Evidence map›Paper›PMID 37686611›Full record

ArticleCancers2023

The Dutch CAR-T Tumorboard Experience: Population-Based Real-World Data on Patients with Relapsed or Refractory Large B-Cell Lymphoma Referred for CD19-Directed CAR T-Cell Therapy in The Netherlands.

Anne M Spanjaart, Elise R A Pennings, Pim G N J Mutsaers, Suzanne van Dorp, Margot Jak, Jaap A van Doesum, Janneke W de Boer, Anne G H Niezink, Milan Kos, Joost S P Vermaat and 12 more

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
4.8field-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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Whole-body CD8Nature communications · 2025
    Trial
  3. Article
  4. Navigating Ethical Challenges in CAR-T Treatment.HEC forum : an interdisciplinary journal on hospitals' ethical and legal issues · 2026
    Article
  5. Article
  6. Article
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  8. Article
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  10. Article
  11. Observational
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  13. 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

22 authors at 9 institutions in 2 countries.

Anne M SpanjaartDepartment of Hematology, Amsterdam UMC Location University of Amsterdam, 1007 MB Amsterdam, The Netherlands.
Elise R A PenningsDepartment of Hematology, Amsterdam UMC Location University of Amsterdam, 1007 MB Amsterdam, The Netherlands.ORCID 0000-0001-7674-2148
Pim G N J MutsaersDepartment of Hematology, Erasmus MC Cancer Institute, University Medical Center Rotterdam, 3015 GD Rotterdam, The Netherlands.ORCID 0000-0002-3924-8578
Suzanne van DorpDepartment of Hematology, Radboud University Medical Center, 6500 HB Nijmegen, The Netherlands.
Margot JakDepartment of Hematology, University Medical Center Utrecht, 3584 CX Utrecht, The Netherlands.ORCID 0000-0001-8092-3566
Jaap A van DoesumDepartment of Hematology, University Medical Center Groningen, 9713 GZ Groningen, The Netherlands.
Janneke W de BoerDepartment of Hematology, University Medical Center Groningen, 9713 GZ Groningen, The Netherlands.ORCID 0000-0002-0221-1835
Anne G H NiezinkDepartment of Radiation Oncology, University Medical Center Groningen, 9713 GZ Groningen, The Netherlands.
Milan KosCancer Center Amsterdam, 1105 AZ Amsterdam, The Netherlands.
Joost S P VermaatDepartment of Hematology, Leiden University Medical Center, 2333 ZA Leiden, The Netherlands.ORCID 0000-0002-1628-6256
Aniko Sijs-SzaboDepartment of Hematology, Leiden University Medical Center, 2333 ZA Leiden, The Netherlands.
Marjolein W M van der PoelDepartment of Internal Medicine, Division of Hematology, GROW School for Oncology and Developmental Biology, Maastricht University Medical Center, 6229 HX Maastricht, The Netherlands.
Inger S NijhofCancer Center Amsterdam, 1105 AZ Amsterdam, The Netherlands.
Maria T KuipersCancer Center Amsterdam, 1105 AZ Amsterdam, The Netherlands.ORCID 0000-0003-4327-2316
Martine E D ChamuleauCancer Center Amsterdam, 1105 AZ Amsterdam, The Netherlands.
Pieternella J LugtenburgDepartment of Hematology, Erasmus MC Cancer Institute, University Medical Center Rotterdam, 3015 GD Rotterdam, The Netherlands.ORCID 0000-0002-6735-8651
Jeanette K DoorduijnDepartment of Hematology, Erasmus MC Cancer Institute, University Medical Center Rotterdam, 3015 GD Rotterdam, The Netherlands.
Yasmina I M SerroukhDepartment of Hematology, Erasmus MC Cancer Institute, University Medical Center Rotterdam, 3015 GD Rotterdam, The Netherlands.
Monique C MinnemaDepartment of Hematology, University Medical Center Utrecht, 3584 CX Utrecht, The Netherlands.ORCID 0000-0002-3139-8379
Tom van MeertenDepartment of Hematology, University Medical Center Groningen, 9713 GZ Groningen, The Netherlands.ORCID 0000-0002-5581-6950
Marie José KerstenDepartment of Hematology, Amsterdam UMC Location University of Amsterdam, 1007 MB Amsterdam, The Netherlands.
Dutch CAR-T Tumorboard Consortium
Erasmus MC Cancer Institute · NLUniversity Medical Center Groningen · NLAmsterdam University Medical Centers · NLLymphoma Research Foundation · USLeiden University Medical Center · NLUniversity Medical Center Utrecht · NLMaastricht University · NLRadboud University Nijmegen · NLSt. Antonius Ziekenhuis · NL

Funding

European Union's Horizon 2020 research and innovation program under grant agreement No. 875171, QUALITOP 875171Innovative Medicines Initiative 2 Joint Undertaking (grant agreement No. 116026), T2EVOLVE. This Joint Undertaking receives support from the European Union's Horizon 2020 Research and Innovation program and European Federation of Pharmaceutical Industries 116026
6 · The paper itself

Abstract

The real-world results of chimeric antigen receptor T-cell (CAR-T) therapy for patients with relapsed/refractory (R/R) large B-cell lymphoma (LBCL) substantially differ across countries. In the Netherlands, the CAR-T tumorboard facilitates a unique nationwide infrastructure for referral, eligibility assessment and data collection. The aim of this study was to evaluate real-world outcomes of axicabtagene ciloleucel (axi-cel) in the Dutch population, including the thus-far underreported effects on health-related quality of life (HR-QoL). All patients with R/R LBCL after ≥2 lines of systemic therapy referred for axi-cel treatment between May 2020-May 2022 were included (N = 250). Of the 160 apheresed patients, 145 patients received an axi-cel infusion. The main reason for ineligibility was rapidly progressive disease. The outcomes are better or at least comparable to other studies (best overall response rate: 84% (complete response: 66%); 12-month progression-free-survival rate and overall survival rate: 48% and 62%, respectively). The 12-month NRM was 5%, mainly caused by infections. Clinically meaningful improvement in several HR-QoL domains was observed from Month 9 onwards. Expert-directed patient selection can support effective and sustainable application of CAR-T treatment. Matched comparisons between cohorts will help to understand the differences in outcomes across countries and select best practices. Despite the favorable results, for a considerable proportion of patients with R/R LBCL there still is an unmet medical need.

Indexed as

CAR T-cell therapyLBCLoutcomesreal-world data

Identifiers

PMID37686611
PMCPMC10486925
OpenAlexW4386284153

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.