Evidence map›Paper›PMID 35439295›Full record

ArticleBlood2022

Impact of CD19 CAR T-cell product type on outcomes in relapsed or refractory aggressive B-NHL.

Jordan Gauthier, Nicolas Gazeau, Alexandre V Hirayama, Joshua A Hill, Vicky Wu, Aisling Cearley, Paula Perkins, Angela Kirk, Mazyar Shadman, Victor A Chow and 12 more

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Blood, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01865617 (Phase I/II Study of Immunotherapy for Advanced CD19+ Chronic Lymphocytic Leukemia, Acute Lymphoblastic Leukemia/Lymphoma and Non-Hodgkin Lymphoma With Defined Subsets of Autologous T Cells Engineered to Express a CD19-Specific Chimeric Antigen Receptor), which is not on this map. Cited by 38 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 3 pooled it
4.9field-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.

NCT01865617 phase1 / phase2completednot on this map

Phase I/II Study of Immunotherapy for Advanced CD19+ Chronic Lymphocytic Leukemia, Acute Lymphoblastic Leukemia/Lymphoma and Non-Hodgkin Lymphoma With Defined Subsets of Autologous T Cells Engineered to Express a CD19-Specific Chimeric Antigen Receptor

TypeinterventionalSponsorFred Hutchinson Cancer CenterRan2013 to 2021Enrolled204ConditionsCD19-Positive Neoplastic Cells Present, Recurrent Adult Acute Lymphoblastic Leukemia, Recurrent Chronic Lymphocytic Leukemia, Recurrent Diffuse Large B-Cell LymphomaArmsAutologous Anti-CD19CAR-4-1BB-CD3zeta-EGFRt-expressing T Lymphocytes
3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 3 syntheses or guidelines pooled it, 51 citations in OpenAlex.

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  18. Quantitative imaging in medicine and surgery · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

22 authors at 3 institutions in 1 country.

Jordan GauthierClinical Research Division, Fred Hutchinson Cancer Center, Seattle, WA.ORCID 0000-0002-5769-8409
Nicolas GazeauClinical Research Division, Fred Hutchinson Cancer Center, Seattle, WA.
Alexandre V HirayamaClinical Research Division, Fred Hutchinson Cancer Center, Seattle, WA.ORCID 0000-0001-7980-3882
Joshua A HillClinical Research Division, Fred Hutchinson Cancer Center, Seattle, WA.ORCID 0000-0002-7665-7100
Vicky WuClinical Research Division, Fred Hutchinson Cancer Center, Seattle, WA.
Aisling CearleyClinical Research Division, Fred Hutchinson Cancer Center, Seattle, WA.ORCID 0000-0002-4963-3963
Paula PerkinsClinical Research Division, Fred Hutchinson Cancer Center, Seattle, WA.
Angela KirkClinical Research Division, Fred Hutchinson Cancer Center, Seattle, WA.
Mazyar ShadmanClinical Research Division, Fred Hutchinson Cancer Center, Seattle, WA.ORCID 0000-0002-3365-6562
Victor A ChowClinical Research Division, Fred Hutchinson Cancer Center, Seattle, WA.
Ajay K GopalClinical Research Division, Fred Hutchinson Cancer Center, Seattle, WA.
Alexandria Hodges DwinalCenter for Hematologic Malignancies, Knight Cancer Institute, Oregon Health and Science University, Portland, OR.
Staci WilliamsonCenter for Hematologic Malignancies, Knight Cancer Institute, Oregon Health and Science University, Portland, OR.
Jessie MyersCenter for Hematologic Malignancies, Knight Cancer Institute, Oregon Health and Science University, Portland, OR.
Andy ChenCenter for Hematologic Malignancies, Knight Cancer Institute, Oregon Health and Science University, Portland, OR.
Sarah NagleCenter for Hematologic Malignancies, Knight Cancer Institute, Oregon Health and Science University, Portland, OR.
Brandon Hayes-LattinCenter for Hematologic Malignancies, Knight Cancer Institute, Oregon Health and Science University, Portland, OR.ORCID 0000-0002-4380-4573
Levanto SchachterCenter for Hematologic Malignancies, Knight Cancer Institute, Oregon Health and Science University, Portland, OR.
David G MaloneyClinical Research Division, Fred Hutchinson Cancer Center, Seattle, WA.
Cameron J TurtleClinical Research Division, Fred Hutchinson Cancer Center, Seattle, WA.ORCID 0000-0002-4722-4461
Mohamed L SorrorClinical Research Division, Fred Hutchinson Cancer Center, Seattle, WA.ORCID 0000-0001-5260-1981
Richard T MaziarzCenter for Hematologic Malignancies, Knight Cancer Institute, Oregon Health and Science University, Portland, OR.
Oregon Health & Science University · USUniversity of Washington · USFred Hutch Cancer Center · US

