Evidence map›Paper›PMID 37731379›Full record

ArticleHaematologica2024

Idecabtagene vicleucel chimeric antigen receptor T-cell therapy for relapsed/refractory multiple myeloma with renal impairment.

Surbhi Sidana, Lauren C Peres, Hamza Hashmi, Hitomi Hosoya, Christopher Ferreri, Jack Khouri, Danai Dima, Shebli Atrash, Peter Voorhees, Gary Simmons and 21 more

Open access · goldAbstract read
In one paragraph

Article in Haematologica, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 1 pooled it
8.3field-weighted citation impact, top 2% 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

37 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 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

31 authors at 14 institutions in 1 country.

Surbhi SidanaStanford University School of Medicine. Surbhi.Sidana@stanford.edu.
Lauren C PeresH. Lee Moffitt Cancer Center and Research Institute.
Hamza HashmiMedical University of South Carolina.
Hitomi HosoyaStanford University School of Medicine.
Christopher FerreriThe University of Texas MD Anderson Cancer Center.
Jack KhouriCleveland Clinic Taussig Cancer Center.
Danai DimaCleveland Clinic Taussig Cancer Center.
Shebli AtrashLevine Cancer Institute.
Peter VoorheesLevine Cancer Institute.
Gary SimmonsVirginia Commonwealth University Massey Cancer Center.
Douglas W SborovThe University of Utah Huntsman Cancer Institute.
Nilesh KalariyaThe University of Texas MD Anderson Cancer Center.
Vanna HovankyStanford University School of Medicine.
Sushma BharadwajStanford University School of Medicine.
David MiklosStanford University School of Medicine.
Charlotte WagnerThe University of Utah Huntsman Cancer Institute.
Mehmet H KocogluUniversity of Maryland Marlene and Stewart Greenebaum Comprehensive Cancer Center.
Gurbakhash KaurUT Southwestern Harold C. Simmons Comprehensive Cancer Center.
James A DavisMedical University of South Carolina.
Shonali MidhaDana Farber Cancer Institute.
Murali JanakiramCity of Hope Cancer Center.
Ciara FreemanH. Lee Moffitt Cancer Center and Research Institute.
Melissa AlsinaH. Lee Moffitt Cancer Center and Research Institute.
Frederick LockeH. Lee Moffitt Cancer Center and Research Institute.
Rebecca GonzalezH. Lee Moffitt Cancer Center and Research Institute.
Yi LinMayo Clinic, Rochester.
Joseph McGuirkThe University of Kansas Medical Center.
Aimaz AfroughUT Southwestern Harold C. Simmons Comprehensive Cancer Center.
Leyla ShuneThe University of Kansas Medical Center.
Krina K PatelThe University of Texas MD Anderson Cancer Center.
Doris K HansenH. Lee Moffitt Cancer Center and Research Institute. Doris.Hansen@moffitt.org.
Moffitt Cancer Center · USStanford University · USThe University of Texas MD Anderson Cancer Center · USCleveland Clinic · USLevine Cancer Institute · USMedical University of South Carolina · USThe University of Texas Southwestern Medical Center · USUniversity of Kansas Medical Center · USUniversity of Utah · USCity of Hope · USDana-Farber Cancer Institute · USMayo Clinic · USUniversity of Maryland Marlene and Stewart Greenebaum Comprehensive Cancer CenterVirginia Commonwealth University · US

Funding

TRANSLATIONAL RESEARCHP30CA076292 · NCI · UNIVERSITY OF SOUTH FLORIDA · PI John L. Cleveland · 1998 to 2026
$93.5M
Project 4: Targeting Resistance to T-Cell Directed Therapy in Multiple MyelomaP50CA186781 · NCI · MAYO CLINIC ARIZONA · PI Yi Lin · 2015 to 2026
$25.5M
Institutional Career Development Core (KL2)KL2TR003143 · NCATS · STANFORD UNIVERSITY · PI ASCH, STEVEN M. · 2019 to 2023
$8.7M
NCATS NIH HHS KL2 TR003143NCI NIH HHS P30 CA076292NCI NIH HHS P50 CA186781
6 · The paper itself

Abstract

We evaluated patients with relapsed multiple myeloma with renal impairment (RI) treated with standard of care idecabtagene vicleucel (ide-cel), as outcomes with chimeric antigen receptor (CAR) T-cell therapy are unknown in this population. RI was defined as creatinine clearance (CrCl) <50 mL/min. CrCl of <30 mL/min or dialysis dependence were defined as severe RI. The study cohort included 214 patients, 28 (13%) patients with RI, including 11 patients severe RI (dialysis, N=1). Patients with RI were older, more likely to be female and had higher likelihood of having Revised International Staging System stage 3 disease. Rates and severity of cytokine release syndrome (89% vs. 84%, grade ≥3: 7% vs. 2%) and immune effector cell-associated neurotoxicity syndrome (23% vs. 20%) were similar in patients with and without RI, respectively. Patients with RI had higher incidence of short-term grade ≥3 cytopenias, although cytopenias were similar by 3 months following CAR T-cell therapy. Renal function did not worsen after CAR T-cell therapy in patients with RI. Response rates (93% vs. 82%) and survival outcomes (median progression-free survival: 9 vs. 8 months; P=0.26) were comparable in patients with and without RI, respectively. Treatment with ide-cel is feasible in patients with RI, with a comparable safety and efficacy profile as patients without RI, with notable exception of higher short-term high-grade cytopenias.

Indexed as

CytopeniaMultiple MyelomaNeoplasms, Plasma CellReceptors, Chimeric AntigenRenal InsufficiencyCell- and Tissue-Based TherapyFemaleHumansImmunotherapy, AdoptiveMaleidecabtagene vicleucelReceptors, Chimeric Antigen

Identifiers

PMID37731379
PMCPMC10905101
OpenAlexW4386910600

What OpenQuestion holds

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LicenceCC BY-NC
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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.