Evidence map›Paper›PMID 37354233›Full record

ArticleCancer chemotherapy and pharmacology2023

Infections occurring following IL6 blockade for the management of cytokine release syndrome in onco-hematology patients.

M Valery, K Saleh, R Ecea, J M Michot, V Ribrag, K Fizazi, A Hollebecque, A Lecesne, S Ponce, Y Loriot and 4 more

Abstract read
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In one paragraph

Article in Cancer chemotherapy and pharmacology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.7field-weighted citation impact, top 23% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. 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

14 authors at 2 institutions in 1 country.

M ValeryDepartment of Medical Oncology, Gustave Roussy Cancer Campus, 94805, Villejuif, France. marine.valery@gustaveroussy.fr.ORCID 0000-0002-7787-6911
K SalehDepartment of Hematology, Gustave Roussy Cancer Campus, 94805, Villejuif, France.
R EceaDepartment of Medical Oncology, Gustave Roussy Cancer Campus, 94805, Villejuif, France.
J M MichotDépartement d'Innovation Thérapeutique et d'essais précoces (DITEP), Gustave Roussy Cancer Campus, 94805, Villejuif, France.
V RibragDepartment of Hematology, Gustave Roussy Cancer Campus, 94805, Villejuif, France.
K FizaziDepartment of Medical Oncology, Gustave Roussy Cancer Campus, 94805, Villejuif, France.
A HollebecqueDepartment of Medical Oncology, Gustave Roussy Cancer Campus, 94805, Villejuif, France.
A LecesneInternational Department, Gustave Roussy Cancer Campus, 94805, Villejuif, France.
S PonceDépartement d'Innovation Thérapeutique et d'essais précoces (DITEP), Gustave Roussy Cancer Campus, 94805, Villejuif, France.
Y LoriotDepartment of Medical Oncology, Gustave Roussy Cancer Campus, 94805, Villejuif, France.
S ChampiatDépartement d'Innovation Thérapeutique et d'essais précoces (DITEP), Gustave Roussy Cancer Campus, 94805, Villejuif, France.
C BaldiniDépartement d'Innovation Thérapeutique et d'essais précoces (DITEP), Gustave Roussy Cancer Campus, 94805, Villejuif, France.
C SarkozyDepartment of Hematology, Institut Curie, 92210, Saint-Cloud, France.
C Castilla-LlorenteDepartment of Hematology, Gustave Roussy Cancer Campus, 94805, Villejuif, France.
Institut Gustave Roussy · FRInstitut Curie · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCytokine release syndrome (CRS) is a common adverse event of CAR T cell or bispecific antibody (bsAb) therapy. Anti-IL6/IL6R drugs are used in the management of auto-immune diseases. Some reports showed increased risk of bacterial infection in this context. In onco-hematology, there are few data about the occurrence of infection after administration of an anti-IL6/IL6R for CRS.

methodsWe retrospectively reviewed all consecutive patients treated in Gustave Roussy Cancer Campus between 2018 and 2021, who received anti-IL6/IL6R for CRS due to bsAb in phase I clinical trials or adoptive cellular therapy (ACT). We constituted a control group including all the patients treated in the same clinical trials or standard of care ACT, naïve of anti-IL6/IL6R.

resultsFifty-two patients have been included. In the anti-IL6/IL6R group (n = 26), five patients developed a grade 2 to 5 infection within a month after anti-IL6/IL6R treatment, including two grade 5 infections. In the control group (n = 26), only one patient had a grade 3 infection. The two patients who had grade 5 infections were treated for diffuse large B cell lymphoma (DLBCL), one with bsAb and the other with CAR T cell. Fifty percent (3/6) of DLBCL patients who received an anti-IL6/IL6R presented an infection, one of which was a grade 5. In solid tumor patients treated with bsAb and anti-IL6/IL6R, only one patient (/9, 11%) developed a grade 2 viral infection.

conclusionIt seems that the use of anti-IL6/IL6R in CRS secondary to bsAb administration in solid tumors patients does not significantly increase the risk of infection, as opposed to DLBCL patients where secondary infection might be a concern.

Indexed as

Antibodies, BispecificLymphoma, Large B-Cell, DiffuseCytokine Release SyndromeHumansRetrospective StudiesAntibodies, BispecificBispecific antibodyCAR T cellCytokine release syndromeICANSSiltuximabTocilizumab

Identifiers

PMID37354233
OpenAlexW4381890841

What OpenQuestion holds

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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.