy (BMT CI), H. Lee Moffitt Cancer Center & Research Institute, Tampa, FL.
Medical College of Wisconsin · USMoffitt Cancer Center · USUniversity of Washington Medical Center · USBaylor College of Medicine · USMassachusetts General Hospital · USMedical University of South Carolina · USMemorial Sloan Kettering Cancer Center · USRoswell Park Comprehensive Cancer Center · USStanford University · USThe University of Texas MD Anderson Cancer Center · USUniversity of California, Irvine · USUniversity of Miami Hospital · USUniversity of Nebraska Medical Center · USUniversity of North Carolina at Chapel Hill · USUniversity of Wisconsin–Madison · USWayne State University · US

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
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
NCI NIH HHS P30 CA008748NCI NIH HHS U24 CA076518NCI NIH HHS U24 CA233032
6 · The paper itself

Abstract

Allogeneic transplant (alloHCT) and chimeric antigen receptor modified (CAR)-T cell therapy are potentially cuarative options of diffuse large B-cell lymphoma (DLBCL) relapsing after an autologous (auto)HCT. Although the Center for International Blood and Marrow Transplant Research (CIBMTR) prognostic model can predict outcomes of alloHCT in DLBCL after autoHCT failure, corresponding models of CAR-T treatment in similar patient populations are not available. In this noncomparative registry analysis, we report outcomes of patients with DLBCL (≥18 years) undergoing a reduced intensity alloHCT or CAR-T therapy with axicabtagene ciloleucel during 2012 to 2019 after a prior auto-HCT failure and apply the CIBMTR prognostic model to CAR-T recipients. A total of 584 patients were included. The 1-year relapse, nonrelapse mortality, overall survival (OS), and progression-free survival for CAR-T treatment after autoHCT failure were 39.5%, 4.8%, 73.4%, and 55.7%, respectively. The corresponding rates in the alloHCT cohort were 26.2%, 20.0%, 65.6%, and 53.8%, respectively. The 1-year OS of alloHCT recipients classified as low-, intermediate- and high/very high-risk groups according to the CIBMTR prognostic score was 73.3%, 59.9%, and 46.3%, respectively (P = .002). The corresponding rates for low-, intermediate-, and high/very high-risk CAR-T patients were 88.4%, 76.4%, and 52.8%, respectively (P < .001). This registry analysis shows that both CAR-T and alloHCT can provide durable remissions in a subset of patients with DLBCL relapsing after a prior autoHCT. The simple CIBMTR prognostic score can be used to identify patients at high risk of treatment failure after either procedure. Evaluation of novel relapse mitigations strategies after cellular immunotherapies are warranted in these high-risk patients.

Indexed as

Hematopoietic Stem Cell TransplantationLymphoma, Large B-Cell, DiffuseReceptors, Chimeric AntigenAllograftsAutograftsCohort StudiesHumansNeoplasm Recurrence, LocalReceptors, Chimeric Antigen

Identifiers

PMID34673903
PMCPMC8791562
OpenAlexW3206906099

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.