Evidence map›Paper›PMID 38358946›Full record

Observational studyJournal of clinical oncology : official journal of the American Society of Clinical Oncology2024

Development and Validation of a Prediction Model of Outcome After B-Cell Maturation Antigen-Directed Chimeric Antigen Receptor T-Cell Therapy in Relapsed/Refractory Multiple Myeloma.

Nico Gagelmann, Danai Dima, Maximilian Merz, Hamza Hashmi, Nausheen Ahmed, Natalia Tovar, Aina Oliver-Caldés, Friedrich Stölzel, Kristin Rathje, Luise Fischer and 23 more

Open access · hybridAbstract readObservational StudyValidation StudyMulticenter Study
In one paragraph

Observational study in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 68 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
68citing papers in PubMed, 2 pooled it
19.8field-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.

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

68 citing papers in PubMed, 2 syntheses or guidelines pooled it, 70 citations in OpenAlex.

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8 more citing papers are in PubMed but not listed here.

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 11 institutions in 5 countries.

Nico GagelmannDepartment of Stem Cell Transplantation, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.ORCID 0000-0002-0891-1744
Danai DimaCleveland Clinic Taussig Cancer Center, Cleveland, OH.ORCID 0000-0002-3587-7975
Maximilian MerzDepartment of Hematology, Cellular Therapy, Hemostaseology and Infectiology, University Hospital of Leipzig, Leipzig, Germany.
Hamza HashmiUS Myeloma Innovations Research Collaborative (USMIRC), Kansas City, KS.
Nausheen AhmedUS Myeloma Innovations Research Collaborative (USMIRC), Kansas City, KS.ORCID 0000-0003-4336-4982
Natalia TovarHospital Clínic de Barcelona, IDIBAPS, University of Barcelona, Barcelona, Spain.
Aina Oliver-CaldésHospital Clínic de Barcelona, IDIBAPS, University of Barcelona, Barcelona, Spain.ORCID 0000-0002-7921-5420
Friedrich StölzelDivision for Stem Cell Transplantation and Cellular Immunotherapy, Department of Medicine II, University Hospital Schleswig-Holstein Kiel, Kiel University, Kiel, Germany.
Kristin RathjeDepartment of Stem Cell Transplantation, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Luise FischerDepartment of Hematology, Cellular Therapy, Hemostaseology and Infectiology, University Hospital of Leipzig, Leipzig, Germany.
Patrick BornDepartment of Hematology, Cellular Therapy, Hemostaseology and Infectiology, University Hospital of Leipzig, Leipzig, Germany.
Lisa SchäferDepartment of Hematology and Medical Oncology, Medical Center University of Göttingen, Göttingen, Germany.
Anca-Maria AlbiciDivision for Stem Cell Transplantation and Cellular Immunotherapy, Department of Medicine II, University Hospital Schleswig-Holstein Kiel, Kiel University, Kiel, Germany.
Natalie SchubDivision for Stem Cell Transplantation and Cellular Immunotherapy, Department of Medicine II, University Hospital Schleswig-Holstein Kiel, Kiel University, Kiel, Germany.
Shlomit Kfir-ErenfeldDepartment of Bone Marrow Transplantation and Cancer Immunotherapy, Faculty of Medicine, Hadassah Medical Center, Hebrew University of Jerusalem, Jerusalem, Israel.
Miri AssayagDepartment of Bone Marrow Transplantation and Cancer Immunotherapy, Faculty of Medicine, Hadassah Medical Center, Hebrew University of Jerusalem, Jerusalem, Israel.
Nathalie AsherieDepartment of Bone Marrow Transplantation and Cancer Immunotherapy, Faculty of Medicine, Hadassah Medical Center, Hebrew University of Jerusalem, Jerusalem, Israel.ORCID 0000-0002-5541-1208
Gerald Georg WulfDepartment of Hematology and Medical Oncology, Medical Center University of Göttingen, Göttingen, Germany.ORCID 0000-0002-7669-3785
Soraya KharboutliDepartment of Internal Medicine, Haematology and Oncology, University Hospital of Erlangen, Friedrich-Alexander University of Erlangen-Nuremberg (FAU), Erlangen, Germany.
Fabian MüllerDepartment of Internal Medicine, Haematology and Oncology, University Hospital of Erlangen, Friedrich-Alexander University of Erlangen-Nuremberg (FAU), Erlangen, Germany.ORCID 0000-0001-5487-5839
Leyla ShuneUS Myeloma Innovations Research Collaborative (USMIRC), Kansas City, KS.
James A DavisUS Myeloma Innovations Research Collaborative (USMIRC), Kansas City, KS.ORCID 0000-0001-7978-1652
Faiz AnwerCleveland Clinic Taussig Cancer Center, Cleveland, OH.ORCID 0000-0001-6914-7439
Vladan VucinicDepartment of Hematology, Cellular Therapy, Hemostaseology and Infectiology, University Hospital of Leipzig, Leipzig, Germany.ORCID 0000-0002-8398-285X
Uwe PlatzbeckerDepartment of Hematology, Cellular Therapy, Hemostaseology and Infectiology, University Hospital of Leipzig, Leipzig, Germany.ORCID 0000-0003-1863-3239
Francis AyukDepartment of Stem Cell Transplantation, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Nicolaus KrögerDepartment of Stem Cell Transplantation, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.ORCID 0000-0002-2961-4183
Jack KhouriCleveland Clinic Taussig Cancer Center, Cleveland, OH.ORCID 0000-0002-2473-6528
Carmelo GurnariCleveland Clinic Taussig Cancer Center, Cleveland, OH.ORCID 0000-0001-6829-5544
Joseph McGuirkUS Myeloma Innovations Research Collaborative (USMIRC), Kansas City, KS.ORCID 0000-0002-0539-4796
Polina StepenskyDepartment of Bone Marrow Transplantation and Cancer Immunotherapy, Faculty of Medicine, Hadassah Medical Center, Hebrew University of Jerusalem, Jerusalem, Israel.
Al-Ola AbdallahUS Myeloma Innovations Research Collaborative (USMIRC), Kansas City, KS.
Carlos Fernández de LarreaHospital Clínic de Barcelona, IDIBAPS, University of Barcelona, Barcelona, Spain.ORCID 0000-0003-4930-9255
University Hospital Leipzig · DEHebrew University of Jerusalem · ILUniversität Hamburg · DEUniversity of Kansas Medical Center · USChristian-Albrechts-Universität zu Kiel · DECleveland Clinic · USHospital Clínic de Barcelona · ESFriedrich-Alexander-Universität Erlangen-Nürnberg · DEMedical University of South Carolina · USUniversity of Göttingen · DEUniversity of Rome Tor Vergata · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAlthough chimeric antigen receptor T therapy (CAR-T) cells are an established therapy for relapsed/refractory multiple myeloma (RRMM), there are no established models predicting outcome to identify patients who may benefit the most from CAR-T. PATIENTS AND

