Evidence map›Paper›PMID 37058479›Full record

ArticleBlood advances2023

Impact of SARS-CoV-2 vaccination and monoclonal antibodies on outcome post-CD19-directed CAR T-cell therapy: an EPICOVIDEHA survey.

Jaap A van Doesum, Jon Salmanton-García, Francesco Marchesi, Roberta Di Blasi, Iker Falces-Romero, Alba Cabirta, Francesca Farina, Caroline Besson, Barbora Weinbergerová, Jens Van Praet and 40 more

Registry-linked trialAbstract readMulticenter Study
In one paragraph

Article in Blood advances, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04733729 (Epidemiology of COVID-19 Infection in Patients With Hematological Malignancies), which is not on this map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–field-weighted citation impact
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.

NCT04733729 recruitingnot on this map

Epidemiology of COVID-19 Infection in Patients With Hematological Malignancies: A European Haematology Association Survey

Typeobservational_patient_registrySponsorSorveglianza Epidemiologica Infezioni Fungine Emopatie MaligneRan2020 to 2025Enrolled3,000ConditionsCOVID-19 Infection in Hematological Malignancies Patients
3 · Its place in the literature

Who cites it

17 citing papers in PubMed.

  1. Review
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  7. Mitigating and managing infection risk in adults treated with CAR T-cell therapy.Hematology. American Society of Hematology. Education Program · 2024
    Review
  8. Article
  9. Article
  10. Review
  11. Review
  12. Article
  13. Article
  14. Remdesivir Reduced Mortality in Immunocompromised Patients Hospitalized for COVID-19 Across Variant Waves: Findings From Routine Clinical Practice.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2023
    Article
  15. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

50 authors.

