Evidence map›Paper›PMID 37672383›Full record

ArticleBlood advances2023

Nonrelapse mortality after CAR T-cell therapy for large B-cell lymphoma: a LYSA study from the DESCAR-T registry.

Jean Lemoine, Emmanuel Bachy, Guillaume Cartron, David Beauvais, Thomas Gastinne, Roberta Di Blasi, Marie-Thérèse Rubio, Stéphanie Guidez, Mohamad Mohty, Rene-Olivier Casasnovas and 14 more

Open access · goldAbstract read
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 45 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 3 pooled it
16.3field-weighted citation impact, top 1% 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

45 citing papers in PubMed, 3 syntheses or guidelines pooled it, 71 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

24 authors at 19 institutions in 1 country.

Jean LemoineDepartment of Hematology, CHU de Rennes, Rennes, France.ORCID 0000-0001-5833-6728
Emmanuel BachyDepartment of Hematology, Hospices Civils de Lyon, Lyon Sud Hospital, Pierre-Benite, France.ORCID 0000-0003-2694-7510
Guillaume CartronDepartment of Hematology, CHU de Montpellier, Montpellier, France.ORCID 0000-0003-0659-9635
David BeauvaisDepartment of Hematology, CHU de Lille, Lille, France.
Thomas GastinneDepartment of Hematology, CHU de Nantes, Nantes, France.
Roberta Di BlasiDepartment of Hemato-Oncology, Saint Louis Hospital, Paris, France.ORCID 0000-0001-9001-573X
Marie-Thérèse RubioDepartment of Hematology, CHU Brabois, Nancy, France.
Stéphanie GuidezDepartment of Hematology, CHU de Poitiers, Poitiers, France.ORCID 0000-0001-8755-5591
Mohamad MohtyDepartment of Hematology, Saint Antoine Hospital, Paris, France.
Rene-Olivier CasasnovasDepartment of Hematology, CHU de Dijon, Dijon, France.
Magalie JorisDepartment of Hematology, CHU d'Amiens, Amiens, France.
Cristina Castilla-LlorenteDepartment of Hematology and INSERM, UMR 1030, Université Paris-Saclay, Gustave Roussy Cancer Campus Grand Paris, Paris, France.
Corinne HaiounLymphoid Malignancies, Henri Mondor Hospital, Créteil, France.
Olivier HermineDepartment of Hematology, Necker Hospital, Paris, France.
Michael LoschiDepartment of Hematology, CHU de Nice, Nice, France.ORCID 0000-0002-4460-5939
Sylvain CarrasDepartment of Hematology, CHU de Grenoble, Grenoble, France.ORCID 0000-0002-0796-7914
Pierre BoriesHematology Laboratory, Onco-occitanie Network, Toulouse University Institute of Cancer-Oncopole, Toulouse, France.ORCID 0000-0002-2252-0395
Tom FradonLYSARC, The Lymphoma Academic Research Organisation, Lyon-Sud Hospital, Pierre-Benite, France.
Charles HerbauxDepartment of Hematology, CHU de Montpellier, Montpellier, France.ORCID 0000-0003-4910-476X
Pierre SesquesDepartment of Hematology, Hospices Civils de Lyon, Lyon Sud Hospital, Pierre-Benite, France.ORCID 0000-0001-8264-822X
Steven Le GouillCurie Institute, Paris, France.ORCID 0000-0001-9840-2128
Franck MorschhauserDepartment of Hematology, CHU de Lille, Lille, France.ORCID 0000-0002-3714-9824
Catherine ThieblemontDepartment of Hemato-Oncology, Saint Louis Hospital, Paris, France.
Roch HouotDepartment of Hematology, CHU de Rennes, Rennes, France.
Centre Hospitalier Universitaire de Lille · FRCentre Hospitalier Universitaire de Montpellier · FRCentre Hospitalier Universitaire de Rennes · FRHôpital Saint-Louis · FRHospices Civils de Lyon · FRCentre Hospitalier Régional et Universitaire de Nancy · FRCentre Hospitalier Universitaire Amiens-Picardie · FRCentre Hospitalier Universitaire de Grenoble · FRCentre Hospitalier Universitaire de Nantes · FRCentre Hospitalier Universitaire de Nice · FRCentre Hospitalier Universitaire de Poitiers · FRCHU Dijon Bourgogne · FRHôpital Necker-Enfants Malades · FRHôpitaux Universitaires Henri-Mondor · FRInserm · FRInstitut Curie · FRInstitut universitaire du cancer de Toulouse Oncopole · FRSorbonne Université · FRThe Lymphoma Academic Research Organisation · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

CD19 chimeric antigen receptor (CAR) T cells can induce prolonged remissions and potentially cure a significant proportion of patients with relapsed/refractory large B-cell lymphomas. However, some patients may die of causes unrelated to lymphoma after CAR T-cell therapy. To date, little is known about the nonrelapse mortality (NRM) after CAR T-cell therapy. Using the French DESCAR-T registry, we analyzed the incidence and causes of NRM and identified risk factors of NRM. We report on 957 patients who received standard-of-care axicabtagene ciloleucel (n = 598) or tisagenlecleucel (n = 359) between July 2018 and April 2022, in 27 French centers. With a median follow-up of 12.4 months, overall NRM occurred in 48 patients (5.0% of all patients): early (before day 28 after infusion) in 9 patients (0.9% of all patients and 19% of overall NRM), and late (on/after day 28 after infusion) in 39 patients (4.1% of all patients and 81% of overall NRM). Causes of overall NRM were distributed as follows: 56% infections (29% with non-COVID-19 and 27% with COVID-19), 10% cytokine release syndromes, 6% stroke, 6% cerebral hemorrhage, 6% second malignancies, 4% immune effector cell associated neurotoxicities, and 10% deaths from other causes. We report risk factors of early NRM and overall NRM. In multivariate analysis, both diabetes and elevated ferritin level at lymphodepletion were associated with an increased risk of overall NRM. Our results may help physicians in patient selection and management in order to reduce the NRM after CAR T-cell therapy.

Indexed as

Immunotherapy, AdoptiveLymphoma, Large B-Cell, DiffuseAntigens, CD19HumansRisk FactorsAntigens, CD19

Identifiers

PMID37672383
PMCPMC10641092
OpenAlexW4386485634

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.