Evidence map›Paper›PMID 36763238›Full record

ReviewCurrent hematologic malignancy reports2023

CAR-T Cell Therapy: the Efficacy and Toxicity Balance.

Karan L Chohan, Elizabeth L Siegler, Saad S Kenderian

Open access · greenAbstract readReview
In one paragraph

Review in Current hematologic malignancy reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 124 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
124citing papers in PubMed, 7 pooled it
36.6field-weighted citation impact, top 1% 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

124 citing papers in PubMed, 7 syntheses or guidelines pooled it, 159 citations in OpenAlex.

  1. Pooled it
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  8. Trial
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  12. Review
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  14. Role of pyroptosis in melanoma: Molecular mechanisms and therapeutic potentials.Apoptosis : an international journal on programmed cell death · 2026
    Review
  15. Targeting Adaptive and Innate Immune Responses with Covalent Aptamers.Journal of the American Chemical Society · 2026
    Article
  16. Review
  17. Review
  18. Article
  19. Low-FrequencyCancers · 2026
    Article
  20. Article

64 more citing papers are in PubMed but not listed here.

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

3 authors at 2 institutions in 1 country.

Karan L ChohanDepartment of Medicine, Mayo Clinic, Rochester, MN, USA.
Elizabeth L SieglerT Cell Engineering, Mayo Clinic, Rochester, MN, USA.
Saad S KenderianT Cell Engineering, Mayo Clinic, Rochester, MN, USA. kenderian.saad@mayo.edu.ORCID 0000-0003-2767-3830
Mayo Clinic · USMayo Clinic in Arizona · US

Funding

Towards Safer and More Effective CART Cell Therapy Through the Modulation of Myeloid CytokinesR37CA266344 · NCI · MAYO CLINIC ROCHESTER · PI Saad J. Kenderian · 2022 to 2026
$3.5M
Engineered Mesenchymal Stromal Cells for Enhanced ImmunosuppressionR01AI179974 · NIAID · MAYO CLINIC ROCHESTER · PI Saad J. Kenderian · 2024 to 2026
$2.4M
NCI NIH HHS R37 CA266344NIAID NIH HHS R01 AI179974
6 · The paper itself

Abstract

purpose of reviewChimeric antigen receptor (CAR) T cell therapy is an immunotherapy that has resulted in tremendous progress in the treatment of patients with B cell malignancies. However, the remarkable efficacy of therapy is not without significant safety concerns. Herein, we will review the unique and potentially life-threatening toxicities associated with CAR-T cell therapy and their association with treatment efficacy. RECENT

findingsCurrently, CAR-T cell therapy is approved for the treatment of B cell relapsed or refractory leukemia and lymphoma, and most recently, multiple myeloma (MM). In these different diseases, it has led to excellent complete and overall response rates depending on the patient population and therapy. Despite promising efficacy, CAR-T cell therapy is associated with significant side effects; the two most notable toxicities are cytokine release syndrome (CRS) and immune effector cell-associated neurotoxicity syndrome (ICANS). The treatment of CAR-T-induced toxicity is supportive; however, as higher-grade adverse events occur, toxicity-directed therapy with tocilizumab, an IL-6 receptor antibody, and steroids is standard practice. Overall, a careful risk-benefit balance exists between the efficacy and toxicities of therapies. The challenge lies in the underlying pathophysiology of CAR-T-related toxicity which relies upon the activation of CAR-T cells. Some degree of toxicity is expected to achieve an effective response to therapy, and certain aspects of treatment are also associated with toxicity. As progress is made in the investigation and approval of new CARs, novel toxicity-directed therapies and toxicity-limited constructs will be the focus of attention.

Indexed as

Multiple MyelomaReceptors, Chimeric AntigenCell- and Tissue-Based TherapyHumansImmunotherapy, AdoptiveNeurotoxicity SyndromesReceptors, Antigen, T-Cellcell-associated neurotoxicityReceptors, Antigen, T-CellReceptors, Chimeric AntigenCAR-TCAR-T efficacyCAR-T neurotoxicityCAR-T toxicityCRSICANSImmunotherapy

Identifiers

PMID36763238
PMCPMC10505056
OpenAlexW4319823715

What OpenQuestion holds

Textmetadata
LicenceTDM
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.