Jaap A van DoesumUniversity Medical Center Groningen, Groningen, The Netherlands.ORCID 0000-0003-0214-3219
Jon Salmanton-GarcíaFaculty of Medicine and University Hospital Cologne, Institute of Translational Research, Cologne Excellence Cluster on Cellular Stress Responses in Aging-Associated Diseases, University of Cologne, Cologne, Germany.ORCID 0000-0002-6766-8297
Francesco MarchesiHematology and Stem Cell Transplant Unit, IRCCS Regina Elena National Cancer Institute, Rome, Italy.ORCID 0000-0001-6353-2272
Roberta Di BlasiService d'Hematologie-Oncologie, Hopital St Louis, Assistance Publique - Hopitaux de Paris, Paris, France.ORCID 0000-0001-9001-573X
Iker Falces-RomeroLa Paz University Hospital, Madrid, Spain.ORCID 0000-0001-5888-7706
Alba CabirtaDepartment of Hematology, Vall d'Hebron Hospital Universitari, Experimental Hematology, Vall d'Hebron Institute of Oncology, Vall d'Hebron Barcelona Hospital Campus, Barcelona, Spain.ORCID 0000-0001-7198-8894
Francesca FarinaIRCCS Ospedale San Raffaele, Milan, Italy.ORCID 0000-0002-5124-6970
Caroline BessonCentre Hospitalier de Versailles, Le Chesnay, France.ORCID 0000-0003-4364-7173
Barbora WeinbergerováDepartment of Internal Medicine - Hematology and Oncology, Masaryk University Hospital Brno, Brno, Czech Republic.ORCID 0000-0001-6460-2471
Jens Van PraetDepartment of Nephrology and Infectious Diseases, AZ Sint-Jan Brugge-Oostende AV, Brugge, Belgium.ORCID 0000-0002-7125-7001
Martin SchönleinDepartment of Oncology, Hematology and Bone Marrow Transplantation with Section of Pneumology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.ORCID 0000-0002-1010-0975
Alberto López-GarcíaFundacion Jimenez Diaz University Hospital, Health Research Institute IIS-FJD, Madrid, Spain.ORCID 0000-0002-5354-5261
Sylvain LamureDepartment of Clinical Hematology, Montpellier University Hospital, IGMM UMR5535 CNRS, University of Montpellier, Montpellier, France.ORCID 0000-0001-5980-305X
Anna GuidettiUniversity of Milan and Fondazione IRCCS Istituto Nazionale Dei Tumori, Milan, Italy.ORCID 0000-0002-4195-6397
Cristina De Ramón-SánchezHematology Department, Hospital Universitario de Salamanca, Salamanca, Spain.ORCID 0000-0002-8167-6410
Josip BatinićUniversity Hospital Centre Zagreb, Zagreb, Croatia.ORCID 0000-0001-5595-9911
Eleni GavriilakiAristotle University of Thessaloniki, Thessaloniki, Greece.ORCID 0000-0002-8883-8208
Athanasios TragiannidisAristotle University of Thessaloniki, Thessaloniki, Greece.
Maria Chiara TisiOspedale San Bortolo, Vicenza, Italy.ORCID 0000-0001-8231-6700
Gaëtan PlantefeveCentre Hospitalier d'Argenteuil, Argenteuil, France.
Verena PetzerDepartment of Hematology and Oncology, Medical University of Innsbruck, Innsbruck, Austria.ORCID 0000-0002-9205-1440
Irati Ormazabal-VélezComplejo Hospitalario de Navarra, Iruña-Pamplona, Spain.ORCID 0000-0003-1141-5546
Joyce Marques de AlmeidaIstituto Oncologico della Svizzera Italiana, Bellinzona, Switzerland.ORCID 0000-0002-0270-3805
Monia MarchettiAzienda Ospedaliera Nazionale SS. Antonio e Biagio e Cesare Arrigo, Alessandria, Italy.ORCID 0000-0001-7615-0572
Johan MaertensDepartment of Microbiology, Immunology, and Transplantation, KU Leuven, Leuven, Belgium.ORCID 0000-0003-4257-5980
Marina MachadoClinical Microbiology and Infectious Diseases Department, Hospital General Universitario Gregorio Marañón, Madrid, Spain.ORCID 0000-0002-8370-2248
Austin KulasekararajKing's College Hospital, London, United Kingdom.ORCID 0000-0003-3180-3570
José-Ángel Hernández-RivasHospital Universitario Infanta Leonor, Madrid, Spain.ORCID 0000-0003-4550-757X
Maria Gomes da SilvaPortuguese Institute of Oncology, Lisbon, Portugal.ORCID 0000-0002-6993-2450
Noemí FernándezHospital Universitario Marqués de Valdecilla, Santander, Spain.
Ildefonso EspigadoDepartment of Hematology, University Hospital Virgen Macarena - University Hospital Virgen del Rocío, Instituto de Biomedicina de Sevilla (IBIS/CSIC), Universidad de Sevilla (Departamento de Medicina), Seville, Spain.ORCID 0000-0002-4043-6613
Ľuboš DrgoňaDepartment of Oncohematology, Comenius University and National Cancer Institute, Bratislava, Slovakia.ORCID 0000-0002-5089-3201
Giulia DragonettiHematology Unit, Fondazione Policlinico Universitario Agostino Gemelli - IRCCS, Rome, Italy.ORCID 0000-0003-1775-6333
Elisabetta MetafuniHematology Unit, Fondazione Policlinico Universitario Agostino Gemelli - IRCCS, Rome, Italy.ORCID 0000-0002-4780-1273
