Evidence map›Paper›PMID 36861439›Full record

GuidelineCancer biology & medicine2023

2022 Chinese expert consensus and guidelines on clinical management of toxicity in anti-CD19 chimeric antigen receptor T-cell therapy for B-cell non-Hodgkin lymphoma.

Ping Li, Yang Liu, Yun Liang, Jian Bo, Sujun Gao, Yongxian Hu, Yu Hu, He Huang, Xiaojun Huang, Hongmei Jing and 30 more

Open access · goldAbstract readPractice GuidelineConsensus Statement
In one paragraph

Guideline in Cancer biology & medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
4.1field-weighted citation impact, top 6% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

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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

40 authors at 20 institutions in 1 country.

Ping Li *Department of Hematology, Shanghai Tongji Hospital, Tongji University School of Medicine, Shanghai 200065, China.
Yang Liu *Department of Bio-therapeutic, Chinese PLA General Hospital, Beijing 100853, China.
Yun LiangDepartment of Hematology, The Second Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou 310009, China.
Jian BoDepartment of Hematology, Chinese PLA General Hospital, Beijing 100853, China.
Sujun GaoDepartment of Hematology, The First Hospital of Jilin University, Changchun 130012, China.
Yongxian HuCenter for Bone Marrow Transplantation, The First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310058, China.
Yu HuInstitute of Hematology, Union Hospital of Tongji Medical College; Huazhong University of Science and Technology, Wuhan 430022, China.
He HuangCenter for Bone Marrow Transplantation, The First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310058, China.
Xiaojun HuangPeking University People's Hospital & Peking University Institute of Hematology, Beijing Key Laboratory of Hematopoietic Stem Cell Transplantation, Beijing 100044, China.
Hongmei JingDepartment of Hematology, Lymphoma Research Center, Peking University Third Hospital, Beijing 100191, China.
Xiaoyan KeDepartment of Hematology, Lymphoma Research Center, Peking University Third Hospital, Beijing 100191, China.
Jianyong LiDepartment of Hematology, The First Affiliated Hospital of Nanjing Medical University, Jiangsu Province Hospital, Nanjing 210029, China.
Yuhua LiDepartment of Hematology, Zhujiang Hospital, Southern Medical University, Guangzhou 510280, China.
Qifa LiuDepartment of Hematology, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China.
Peihua LuLu Daopei Institute of Hematology, Beijing 101102, China.
Heng MeiInstitute of Hematology, Union Hospital of Tongji Medical College; Huazhong University of Science and Technology, Wuhan 430022, China.
Ting NiuDepartment of Hematology, West China Hospital, Sichuan University, Chengdu 610041, China.
Yongping SongThe Affiliated Cancer Hospital of Zhengzhou University, Zhengzhou 450008, China.
Yuqin SongDepartment of Lymphoma, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Peking University Cancer Hospital and Institute, Beijing 100142, China.
Liping SuDepartment of Hematology, Shanxi Cancer Hospital, Taiyuan 030013, China.
Sanfang TuDepartment of Hematology, Zhujiang Hospital, Southern Medical University, Guangzhou 510280, China.
Jianxiang WangState Key Laboratory of Experimental Hematology, National Clinical Research Center for Blood Diseases, Division of Pediatric Blood Disease Center, Institute of Hematology & Blood Disease Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Tianjin 300020, China.
Depei WuDepartment of Hematology, The First Affiliated Hospital of Soochow University, Jiangsu Institute of Hematology, National Clinical Research Center for Hematologic Diseases, Suzhou 215006, China.
Zhao WangDepartment of Hematology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China.
Kailin XuDepartment of Hematology, The Affiliated Hospital of Xuzhou Medical University, Xuzhou 221006, China.
Zhitao YingDepartment of Lymphoma, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Peking University Cancer Hospital and Institute, Beijing 100142, China.
Qingming YangDepartment of Bio-therapeutic, Chinese PLA General Hospital, Beijing 100853, China.
Yajing ZhangDepartment of Bio-therapeutic, Chinese PLA General Hospital, Beijing 100853, China.
Fengxia ShiDepartment of Bio-therapeutic, Chinese PLA General Hospital, Beijing 100853, China.