methodsThis is an international retrospective observational study including patients with RRMM infused with currently available commercial or academically produced anti-B-cell maturation antigen (BCMA) CAR-T. We describe characteristics and outcomes in Europe (n = 136) and the United States (n = 133). Independent predictors of relapse/progression built a simple prediction model (Myeloma CAR-T Relapse [MyCARe] model) in the training cohort (Europe), which was externally validated (US cohort) and tested within patient- and treatment-specific subgroups.

resultsThe overall response rate was 87% and comparable between both cohorts, and complete responses were seen in 48% (Europe) and 49% (the United States). The median time to relapse was 5 months, and early relapse <5 months from infusion showed poor survival across cohorts, with the 12-month overall survival of 30% (Europe) and 14% (the United States). The presence of extramedullary disease or plasma cell leukemia, lenalidomide-refractoriness, high-risk cytogenetics, and increased ferritin at the time of lymphodepletion were independent predictors of early relapse or progression. Each factor received one point, forming the three-tiered MyCARe model: scores 0-1 (low risk), scores 2-3 (intermediate risk), and a score of 4 (high risk). The MyCARe model was significantly associated with distinct 5-month incidence of relapse/progression (

conclusionOutcomes of patients with RRMM after CAR-T are comparable between Europe and the United States. The MyCARe model may facilitate optimal timing of CAR-T cells in patient-specific subgroups.

Indexed as

B-Cell Maturation AntigenImmunotherapy, AdoptiveMultiple MyelomaAdultAgedEuropeFemaleHumansMaleMiddle AgedNeoplasm Recurrence, LocalReceptors, Chimeric AntigenRetrospective StudiesTreatment OutcomeUnited StatesB-Cell Maturation AntigenReceptors, Chimeric Antigen

Identifiers

PMID38358946
PMCPMC11095856
OpenAlexW4391845301

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.