Evidence map›Paper›PMID 37973893›Full record

ArticleBone marrow transplantation2024

Efficacy of CD19 directed therapies in patients with relapsed or refractory large b-cell lymphoma relapsing after CD19 directed chimeric antigen receptor T-cell therapy.

Madiha Iqbal, Deepa Jagadeesh, Julio Chavez, Arushi Khurana, Allison Rosenthal, Emily Craver, Narendranath Epperla, Zhuo Li, Iris Isufi, Farrukh T Awan and 12 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Bone marrow transplantation, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 7% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
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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 12 institutions in 1 country.

Madiha IqbalDivision of Hematology and Oncology, Mayo Clinic, Jacksonville, FL, USA. Iqbal.Madiha@Mayo.Edu.ORCID 0000-0001-6752-5440
Deepa JagadeeshCleveland Clinic, Cleveland, OH, USA.
Julio ChavezMoffitt Cancer Center, Tampa, FL, USA.
Arushi KhuranaDivision of Hematology, Mayo Clinic, Rochester, MN, USA.
Allison RosenthalDivision of Hematology and Oncology, Mayo Clinic, Phoenix, AZ, USA.
Emily CraverDepartment of Quantitative Health Sciences, Mayo Clinic, Jacksonville, FL, USA.ORCID 0000-0003-0334-9606
Narendranath EpperlaArthur G. James Cancer Hospital & Richard J. Solove Research Institute, The Ohio State University, Columbus, OH, USA.ORCID 0000-0002-8216-3457
Zhuo LiDepartment of Quantitative Health Sciences, Mayo Clinic, Jacksonville, FL, USA.
Iris IsufiYale School of Medicine and Yale Cancer Center, New Haven, CT, USA.
Farrukh T AwanHarold C. Simmons Comprehensive Cancer Center and University of Texas Southwestern Medical Center, Dallas, TX, USA.
Bhagirathbhai R DholariaVanderbilt- Ingram Cancer Center and Vanderbilt University Medical center, Nashville, TN, USA.ORCID 0000-0003-2371-3655
Joseph E MaakaronDivision of Hematology, Oncology and Transplantation, University of Minnesota, Minneapolis, MN, USA.ORCID 0000-0002-1732-6694
Jose D Sandoval-SusMoffitt Cancer Center at Memorial Healthcare System, Pembroke Pines, FL, USA.
Rahul MishraCleveland Clinic, Cleveland, OH, USA.
Aditi SahaMoffitt Cancer Center, Tampa, FL, USA.ORCID 0000-0003-3421-3971
Kaitlin AnnunzioArthur G. James Cancer Hospital & Richard J. Solove Research Institute, The Ohio State University, Columbus, OH, USA.
Shakthi T BhaskarVanderbilt- Ingram Cancer Center and Vanderbilt University Medical center, Nashville, TN, USA.
Nuttavut SumransubDivision of Hematology, Oncology and Transplantation, University of Minnesota, Minneapolis, MN, USA.ORCID 0000-0001-7456-0623
Andrew FijalkaDepartment of Pharmacy-M Health Fairview University of Minnesota Medical Center, Minneapolis, MN, USA.
Stanislav A IvanovMoffitt Cancer Center at Memorial Healthcare System, Pembroke Pines, FL, USA.
Yi LinDivision of Hematology, Mayo Clinic, Rochester, MN, USA.ORCID 0000-0002-1556-6416
Mohamed A Kharfan-DabajaDivision of Hematology and Oncology, Mayo Clinic, Jacksonville, FL, USA.ORCID 0000-0001-7394-5185
Moffitt Cancer Center · USMayo Clinic in Florida · USCleveland Clinic · USMayo Clinic in Arizona · USThe Ohio State University Comprehensive Cancer Center – Arthur G. James Cancer Hospital and Richard J. Solove Research Institute · USUniversity of Minnesota · USVanderbilt University Medical Center · USFairview Health Services · USJacksonville College · USThe University of Texas Southwestern Medical Center · USWinnMed · USYale Cancer Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Outcomes are poor for patients with relapsed and/or refractory (R/R) large B-cell lymphoma (LBCL) post chimeric antigen receptor T-cell (CAR-T) therapy. Two CD19-directed therapies, tafasitamab- cxix plus lenalidomide (tafa-len) and loncastuximab tesirine (loncaT) are approved in R/R LBCL. The efficacy of these CD19 directed therapies in patients who relapse after CD19 directed CAR-T (CD19-CART) therapy is not well understood. We conducted a multi-center study of patients with R/R LBCL that received either tafa-len or loncaT at any timepoint for R/R disease after CD19-CART therapy. Fifty-three patients were included in this study with the median follow up of 56 (9.1-199) weeks from CAR-T infusion. Median number of systemic therapies pre-CAR-T therapy was 3 (range: 1-6); axicabtagene ciloleucel was the most utilized CAR-T product (n = 32,60%). Median time from CAR-T therapy to tafa-len or loncaT was 7.3 (1.2-38.2) months with median number of lines of therapy between CAR-T therapy and these regimens of 1 (0-5). Combined overall response rate and complete response rates were 27% and 10%, respectively. Median duration of response was 13.3 (2.1-56.7) weeks. In this real-world study, the use of currently approved CD19-directed therapies to treat R/R LBCL after CD19-CAR-T therapy showed limited clinical activity and duration of responses.

Indexed as

Lymphoma, Large B-Cell, DiffuseReceptors, Chimeric AntigenAntigens, CD19Cell- and Tissue-Based TherapyHumansImmunotherapy, AdoptiveNeoplasm Recurrence, LocalAntigens, CD19Receptors, Chimeric Antigen

Identifiers

PMID37973893
OpenAlexW4388724826

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.