Evidence map›Paper›PMID 37307173›Full record

Observational studyBlood advances2023

Cardiac events after standard of care idecabtagene vicleucel for relapsed and refractory multiple myeloma.

Dae Hyun Lee, Abhishek Kumar, Turab Mohammed, Lauren C Peres, Melissa Alsina, Christina Bachmeier, Brandon J Blue, Jason Brayer, Sanjay Chandrasekhar, Ariel Grajales Cruz and 18 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Blood advances, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 25 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

28 authors at 2 institutions in 1 country.

Dae Hyun LeeDivision of Cardiovascular Medicine, University of South Florida Morsani College of Medicine, Tampa, FL.ORCID 0000-0001-8141-0404
Abhishek KumarDepartment of Internal Medicine, University of South Florida Morsani College of Medicine, Tampa, FL.
Turab MohammedDepartment of Blood and Marrow Transplant and Cellular Immunotherapy, H. Lee Moffitt Cancer Center, Tampa, FL.ORCID 0000-0001-5063-6419
Lauren C PeresDepartment of Cancer Epidemiology, H. Lee Moffitt Cancer Center, Tampa, FL.
Melissa AlsinaDepartment of Malignant Hematology, H. Lee Moffitt Cancer Center, Tampa, FL.
Christina BachmeierDepartment of Blood and Marrow Transplant and Cellular Immunotherapy, H. Lee Moffitt Cancer Center, Tampa, FL.ORCID 0000-0002-9832-3670
Brandon J BlueDepartment of Malignant Hematology, H. Lee Moffitt Cancer Center, Tampa, FL.
Jason BrayerDepartment of Malignant Hematology, H. Lee Moffitt Cancer Center, Tampa, FL.
Sanjay ChandrasekharDivision of Cardiovascular Medicine, University of South Florida Morsani College of Medicine, Tampa, FL.ORCID 0000-0002-4986-1237
Ariel Grajales CruzDepartment of Malignant Hematology, H. Lee Moffitt Cancer Center, Tampa, FL.
Gabe De AvilaDepartment of Blood and Marrow Transplant and Cellular Immunotherapy, H. Lee Moffitt Cancer Center, Tampa, FL.
Hany ElmariahDepartment of Blood and Marrow Transplant and Cellular Immunotherapy, H. Lee Moffitt Cancer Center, Tampa, FL.ORCID 0000-0001-7920-4636
Rawan FaramandDepartment of Blood and Marrow Transplant and Cellular Immunotherapy, H. Lee Moffitt Cancer Center, Tampa, FL.
Ciara FreemanDepartment of Blood and Marrow Transplant and Cellular Immunotherapy, H. Lee Moffitt Cancer Center, Tampa, FL.ORCID 0000-0002-0662-6480
Michael JainDepartment of Blood and Marrow Transplant and Cellular Immunotherapy, H. Lee Moffitt Cancer Center, Tampa, FL.ORCID 0000-0002-7789-1257
Sushmita KhadkaDepartment of Blood and Marrow Transplant and Cellular Immunotherapy, H. Lee Moffitt Cancer Center, Tampa, FL.ORCID 0000-0002-4006-1700
Farhad KhimaniDepartment of Blood and Marrow Transplant and Cellular Immunotherapy, H. Lee Moffitt Cancer Center, Tampa, FL.
Hien LiuDepartment of Blood and Marrow Transplant and Cellular Immunotherapy, H. Lee Moffitt Cancer Center, Tampa, FL.ORCID 0000-0002-9945-4381
Taiga NishihoriDepartment of Blood and Marrow Transplant and Cellular Immunotherapy, H. Lee Moffitt Cancer Center, Tampa, FL.ORCID 0000-0002-2621-7924
Laura B OswaldDepartment of Health Outcomes and Behavior, H. Lee Moffitt Cancer Center, Tampa, FL.ORCID 0000-0001-6281-2512
Omar A Castaneda PuglianiniDepartment of Blood and Marrow Transplant and Cellular Immunotherapy, H. Lee Moffitt Cancer Center, Tampa, FL.ORCID 0000-0003-0423-5870
Kenneth H ShainDepartment of Malignant Hematology, H. Lee Moffitt Cancer Center, Tampa, FL.
Eric SmithDepartment of Blood and Marrow Transplant and Cellular Immunotherapy, H. Lee Moffitt Cancer Center, Tampa, FL.
Rachid C BazDepartment of Malignant Hematology, H. Lee Moffitt Cancer Center, Tampa, FL.
Frederick L LockeDepartment of Blood and Marrow Transplant and Cellular Immunotherapy, H. Lee Moffitt Cancer Center, Tampa, FL.
Guilherme H OliveiraDivision of Cardiovascular Medicine, University of South Florida Morsani College of Medicine, Tampa, FL.
Mohammed AlomarDivision of Cardiovascular Medicine, University of South Florida Morsani College of Medicine, Tampa, FL.
Doris K HansenDepartment of Blood and Marrow Transplant and Cellular Immunotherapy, H. Lee Moffitt Cancer Center, Tampa, FL.
Moffitt Cancer Center · USUniversity of South Florida · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Idecabtagene vicleucel (ide-cel) is a type of B-cell maturation antigen (BCMA)-targeting chimeric antigen receptor T-cell (CAR-T) approved for the treatment of relapsed and refractory multiple myeloma (RRMM). Currently, the incidence of cardiac events associated with ide-cel remains unclear. This was a retrospective single-center observational study of patients treated with ide-cel for RRMM. We included all consecutive patients who received standard-of-care ide-cel treatment at least 1-month follow-up. Baseline clinical risk factors, safety profile, and responses were examined based on the development of a cardiac event. A total of 78 patients were treated with ide-cel, and 11 patients (14.1%) developed cardiac events: heart failure (5.1%), atrial fibrillation (10.3%), nonsustained ventricular tachycardia (3.8%), and cardiovascular death (1.3%). Only 11 of the 78 patients had repeat echocardiogram. Baseline risk factors associated with the development of cardiac events included being female sex and having poor performance status, λ light-chain disease, and advanced Revised International Staging System stage. Baseline cardiac characteristics were not associated with cardiac events. During index hospitalization after CAR-T, higher-grade (≥grade 2) cytokine release syndrome (CRS) and immune cell-associated neurologic syndrome were associated with cardiac events. In multivariable analyses, the hazard ratio for the association of the presence of cardiac events with overall survival (OS) was 2.66 and progression-free survival (PFS) was 1.98. Ide-cel CAR-T for RRMM was associated with similar cardiac events as other types of CAR-T. Worse baseline performance status and higher-grade CRS and neurotoxicity were associated with cardiac events after BCMA-directed CAR-T-cell therapy. Our results suggest that the presence of cardiac events may confer worse PFS or OS; although because of the small sample size, the power to detect an association was limited.

Indexed as

Multiple MyelomaNeoplasms, Plasma CellReceptors, Chimeric AntigenB-Cell Maturation AntigenCytokine Release SyndromeFemaleHumansMaleRetrospective StudiesStandard of CareB-Cell Maturation Antigenidecabtagene vicleucelReceptors, Chimeric Antigen

Identifiers

PMID37307173
PMCPMC10424134
OpenAlexW4380357555

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.