Evidence map›Paper›PMID 37153543›Full record

ArticleFrontiers in immunology2023

A combination of pre-infusion serum ferritin, CRP and IL-6 predicts outcome in relapsed/refractory multiple myeloma patients treated with CAR-T cells.

Yang Liu, Xingxing Jie, Li Nian, Ying Wang, Congyue Wang, Jin Ma, Jingjing Jiang, Qingyun Wu, Jianlin Qiao, Wei Chen and 10 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in immunology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 3 pooled it
6.9field-weighted citation impact, top 3% 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, 3 syntheses or guidelines pooled it, 30 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. The prognostic utility ofFrontiers in immunology · 2024
    Pooled it
  4. Single-Cell RNA Analysis Reveals Cell-Intrinsic Functions of CAR T Cells Correlating with Response in a Phase II Study of Lymphoma Patients.Clinical cancer research : an official journal of the American Association for Cancer Research · 2023
    Trial
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  15. Deep insight into cytokine storm: from pathogenesis to treatment.Signal transduction and targeted therapy · 2025
    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 1 institution in 1 country.

Yang LiuBlood Diseases Institute, Xuzhou Medical University, Xuzhou, Jiangsu, China.
Xingxing JieBlood Diseases Institute, Xuzhou Medical University, Xuzhou, Jiangsu, China.
Li NianBlood Diseases Institute, Xuzhou Medical University, Xuzhou, Jiangsu, China.
Ying WangBlood Diseases Institute, Xuzhou Medical University, Xuzhou, Jiangsu, China.
Congyue WangBlood Diseases Institute, Xuzhou Medical University, Xuzhou, Jiangsu, China.
Jin MaBlood Diseases Institute, Xuzhou Medical University, Xuzhou, Jiangsu, China.
Jingjing JiangBlood Diseases Institute, Xuzhou Medical University, Xuzhou, Jiangsu, China.
Qingyun WuBlood Diseases Institute, Xuzhou Medical University, Xuzhou, Jiangsu, China.
Jianlin QiaoBlood Diseases Institute, Xuzhou Medical University, Xuzhou, Jiangsu, China.
Wei ChenBlood Diseases Institute, Xuzhou Medical University, Xuzhou, Jiangsu, China.
Jiang CaoBlood Diseases Institute, Xuzhou Medical University, Xuzhou, Jiangsu, China.
Zhiling YanBlood Diseases Institute, Xuzhou Medical University, Xuzhou, Jiangsu, China.
Ming ShiCancer Institute, Xuzhou Medical University, Xuzhou, Jiangsu, China.
Hai ChengBlood Diseases Institute, Xuzhou Medical University, Xuzhou, Jiangsu, China.
Feng ZhuBlood Diseases Institute, Xuzhou Medical University, Xuzhou, Jiangsu, China.
Wei SangBlood Diseases Institute, Xuzhou Medical University, Xuzhou, Jiangsu, China.
Depeng LiBlood Diseases Institute, Xuzhou Medical University, Xuzhou, Jiangsu, China.
Chong ChenBlood Diseases Institute, Xuzhou Medical University, Xuzhou, Jiangsu, China.
Kailin XuBlood Diseases Institute, Xuzhou Medical University, Xuzhou, Jiangsu, China.
Zhenyu LiBlood Diseases Institute, Xuzhou Medical University, Xuzhou, Jiangsu, China.
Xuzhou Medical College · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Chimeric antigen receptor - T (CAR-T) cell therapy has shown remarkable efficacy in patients with relapsed/refractory multiple myeloma (R/R MM). However, a subset of patients still experienced progression or relapse, and the predictors of prognosis are little known. We analyzed the inflammatory markers before CAR-T cell infusion, to clarify their correlation with survival and toxicity. Methods: This study involved 109 R/R MM patients who received CAR-T therapy between June 2017 and July 2021. Inflammatory markers, including ferritin, c-reactive protein (CRP), and interleukin-6 (IL-6) before CAR-T cell infusion were detected and then categorized by quartiles. Adverse events and clinical outcomes were compared between patients with upper quartile of inflammatory markers and patients with lower three quartiles of inflammatory markers. An inflammatory prognostic index (InPI) based on these three inflammatory markers was developed in this study. Patients were divided into 3 groups according to the InPI score, progression-free survival (PFS) and overall survival (OS) were compared among the groups. In addition, we explored the correlation between cytokine release syndrome (CRS) and pre-infusion inflammatory markers. Results: We found that the pre-infusion high ferritin (hazard ratio [HR], 3.382; 95% confidence interval [CI], 1.667 to 6.863; Conclusions: Our results suggest that patients with elevated inflammation markers before CAR-T cell infusion are more likely to have poor prognosis.

Indexed as

Immunotherapy, AdoptiveMultiple MyelomaC-Reactive ProteinHumansInterleukin-6Neoplasm Recurrence, LocalReceptors, Chimeric AntigenT-LymphocytesC-Reactive ProteinInterleukin-6Receptors, Chimeric Antigenchimeric antigen receptor T cellinflammationmultiple myelomaprognostic predictorrelapsed/refractory

Identifiers

PMID37153543
PMCPMC10154462
OpenAlexW4366428230

What OpenQuestion holds

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LicenceCC BY
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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.