Evidence map›Paper›PMID 37126659›Full record

ArticleBlood advances2023

Circulating tumor DNA adds specificity to PET after axicabtagene ciloleucel in large B-cell lymphoma.

Erin A Dean, Gregory J Kimmel, Matthew J Frank, Ali Bukhari, Nasheed M Hossain, Michael D Jain, Saurabh Dahiya, David B Miklos, Philipp M Altrock, Frederick L Locke

Open access · goldAbstract 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. Cited by 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 2 pooled it
5.8field-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.

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

25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 25 citations in OpenAlex.

  1. Pooled it
  2. The prognostic utility ofFrontiers in immunology · 2024
    Pooled it
  3. Trial
  4. Axicabtagene Ciloleucel in Combination with Atezolizumab in Patients with Refractory Diffuse Large B-Cell Lymphoma: The Phase 1/2 ZUMA-6 Trial.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
    Trial
  5. Standardized FDG-PET interpretation during CAR T-cell therapy in R/R DLBCL: a DESCAR-T study.European journal of nuclear medicine and molecular imaging · 2026
    Article
  6. Review
  7. Article
  8. Article
  9. CAR T-cell therapy induced pseudoprogression.Frontiers in immunology · 2026
    Review
  10. Liquid Biopsies and Molecular Imaging for Precise Cancer Management.Methods in molecular biology (Clifton, N.J.) · 2026
    Review
  11. Review
  12. Integration of [Leukemia · 2025
    Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Review
  19. Five-Year Follow-Up of Standard-of-Care Axicabtagene Ciloleucel for Large B-Cell Lymphoma: Results From the US Lymphoma CAR T Consortium.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2024
    Article
  20. [Progression and application of circulating tumor DNA in lymphoma].Zhonghua xue ye xue za zhi = Zhonghua xueyexue zazhi · 2024
    Review
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

10 authors at 5 institutions in 2 countries.

Erin A DeanDepartment of Blood and Marrow Transplant and Cellular Immunotherapy, H. Lee Moffitt Cancer and Research Institute, Tampa, FL.
Gregory J KimmelDepartment of Integrated Mathematical Oncology, Moffitt Research Institute, Tampa, FL.ORCID 0000-0001-9766-5399
Matthew J FrankDivision of Blood and Stem Cell Transplantation, Department of Medicine, Stanford University, Stanford, CA.
Ali BukhariGreenebaum Comprehensive Cancer Center, University of Maryland School of Medicine, Baltimore, MD.
Nasheed M HossainCell Therapy and Transplant Program, Division of Hematology/Oncology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.ORCID 0000-0002-3278-655X
Michael D JainDepartment of Blood and Marrow Transplant and Cellular Immunotherapy, H. Lee Moffitt Cancer and Research Institute, Tampa, FL.ORCID 0000-0002-7789-1257
Saurabh DahiyaDivision of Blood and Stem Cell Transplantation, Department of Medicine, Stanford University, Stanford, CA.ORCID 0000-0001-8291-1796
David B MiklosDivision of Blood and Stem Cell Transplantation, Department of Medicine, Stanford University, Stanford, CA.ORCID 0000-0003-0717-4305
Philipp M AltrockDepartment of Evolutionary Theory, Max Planck Institute for Evolutionary Biology, Ploen, Germany.ORCID 0000-0001-7731-3345
Frederick L LockeDepartment of Blood and Marrow Transplant and Cellular Immunotherapy, H. Lee Moffitt Cancer and Research Institute, Tampa, FL.ORCID 0000-0001-9063-6691
Moffitt Cancer Center · USStanford University · USUniversity of Maryland, Baltimore · USMax Planck Institute for Evolutionary Biology · DEUniversity of Pennsylvania · US

Funding

TRANSLATIONAL RESEARCHP30CA076292 · NCI · UNIVERSITY OF SOUTH FLORIDA · PI KENNETH Lynn WRIGHT · 1998 to 2026
$93.5M
TUMOR SPECIFIC CYTOTOXIC T-LYMPHOCYTES IN BONE MARROW TRANSPLANTATIONP01CA049605 · NCI · STANFORD UNIVERSITY · PI David B. Miklos · 1989 to 2026
$73.3M
"Research Supplement to Promote Diversity in Health-Related Research", as part of Moffitt PS-OC, "Cancer as a Complex adaptive System"U54CA193489 · NCI · H. LEE MOFFITT CANCER CTR & RES INST · PI ANDERSON, ALEXANDER ROBERTSON ALLAN, GATENBY, ROBERT A · 2015 to 2020
$12.5M
Neurocognitive and Patient-Reported Outcomes after Chimeric Antigen Receptor T-Cell Therapy: A Controlled ComparisonR01CA244328 · NCI · H. LEE MOFFITT CANCER CTR & RES INST · PI HEATHER S.L. JIM, Frederick Locke · 2022 to 2026
$3.8M
Lymphoma Antigen Density and Circulating Tumor DNA Profiling As Determinants of Novel CAR TherapiesK08CA248968 · NCI · STANFORD UNIVERSITY · PI FRANK, MATTHEW J. · 2020 to 2024
$845k
NCI NIH HHS K08 CA248968NCI NIH HHS P01 CA049605NCI NIH HHS P30 CA076292NCI NIH HHS R01 CA244328NCI NIH HHS U54 CA193489
6 · The paper itself

Abstract

We examined the meaning of metabolically active lesions on 1-month restaging nuclear imaging of patients with relapsed/refractory large B-cell lymphoma receiving axicabtagene ciloleucel (axi-cel) by assessing the relationship between total metabolic tumor volume (MTV) on positron emission tomography (PET) scans and circulating tumor DNA (ctDNA) in the plasma. In this prospective multicenter sample collection study, MTV was retrospectively calculated via commercial software at baseline, 1, and 3 months after chimeric antigen receptor (CAR) T-cell therapy; ctDNA was available before and after axi-cel administration. Spearman correlation coefficient (rs) was used to study the relationship between the variables, and a mathematical model was constructed to describe tumor dynamics 1 month after CAR T-cell therapy. The median time between baseline scan and axi-cel infusion was 33 days (range, 1-137 days) for all 57 patients. For 41 of the patients with imaging within 33 days of axi-cel or imaging before that time but no bridging therapy, the correlation at baseline became stronger (rs, 0.61; P < .0001) compared with all patients (rs, 0.38; P = .004). Excluding patients in complete remission with no measurable residual disease, ctDNA and MTV at 1 month did not correlate (rs, 0.28; P = .11) but correlated at 3 months (rs, 0.79; P = .0007). Modeling of tumor dynamics, which incorporated ctDNA and inflammation as part of MTV, recapitulated the outcomes of patients with positive radiologic 1-month scans. Our results suggested that nonprogressing hypermetabolic lesions on 1-month PET represent ongoing treatment responses, and their composition may be elucidated by concurrently examining the ctDNA.

Indexed as

Circulating Tumor DNALymphoma, Large B-Cell, DiffuseBiological ProductsHumansImmunotherapy, AdoptivePositron-Emission TomographyProspective StudiesRetrospective Studiesaxicabtagene ciloleucelBiological ProductsCirculating Tumor DNA

Identifiers

PMID37126659
PMCPMC10448428
OpenAlexW4367624148

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.