Maria CalbachoHospital Universitario 12 de Octubre, Madrid, Spain.ORCID 0000-0001-8106-4863
Ola BlennowDepartment of Infectious Diseases, Karolinska University Hospital, Stockholm, Sweden.ORCID 0000-0002-7167-7882
Dominik WolfDepartment of Hematology and Oncology, Medical University of Innsbruck, Innsbruck, Austria.ORCID 0000-0002-4761-075X
Bjorn van AnrooijUniversity Medical Center Groningen, Groningen, The Netherlands.ORCID 0000-0003-0149-5087
Raquel Nunes RodriguesPortuguese Institute of Oncology, Lisbon, Portugal.ORCID 0000-0002-8347-4281
Anna NordlanderDepartment of Infectious Diseases, Karolinska University Hospital, Stockholm, Sweden.
Juan-Alberto Martín-GonzálezHospital Univesitario Virgen del Rocío, Seville, Spain.ORCID 0000-0002-3734-921X
Raphaël LiévinService d'Hematologie-Oncologie, Hopital St Louis, Assistance Publique - Hopitaux de Paris, Paris, France.ORCID 0000-0002-5097-591X
Moraima JiménezDepartment of Hematology, Vall d'Hebron Hospital Universitari, Experimental Hematology, Vall d'Hebron Institute of Oncology, Vall d'Hebron Barcelona Hospital Campus, Barcelona, Spain.ORCID 0000-0003-1444-8562
Stefanie K GräfeDepartment I of Internal Medicine, Faculty of Medicine and University Hospital Cologne, Excellence Center for Medical Mycology, University of Cologne, Cologne, Germany.ORCID 0000-0001-7678-0179
Ramón García-SanzHematology Department, Hospital Universitario de Salamanca, Salamanca, Spain.
Raúl CórdobaFundacion Jimenez Diaz University Hospital, Health Research Institute IIS-FJD, Madrid, Spain.ORCID 0000-0002-7654-8836
Laman RahimliFaculty of Medicine and University Hospital Cologne, Institute of Translational Research, Cologne Excellence Cluster on Cellular Stress Responses in Aging-Associated Diseases, University of Cologne, Cologne, Germany.
Tom van MeertenUniversity Medical Center Groningen, Groningen, The Netherlands.ORCID 0000-0002-5581-6950
Oliver A CornelyFaculty of Medicine and University Hospital Cologne, Institute of Translational Research, Cologne Excellence Cluster on Cellular Stress Responses in Aging-Associated Diseases, University of Cologne, Cologne, Germany.ORCID 0000-0001-9599-3137
Livio PaganoHematology Unit, Fondazione Policlinico Universitario Agostino Gemelli - IRCCS, Rome, Italy.ORCID 0000-0001-8287-928X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Patients with previous CD19-directed chimeric antigen receptor (CAR) T-cell therapy have a prolonged vulnerability to viral infections. Coronavirus disease 2019 (COVID-19) has a great impact and has previously been shown to cause high mortality in this population. Until now, real-world data on the impact of vaccination and treatment on patients with COVID-19 after CD19-directed CAR T-cell therapy are lacking. Therefore, this multicenter, retrospective study was conducted with data from the EPICOVIDEHA survey. Sixty-four patients were identified. The overall mortality caused by COVID-19 was 31%. Patients infected with the Omicron variant had a significantly lower risk of death due to COVID-19 compared with patients infected with previous variants (7% vs 58% [P = .012]). Twenty-six patients were vaccinated at the time of the COVID-19 diagnosis. Two vaccinations showed a marked but unsignificant reduction in the risk of COVID-19-caused mortality (33.3% vs 14.2% [P = .379]). In addition, the course of the disease appears milder with less frequent intensive care unit admissions (39% vs 14% [P = .054]) and a shorter duration of hospitalization (7 vs 27.5 days [P = .022]). Of the available treatment options, only monoclonal antibodies seemed to be effective at reducing mortality from 32% to 0% (P = .036). We conclude that survival rates of CAR T-cell recipients with COVID-19 improved over time and that the combination of prior vaccination and monoclonal antibody treatment significantly reduces their risk of death. This trial was registered at www.clinicaltrials.gov as #NCT04733729.

Indexed as

COVID-19Adaptor Proteins, Signal TransducingAntibodies, MonoclonalAntigens, CD19COVID-19 TestingCOVID-19 VaccinesHumansImmunotherapy, AdoptiveRetrospective StudiesSARS-CoV-2VaccinationAdaptor Proteins, Signal TransducingAntibodies, MonoclonalAntigens, CD19COVID-19 Vaccines

Identifiers

PMID37058479
PMCPMC10112941

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Registered trials

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