Evidence map›Paper›PMID 38194367›Full record

ArticleBlood cancer discovery2024

Baseline Serum Inflammatory Proteins Predict Poor CAR T Outcomes in Diffuse Large B-cell Lymphoma.

Rawan G Faramand, Sae Bom Lee, Michael D Jain, Biwei Cao, Xuefeng Wang, Kai Rejeski, Marion Subklewe, Johannes F Fahrmann, Neeraj Y Saini, Samir M Hanash and 23 more

Open access · hybridAbstract read
In one paragraph

Article in Blood cancer discovery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
9.9field-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

30 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

  1. Pooled it
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  19. Facts and Hopes: CAR T-Cell Therapy and Immune Contexture in Non-Hodgkin Lymphoma.Clinical cancer research : an official journal of the American Association for Cancer Research · 2025
    Review
  20. Article
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

33 authors at 10 institutions in 3 countries.

Rawan G Faramand *Blood and Marrow Transplant and Cellular Immunotherapy, H. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida.ORCID 0000-0001-7750-781X
Sae Bom Lee *Blood and Marrow Transplant and Cellular Immunotherapy, H. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida.ORCID 0009-0003-5070-0208
Michael D Jain *Blood and Marrow Transplant and Cellular Immunotherapy, H. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida.ORCID 0000-0002-7789-1257
Biwei CaoDepartment of Biostatistics and Bioinformatics, H. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida.ORCID 0009-0000-4255-8369
Xuefeng WangDepartment of Biostatistics and Bioinformatics, H. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida.ORCID 0000-0001-5775-408X
Kai RejeskiDepartment of Medicine III, University Hospital, Ludwig Maximilian University (LMU) Munich, Germany.ORCID 0000-0003-3905-0251
Marion SubkleweDepartment of Medicine III, University Hospital, Ludwig Maximilian University (LMU) Munich, Germany.ORCID 0000-0001-9154-9469
Johannes F FahrmannDepartment of Clinical Cancer Prevention, Division of Cancer Prevention and Population Sciences, MD Anderson Cancer Center, Houston, Texas.ORCID 0000-0001-5088-0198
Neeraj Y SainiDepartment of Clinical Cancer Prevention, Division of Cancer Prevention and Population Sciences, MD Anderson Cancer Center, Houston, Texas.ORCID 0000-0001-7435-0933
Samir M HanashDepartment of Clinical Cancer Prevention, Division of Cancer Prevention and Population Sciences, MD Anderson Cancer Center, Houston, Texas.ORCID 0000-0002-4210-1593
Yun Pyo KangCollege of Pharmacy and Research Institute of Pharmaceutical Sciences, Seoul National University, Seoul, Republic of Korea.ORCID 0000-0002-1149-0880
Darwin ChangDepartment of Immunology, H. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida.ORCID 0000-0001-5635-9109
Paolo C RodriguezDepartment of Immunology, H. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida.ORCID 0000-0001-7480-6566
Erin A DeanDivision of Hematology and Oncology, University of Florida, Gainesville, Florida.ORCID 0000-0003-3153-223X
Taiga NishihoriBlood and Marrow Transplant and Cellular Immunotherapy, H. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida.ORCID 0000-0002-2621-7924
Bijal D ShahDepartment of Malignant Hematology, H. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida.ORCID 0000-0003-4328-6021
Aleksandr LazaryanBlood and Marrow Transplant and Cellular Immunotherapy, H. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida.ORCID 0000-0001-9605-6436
Julio ChavezDepartment of Malignant Hematology, H. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida.ORCID 0000-0002-2045-6238
Farhad KhimaniBlood and Marrow Transplant and Cellular Immunotherapy, H. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida.ORCID 0000-0003-4828-4711
Javier A Pinilla-IbarzDepartment of Malignant Hematology, H. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida.ORCID 0000-0003-3170-9648
Marian DamBlood and Marrow Transplant and Cellular Immunotherapy, H. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida.ORCID 0000-0002-2130-4156
Kayla M ReidBlood and Marrow Transplant and Cellular Immunotherapy, H. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida.ORCID 0000-0002-6585-0781
Salvatore A CoralloBlood and Marrow Transplant and Cellular Immunotherapy, H. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida.ORCID 0009-0001-2450-4022
Meghan MengesBlood and Marrow Transplant and Cellular Immunotherapy, H. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida.ORCID 0009-0007-7446-9492
Melanie Hidalgo VargasBlood and Marrow Transplant and Cellular Immunotherapy, H. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida.ORCID 0009-0003-1595-1546
Jay K MandulaPelotonia Institute for Immuno-Oncology, The Ohio State University Comprehensive Cancer Center - Arthur G James Cancer Hospital and Richard J Solove Research Institute, The Ohio State University, Columbus, Ohio.ORCID 0000-0003-2542-8073
Brian A HollidayUniversity of South Florida School of Medicine, Tampa, Florida.ORCID 0009-0001-3380-6241
Christina A BachmeierBlood and Marrow Transplant and Cellular Immunotherapy, H. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida.ORCID 0000-0002-9832-3670
Kelly SpethKite, a Gilead Company, Santa Monica, California.ORCID 0000-0001-8045-8406
Qinghua SongKite, a Gilead Company, Santa Monica, California.ORCID 0009-0004-1722-2141
Mike MattieKite, a Gilead Company, Santa Monica, California.ORCID 0000-0003-0868-3865
Frederick L LockeBlood and Marrow Transplant and Cellular Immunotherapy, H. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida.ORCID 0000-0001-9063-6691
Marco L DavilaDepartment of Medical Oncology, Roswell Park Cancer Center, Buffalo, New York.ORCID 0000-0002-6270-3065
Moffitt Cancer Center · USAadi (United States) · USThe University of Texas MD Anderson Cancer Center · USLudwig-Maximilians-Universität München · DERoswell Park Comprehensive Cancer Center · USSeoul National University · KRThe Ohio State University Comprehensive Cancer Center – Arthur G. James Cancer Hospital and Richard J. Solove Research Institute · USUniversity of Florida Health · USUniversity of Minnesota System · USUniversity of South Florida · US