Funding

Translational Bioimaging Core Shared ResourceP30CA015704 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI Marian Esvelt · 1985 to 2026
$296.4M
Understanding the origins of rapid recurrence of pancreatic cancer after resectionP30CA069533 · NCI · OREGON HEALTH & SCIENCE UNIVERSITY · PI Luiz Eduardo Bertassoni · 1997 to 2026
$60.5M
NCI NIH HHS P30 CA015704NCI NIH HHS P30 CA069533
6 · The paper itself

Abstract

CD19-targeted chimeric antigen receptor-engineered (CD19 CAR) T cells are novel therapies showing great promise for patients with relapsed or refractory (R/R) aggressive B-cell non-Hodgkin lymphoma (B-NHL). Single-arm studies showed significant variations in outcomes across distinct CD19 CAR T-cell products. To estimate the independent impact of the CAR T-cell product type on outcomes, we retrospectively analyzed data from 129 patients with R/R aggressive B-NHL treated with cyclophosphamide and fludarabine lymphodepletion followed by either a commercially available CD19 CAR T-cell therapy (axicabtagene ciloleucel [axicel] or tisagenlecleucel [tisacel]), or the investigational product JCAR014 on a phase 1/2 clinical trial (NCT01865617). After adjustment for age, hematopoietic cell transplantation-specific comorbidity index, lactate dehydrogenase (LDH), largest lesion diameter, and absolute lymphocyte count (ALC), CAR T-cell product type remained associated with outcomes in multivariable models. JCAR014 was independently associated with lower cytokine release syndrome (CRS) severity compared with axicel (adjusted odds ratio [aOR], 0.19; 95% confidence interval [CI]; 0.08-0.46), with a trend toward lower CRS severity with tisacel compared with axicel (aOR, 0.47; 95% CI, 0.21-1.06; P = .07). Tisacel (aOR, 0.17; 95% CI, 0.06-0.48) and JCAR014 (aOR, 0.17; 95% CI, 0.06-0.47) were both associated with lower immune effector cell-associated neurotoxicity syndrome severity compared with axicel. Lower odds of complete response (CR) were predicted with tisacel and JCAR014 compared with axicel. Although sensitivity analyses using either positron emission tomography- or computed tomography-based response criteria also suggested higher efficacy of axicel over JCAR014, the impact of tisacel vs axicel became undetermined. Higher preleukapheresis LDH, largest lesion diameter, and lower ALC were independently associated with lower odds of CR. We conclude that CD19 CAR T-cell product type independently impacts toxicity and efficacy in R/R aggressive B-NHL patients.

Indexed as

Immunotherapy, AdoptiveLymphoma, B-CellAntigens, CD19Clinical Trials, Phase I as TopicClinical Trials, Phase II as TopicCytokine Release SyndromeHumansReceptors, Chimeric AntigenRetrospective StudiesT-LymphocytesAntigens, CD19Receptors, Chimeric Antigen

Identifiers

PMID35439295
PMCPMC9247364
OpenAlexW4224214023

What OpenQuestion holds

Textmetadata
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.