Bin ZhangInstitute of Blood and Marrow Transplantation, The Fifth Medical Center, Chinese PLA General Hospital, Beijing 100039, China.
Huilai ZhangDepartment of Lymphoma, Tianjin Medical University Cancer Institute & Hospital, National Clinical Research Center for Cancer, Key Laboratory of Cancer Prevention and Therapy, Tianjin, Tianjin's Clinical Research Center for Cancer, Tianjin 300060, China.
Xi ZhangMedical Center of Hematology, Xinqiao Hospital, State Key Laboratory of Trauma, Burn and Combined Injury, Army Medical University, Chongqing 400037, China.
Mingfeng ZhaoDepartment of Hematology, Tianjin First Central Hospital, Tianjin 300192, China.
Weili ZhaoDepartment of Hematology, Shanghai Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China.
Xiangyu ZhaoPeking University People's Hospital & Peking University Institute of Hematology, Beijing Key Laboratory of Hematopoietic Stem Cell Transplantation, Beijing 100044, China.
Liang HuangDepartment of Hematology, Tongji Hospital of Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China.
Jun ZhuDepartment of Lymphoma, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Peking University Cancer Hospital and Institute, Beijing 100142, China.
Wenbin QianDepartment of Hematology, The Second Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou 310009, China.
Weidong HanDepartment of Bio-therapeutic, Chinese PLA General Hospital, Beijing 100853, China.
Aibin LiangDepartment of Hematology, Shanghai Tongji Hospital, Tongji University School of Medicine, Shanghai 200065, China.
Peking University · CNChinese PLA General Hospital · CNWuhan Union Hospital · CNSecond Affiliated Hospital of Zhejiang University · CNTongji University · CNZhujiang Hospital · CNArmy Medical University · CNCapital Medical University · CNChinese Academy of Medical Sciences & Peking Union Medical College · CNJiangsu Province Hospital · CNJilin University · CNNanfang Hospital · CNShanghai Jiao Tong University · CNShanxi Provincial Cancer Hospital · CNSichuan University · CNSoochow University · CNTianjin First Center Hospital · CNTianjin Medical University Cancer Institute and Hospital · CNTongji Hospital · CNXuzhou Medical College · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Adoptive cellular immunotherapy with chimeric antigen receptor (CAR) T cells has emerged as a novel modality for treating relapsed and/or refractory B-cell non-Hodgkin lymphoma (B-NHL). With increasing approval of CAR T-cell products and advances in CAR T cell therapy, CAR T cells are expected to be used in a growing number of cases. However, CAR T-cell-associated toxicities can be severe or even fatal, thus compromising the survival benefit from this therapy. Standardizing and studying the clinical management of these toxicities are imperative. In contrast to other hematological malignancies, such as acute lymphoblastic leukemia and multiple myeloma, anti-CD19 CAR T-cell-associated toxicities in B-NHL have several distinctive features, most notably local cytokine-release syndrome (CRS). However, previously published guidelines have provided few specific recommendations for the grading and management of toxicities associated with CAR T-cell treatment for B-NHL. Consequently, we developed this consensus for the prevention, recognition, and management of these toxicities, on the basis of published literature regarding the management of anti-CD19 CAR T-cell-associated toxicities and the clinical experience of multiple Chinese institutions. This consensus refines a grading system and classification of CRS in B-NHL and corresponding measures for CRS management, and delineates comprehensive principles and exploratory recommendations for managing anti-CD19 CAR T-cell-associated toxicities in addition to CRS.

Indexed as

Immunotherapy, AdoptiveLymphoma, Non-HodgkinReceptors, Chimeric AntigenAdaptor Proteins, Signal TransducingAntigens, CD19Cell- and Tissue-Based TherapyConsensusHumansAdaptor Proteins, Signal TransducingAntigens, CD19Receptors, Chimeric AntigenB-cell non-Hodgkin lymphomaCAR T-cell therapyclinical managementcytokine-release syndrometoxicity

Identifiers

PMID36861439
PMCPMC9978889
OpenAlexW4322757487

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Registered trials

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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.