Funding

Project 4P01CA250984 · NCI · H. LEE MOFFITT CANCER CTR & RES INST · PI RODRIGUEZ, PAULO CESAR · 2021 to 2025
$10.1M
Targeting CD83 to reduce leukemia relapse and GVHD after allogeneichematopoietic cell transplantationR01HL167232 · NHLBI · UNIVERSITY OF MINNESOTA · PI Brian C Betts, Marco L. Davila · 2023 to 2026
$2.8M
Plant-derived extracts regulate immunosuppressive myelopoiesis in Breast cancer patientsR01CA262121 · NCI · H. LEE MOFFITT CANCER CTR & RES INST · PI RODRIGUEZ, PAULO CESAR · 2021 to 2025
$2.1M
Functional reprogramming of tumor-MDSC through antibody-based therapies targeting Notch ligandsR01CA233512 · NCI · H. LEE MOFFITT CANCER CTR & RES INST · PI RODRIGUEZ, PAULO CESAR · 2019 to 2023
$2.0M
Mitochondrial stress promotes immunosuppressive potential of myeloid subsets in tumorsR01CA273034 · NCI · H. LEE MOFFITT CANCER CTR & RES INST · PI RODRIGUEZ, PAULO CESAR · 2022 to 2025
$1.9M
NCI NIH HHS P01 CA250984NCI NIH HHS R01 CA233512NCI NIH HHS R01 CA262121NCI NIH HHS R01 CA273034NHLBI NIH HHS R01 HL167232
6 · The paper itself

Abstract

A subset of patients with diffuse large B-cell lymphoma (DLBCL) treated with CD19 chimeric antigen receptor (CAR) T-cell therapy have poor clinical outcomes. We report serum proteins associated with severe immune-mediated toxicities and inferior clinical responses in 146 patients with DLBCL treated with axicabtagene ciloleucel. We develop a simple stratification based on pre-lymphodepletion C reactive protein (CRP) and ferritin to classify patients into low-, intermediate-, and high-risk groups. We observe that patients in the high-risk category were more likely to develop grade ≥3 toxicities and had inferior overall and progression-free survival. We sought to validate our findings with two independent international cohorts demonstrating that patients classified as low-risk have excellent efficacy and safety outcomes. Based on routine and readily available laboratory tests that can be obtained prior to lymphodepleting chemotherapy, this simple risk stratification can inform patient selection for CAR T-cell therapy. SIGNIFICANCE: CAR T-cell therapy has changed the treatment paradigm for patients with relapsed/refractory hematologic malignancies. Despite encouraging efficacy, a subset of patients have poor clinical outcomes. We show that a simple clinically applicable model using pre-lymphodepletion CRP and ferritin can identify patients at high risk of poor outcomes. This article is featured in Selected Articles from This Issue, p. 80.

Indexed as

Hematologic NeoplasmsLymphoma, Large B-Cell, DiffuseReceptors, Chimeric AntigenAdaptor Proteins, Signal TransducingAntigens, CD19Blood ProteinsC-Reactive ProteinFerritinsHumansAdaptor Proteins, Signal TransducingAntigens, CD19Blood ProteinsC-Reactive ProteinFerritinsReceptors, Chimeric Antigen

Identifiers

PMID38194367
PMCPMC10905320
OpenAlexW4390726992

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.