Evidence map›Paper›PMID 37879047›Full record

ArticleBlood2024

Three-year follow-up analysis of axicabtagene ciloleucel in relapsed/refractory indolent non-Hodgkin lymphoma (ZUMA-5).

Sattva S Neelapu, Julio C Chavez, Alison R Sehgal, Narendranath Epperla, Matthew Ulrickson, Emmanuel Bachy, Pashna N Munshi, Carla Casulo, David G Maloney, Sven de Vos and 16 more

Registry-linked trialOpen access · greenAbstract readMulticenter Study
In one paragraph

Article in Blood, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03105336 (A Phase 2 Multicenter Study of Axicabtagene Ciloleucel in Subjects With Relapsed/Refractory Indolent Non-Hodgkin Lymphoma), which is not on this map. Cited by 95 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
95citing papers in PubMed, 6 pooled it
28.8field-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.

NCT03105336 phase2completednot on this map

A Phase 2 Multicenter Study of Axicabtagene Ciloleucel in Subjects With Relapsed/Refractory Indolent Non-Hodgkin Lymphoma (iNHL)

TypeinterventionalSponsorKite, A Gilead CompanyRan2017 to 2024Enrolled159ConditionsFollicular Lymphoma, Marginal Zone Lymphoma, Indolent Non-Hodgkin LymphomaArmsAxicabtagene ciloleucel, Cyclophosphamide, Fludarabine
3 · Its place in the literature

Who cites it

95 citing papers in PubMed, 6 syntheses or guidelines pooled it, 125 citations in OpenAlex.

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  6. Second Primary Malignancies after CAR T-Cell Therapy: A Systematic Review and Meta-analysis of 5,517 Lymphoma and Myeloma Patients.Clinical cancer research : an official journal of the American Association for Cancer Research · 2024
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35 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

26 authors at 18 institutions in 2 countries.

Sattva S NeelapuDepartment of Lymphoma and Myeloma, The University of Texas MD Anderson Cancer Center, Houston, TX.ORCID 0000-0003-1045-4914
Julio C ChavezMoffitt Cancer Center and Research Institute, Tampa, FL.
Alison R SehgalUniversity of Pittsburgh Medical Center Hillman Cancer Center, Pittsburgh, PA.
Narendranath EpperlaThe Ohio State University Comprehensive Cancer Center, Columbus, OH.ORCID 0000-0002-8216-3457
Matthew UlricksonBanner MD Anderson Cancer Center, Gilbert, AZ.
Emmanuel BachyCentre Hospitalier Lyon Sud, Pierre-Bénite, France.ORCID 0000-0003-2694-7510
Pashna N MunshiGeorgetown Lombardi Comprehensive Cancer Center, Washington, DC.
Carla CasuloWilmot Cancer Center, University of Rochester Medical Center, Rochester, NY.ORCID 0000-0003-4998-9932
David G MaloneyFred Hutchinson Cancer Research Center, Seattle, WA.
Sven de VosRonald Reagan University of California Los Angeles Medical Center, Santa Monica, CA.
Ran ReshefColumbia University Herbert Irving Comprehensive Cancer Center, New York City, NY.
Lori A LeslieJohn Theurer Cancer Center, Hackensack Meridian Health, Hackensack, NJ.
Olalekan O OluwoleVanderbilt University Medical Center, Nashville, TN.ORCID 0000-0001-8525-9641
Ibrahim Yakoub-AghaINSERM U1286, Infinite, Centre Hospitalier Universitaire de Lille, Lille, France.
Rashmi KhanalFox Chase Cancer Center, Philadelphia, PA.
Joseph RosenblattUniversity of Miami Sylvester Comprehensive Cancer Center, Miami, FL.
Ronald KornImaging Endpoints, Scottsdale, AZ.ORCID 0000-0003-1141-5749
Weixin PengKite, a Gilead company, Santa Monica, CA.
Christine LuiKite, a Gilead company, Santa Monica, CA.
Jacob WulffKite, a Gilead company, Santa Monica, CA.ORCID 0000-0003-4584-922X
Rhine ShenKite, a Gilead company, Santa Monica, CA.
Soumya PoddarKite, a Gilead company, Santa Monica, CA.
A Scott JungKite, a Gilead company, Santa Monica, CA.
Harry MiaoKite, a Gilead company, Santa Monica, CA.
Sara BeygiKite, a Gilead company, Santa Monica, CA.
Caron A JacobsonDana-Farber Cancer Institute, Boston, MA.
Kite (United States) · USThe University of Texas MD Anderson Cancer Center · USDana-Farber Cancer Institute · USFox Chase Cancer Center · USFred Hutch Cancer Center · USGeorgetown Lombardi Comprehensive Cancer CenterHackensack Meridian Health · USHerbert Irving Comprehensive Cancer CenterHôpital Lyon Sud · FRInserm · FRMoffitt Cancer Center · USThe Ohio State University · USUniversity of California, Los Angeles · USUniversity of Miami · USUniversity of Rochester Medical Center · USUPMC Hillman Cancer Center · USVanderbilt University Medical Center · USVitalant · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

abstractAxicabtagene ciloleucel (axi-cel) is an autologous anti-CD19 chimeric antigen receptor (CAR) T-cell therapy approved for relapsed/refractory (R/R) follicular lymphoma (FL). Approval was supported by the phase 2, multicenter, single-arm ZUMA-5 study of axi-cel for patients with R/R indolent non-Hodgkin lymphoma (iNHL; N = 104), including FL and marginal zone lymphoma (MZL). In the primary analysis (median follow-up, 17.5 months), the overall response rate (ORR) was 92% (complete response rate, 74%). Here, we report long-term outcomes from ZUMA-5. Eligible patients with R/R iNHL after ≥2 lines of therapy underwent leukapheresis, followed by lymphodepleting chemotherapy and axi-cel infusion (2 × 106 CAR T cells per kg). The primary end point was ORR, assessed in this analysis by investigators in all enrolled patients (intent-to-treat). After median follow-up of 41.7 months in FL (n = 127) and 31.8 months in MZL (n = 31), ORR was comparable with that of the primary analysis (FL, 94%; MZL, 77%). Median progression-free survival was 40.2 months in FL and not reached in MZL. Medians of overall survival were not reached in either disease type. Grade ≥3 adverse events of interest that occurred after the prior analyses were largely in recently treated patients. Clinical and pharmacokinetic outcomes correlated negatively with recent exposure to bendamustine and high metabolic tumor volume. After 3 years of follow-up in ZUMA-5, axi-cel demonstrated continued durable responses, with very few relapses beyond 2 years, and manageable safety in patients with R/R iNHL. The ZUMA-5 study was registered at www.clinicaltrials.gov as #NCT03105336.

Indexed as

Biological ProductsLymphoma, B-Cell, Marginal ZoneLymphoma, FollicularLymphoma, Large B-Cell, DiffuseAntigens, CD19Follow-Up StudiesHumansImmunotherapy, AdoptiveNeoplasm Recurrence, LocalAntigens, CD19axicabtagene ciloleucelBiological Products

Identifiers

PMID37879047
PMCPMC10934297
OpenAlexW4387949803

What OpenQuestion holds

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LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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.