Evidence map›Paper›PMID 37321275›Full record

ArticleCancer research and treatment2023

Long-term Complete Remission of Decitabine-Primed Tandem CD19/CD22 CAR-T Therapy with PD-1 and BTK Inhibitors Maintenance in a Refractory Primary Central Nervous System Lymphoma Patient.

Rui Zou, Xiao Zhou, Hailing Liu, Peng Wang, Fan Xia, Liqing Kang, Lei Yu, Depei Wu, Zhengming Jin, Changju Qu

Open access · diamondAbstract readCase Reports
In one paragraph

Article in Cancer research and treatment, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 7% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Review
  5. Review
  6. Review
  7. Review
  8. Review
  9. Review
  10. Article
  11. Review
  12. Article
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.

Rui ZouCollege of Pharmaceutical Sciences Soochow University, The First Affiliated Hospital of Soochow University, Suzhou, China.
Xiao ZhouDepartment Of Hematology & Oncology, Wuxi Taihu Lake Hospital, Wuxi, China.
Hailing LiuDepartment of Radiology, People's Hospital of Binhai County, Yancheng, China.
Peng WangNational Clinical Research Center for Hematologic Diseases, Jiangsu Institute of Hematology, The First Affiliated Hospital of Soochow University, Suzhou, China.
Fan XiaDepartment of Pharmacy, The First Affiliated Hospital of Soochow University, Suzhou, China.
Liqing KangSchool of Chemistry and Molecular Engineering, East China Normal University, Shanghai, China.
Lei YuSchool of Chemistry and Molecular Engineering, East China Normal University, Shanghai, China.
Depei WuNational Clinical Research Center for Hematologic Diseases, Jiangsu Institute of Hematology, The First Affiliated Hospital of Soochow University, Suzhou, China.
Zhengming JinNational Clinical Research Center for Hematologic Diseases, Jiangsu Institute of Hematology, The First Affiliated Hospital of Soochow University, Suzhou, China.
Changju QuNational Clinical Research Center for Hematologic Diseases, Jiangsu Institute of Hematology, The First Affiliated Hospital of Soochow University, Suzhou, China.
Soochow University · CNEast China Normal University · CNFirst Affiliated Hospital of Soochow University · CNBinzhou People's Hospital · CNWuxi Taihu Hospital · CN

Funding

Jiangsu Natural Science Foundation of China BK20140374National Clinical Research Center for hematologic disease 2021ZKMC01National Key R&D Program of China 2016YFC0902800National Natural Science Foundation of China 81400155Priority Academic Program Development of Jiangsu Higher Education InstitutionsTop-notch young health talents, 5th Suzhou health professionals program GSWS2019035
6 · The paper itself

Abstract

Primary central nervous system lymphoma (PCNSL) is a rare and aggressive non-Hodgkin's lymphoma that affects the brain, eyes, cerebrospinal fluid, or spinal cord without systemic involvement. The outcome of patients with PCNSL is worse compared to patients with systemic diffuse large B-cell lymphoma. Given potential mortality associated with severe immune effector cell-associated neurotoxicity syndrome (ICANS), patients with PCNSL have been excluded from most clinical trials involving chimeric antigen receptor T-cell (CAR-T) therapy initially. Here, we report for the first time to apply decitabine-primed tandem CD19/CD22 dual-targeted CAR-T therapy with programmed cell death-1 (PD-1) and Bruton's tyrosine kinase (BTK) inhibitors maintenance in one patient with multiline-resistant refractory PCNSL and the patient has maintained complete remission (CR) for a 35-month follow-up period. This case represents the first successful treatment of multiline resistant refractory PCNSL with long-term CR and without inducing ICANS under tandem CD19/CD22 bispecific CAR-T therapy followed by maintenance therapy with PD-1 and BTK inhibitors. This study shows tremendous potential in the treatment of PCNSL and offers a look toward ongoing clinical studies.

Indexed as

Central Nervous System NeoplasmsLymphoma, Non-HodgkinReceptors, Chimeric AntigenAdaptor Proteins, Signal TransducingBrainDecitabineHumansImmune Checkpoint InhibitorsNeurotoxicity SyndromesProgrammed Cell Death 1 ReceptorSialic Acid Binding Ig-like Lectin 2Tyrosine Kinase InhibitorsAdaptor Proteins, Signal TransducingCD22 protein, humancell-associated neurotoxicityDecitabineImmune Checkpoint InhibitorsProgrammed Cell Death 1 ReceptorReceptors, Chimeric AntigenSialic Acid Binding Ig-like Lectin 2Tyrosine Kinase InhibitorsCD19/CD22Chimeric antigen receptor T-cell therapyDecitabineDiffuse Large B-Cell LymphomaPrimary central nervous system lymphoma

Identifiers

PMID37321275
PMCPMC10582536
OpenAlexW4380684704

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.