Evidence map›Paper›PMID 38358597›Full record

ArticleJournal of hematopathology2022

Relapse of tagraxofusp treated blastic plasmacytoid dendritic cell neoplasm with loss of CD123 expression.

Rohit Gulati, Asma Abu-Salah, Tareq Salous, Mehdi Nassiri

Open access · hybridAbstract read
PubMed Publisher
In one paragraph

Article in Journal of hematopathology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 26% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Review
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

4 authors at 1 institution in 1 country.

Rohit GulatiDepartment of Pathology and Laboratory Medicine, Indiana University School of Medicine, 350 W 11th Street, Room 5048, Indianapolis, IN, 46202, USA. rohitleo@gmail.com.ORCID http://orcid.org/0000-0002-7113-1679
Asma Abu-SalahDepartment of Pathology and Laboratory Medicine, Indiana University School of Medicine, 350 W 11th Street, Room 5048, Indianapolis, IN, 46202, USA.ORCID https://orcid.org/0000-0002-3936-9230
Tareq SalousDepartment of Medicine- Hematology/Oncology, 535 Barnhill Drive, Indianapolis, IN, 46202, USA.ORCID https://orcid.org/0000-0002-0455-0013
Mehdi NassiriDepartment of Pathology and Laboratory Medicine, Indiana University School of Medicine, 350 W 11th Street, Room 5048, Indianapolis, IN, 46202, USA.ORCID https://orcid.org/0000-0001-9398-1693
Indiana University School of Medicine

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Tagraxofusp, a CD123-based-targeted immunotherapy, was recently approved to treat blastic plasmacytoid dendritic cell neoplasm (BPDCN) with excellent response. Also, a subset of BPDCN shows resistance to tagraxofusp. These resistant cases continue to express CD123, which forms the basis of the continued utility of tagraxofusp in newer combination chemotherapies to overcome resistance in BPDCN. Herein, we report a case of an elderly male with BPDCN that achieved complete remission on initial primary treatment with tagraxofusp. However, BPDCN relapsed after 1.5 years while on treatment, with loss of CD123 expression. At relapse, the neoplasm was comprehensively immunophenotyped by flow cytometry (performed on both peripheral blood and bone marrow specimen) and by immunohistochemical evaluation of the bone marrow clot section. The neoplasm at relapse was diagnostic of BPDCN with a lack of CD123 expression. This case highlights a potential limitation of current and upcoming tagraxofusp-based multidrug therapies, at least in a subset of refractory BPDCN. We believe our report will serve as a sentinel to incite future investigations involving alternate resistance mechanisms in BDPCN.

Indexed as

Blastic plasmacytoid dendritic cell neoplasmDiphtheria toxinDT388 IL-3IL3 receptor alpha subunitSL-401Tagraxofusp resistance

Identifiers

PMID38358597
OpenAlexW4200430096

What OpenQuestion holds

Textmetadata
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.