Evidence map›Paper›PMID 35973192›Full record

Trial reportBlood advances2022

Efficacy comparison of tisagenlecleucel vs usual care in patients with relapsed or refractory follicular lymphoma.

Gilles Salles, Stephen J Schuster, Martin Dreyling, Luca Fischer, John Kuruvilla, Piers E M Patten, Bastian von Tresckow, Sonali M Smith, Ana Jiménez-Ubieto, Keith L Davis and 10 more

Registry-linked trialOpen 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. It is linked to trial NCT03568461 (A Phase II, Single Arm, Multicenter Open Label Trial to Determine the Efficacy and Safety of Tisagenlecleucel), which is not on this map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
4.3field-weighted citation impact, top 4% 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.

NCT03568461 phase2completednot on this map

A Phase II, Single Arm, Multicenter Open Label Trial to Determine the Efficacy and Safety of Tisagenlecleucel (CTL019) in Adult Patients With Refractory or Relapsed Follicular Lymphoma

TypeinterventionalSponsorNovartis PharmaceuticalsRan2018 to 2025Enrolled98ConditionsFollicular LymphomaArmstisagenlecleucel
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 42 citations in OpenAlex.

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  12. CAR-T Cell Therapy for Follicular Lymphomas.Mediterranean journal of hematology and infectious diseases · 2024
    Review
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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

20 authors at 14 institutions in 7 countries.

Gilles SallesDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.ORCID 0000-0002-9541-8666
Stephen J SchusterLymphoma Program, Abramson Cancer Center, University of Pennsylvania, Philadelphia, PA.ORCID 0000-0002-3376-8978
Martin DreylingDepartment of Internal Medicine III, LMU Hospital, Munich, Germany.ORCID 0000-0002-0358-5249
Luca FischerDepartment of Internal Medicine III, LMU Hospital, Munich, Germany.ORCID 0000-0003-2444-416X
John KuruvillaDivision of Medical Oncology and Hematology, Princess Margaret Cancer Centre, Toronto, Canada.
Piers E M PattenComprehensive Cancer Centre, King's College London, London, United Kingdom.ORCID 0000-0003-3320-3034
Bastian von TresckowDepartment I of Internal Medicine, Medical Faculty and University Hospital Cologne, University of Cologne, Cologne, Germany.
Sonali M SmithSection of Hematology/Oncology, The University of Chicago, Chicago, IL.ORCID 0000-0002-9893-4949
Ana Jiménez-UbietoHospital Universitario 12 de Octubre, Complutense University, CNIO, Centro de Investigación Biomédica en Red Cáncer (CIBERONC), Madrid, Spain.
Keith L DavisHealth Economics, RTI Health Solutions, Research Triangle Park, NC.
Carla AnjosNovartis Pharmaceuticals Corporation, East Hanover, NJ.
Jufen ChuNovartis Pharmaceuticals Corporation, East Hanover, NJ.
Jie ZhangNovartis Pharmaceuticals Corporation, East Hanover, NJ.
Chiara Lobetti BodoniNovartis Pharmaceuticals Corporation, East Hanover, NJ.
Catherine ThieblemontHemato-Oncology Department, Saint Louis Hospital, Paris, France.
Nathan H FowlerUniversity of Texas MD Anderson Cancer Center, Houston, TX.
Michael DickinsonPeter MacCallum Cancer Centre, Royal Melbourne Hospital and the University of Melbourne, Melbourne, Australia.ORCID 0000-0002-1492-5966
Joaquin Martínez-LópezHospital Universitario 12 de Octubre, Complutense University, CNIO, Centro de Investigación Biomédica en Red Cáncer (CIBERONC), Madrid, Spain.
Yucai WangDivision of Hematology, Mayo Clinic, Rochester, MN.ORCID 0000-0002-1576-8341
Brian K LinkDepartment of Medicine, University of Iowa, Iowa City, IA.ORCID 0000-0001-5084-0698
Centro de Investigación Biomédica en Red de Cáncer · ESLMU Klinikum · DEHôpital Saint-Louis · FRKing's College London · GBMayo Clinic · USMemorial Sloan Kettering Cancer Center · USPrincess Margaret Cancer Centre · CARTI Health Solutions · USThe Royal Melbourne Hospital · AUThe University of Texas MD Anderson Cancer Center · USUniversity of Chicago · USUniversity of Cologne · DEUniversity of Iowa · USUniversity of Pennsylvania · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

The ELARA trial indicates tisagenlecleucel (tisa-cel) is an effective anti-CD19 chimeric antigen receptor T-cell therapy for relapsed or refractory follicular lymphoma (r/r FL). As ELARA is a single-arm trial, this study compares tisa-cel outcomes from the ELARA trial with usual care from a real-world cohort. ELARA enrolled 98 patients as of 29 March 2021 (median follow-up: 15 months from enrollment). Usual care data were obtained from ReCORD-FL, a global retrospective study of patients with r/r FL, who met similar eligibility criteria to ELARA. With a data cutoff date of 31 December 2020, 187 patients with ≥2 preceding treatment lines were included in the ReCORD-FL (median follow-up: 57 months from third-line) study. An indirect treatment comparison was performed for 97 patients from the ELARA trial and 143 patients from the ReCORD-FL study with no missing data on baseline factors. The line of therapy for which outcomes were assessed was selected or matched between cohorts using propensity score modeling. After baseline factor adjustment via weighting by odds, complete response rate (CRR; 95% confidence interval) was 69.1% (59.8%-78.3%) for tisa-cel vs. 37.3% (26.4%-48.3%) for usual care; overall response rate was 85.6% (78.7%-92.5%) vs. 63.6% (52.5%-74.7%). Kaplan-Meier probability of being progression/event-free at 12 months was 70.5% (61.4%-79.7%) for tisa-cel vs. 51.9% (40.6%-63.3%) for usual care, with hazard ratio (HR)=0.60 (0.34-0.86); 12-month overall survival was 96.6% (92.9%-100%) vs. 71.7% (61.2%-82.2%), with HR=0.2 (0.02-0.38). In conclusion, tisa-cel was associated with a 1.9-fold higher complete response rate and a 1.4-fold higher rate of being progression or event free at 12 months vs usual care, as well as a death risk reduction of 80%. The findings provide additional evidence on the benefit of tisa-cel in patients with r/r FL after ≥2 treatment lines. This trial was registered at www.clinicaltrials.gov as NCT03568461.

Indexed as

Lymphoma, FollicularHumansNeoplasm Recurrence, LocalReceptors, Antigen, T-CellRetrospective StudiesReceptors, Antigen, T-Celltisagenlecleucel

Identifiers

PMID35973192
PMCPMC9649992
OpenAlexW4292018553

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.