Evidence map›Paper›PMID 38388168›Full record

ArticleJournal for immunotherapy of cancer2024

Cardiovascular toxicities associated with bispecific T-cell engager therapy.

Ahmed Sayed, Malak Munir, Sanam M Ghazi, Mussammat Ferdousi, Satyam Krishan, Adnan Shaaban, Alma Habib, Onaopepo Kola-Kehinde, Patrick Ruz, Sarah Khan and 8 more

Open access · goldAbstract read
In one paragraph

Article in Journal for immunotherapy of cancer, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
6.5field-weighted citation impact, top 2% 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

31 citing papers in PubMed, 23 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Cardiotoxicity of T cell immunotherapies.Nature reviews. Cardiology · 2026
    Review
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  6. Review
  7. Article
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  14. Caught in the crossfire: cardiac complications of cancer therapy.The Journal of clinical investigation · 2026
    Review
  15. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors at 6 institutions in 2 countries.

Ahmed SayedAin Shams University Faculty of Medicine, Cairo, Egypt.ORCID 0000-0003-0150-8917
Malak MunirAin Shams University Faculty of Medicine, Cairo, Egypt.
Sanam M GhaziThe Ohio State University Medical Center, Columbus, Ohio, USA.
Mussammat FerdousiThe Ohio State University Medical Center, Columbus, Ohio, USA.
Satyam KrishanUniversity of Oklahoma Medical Center, City, Oklahoma, USA.
Adnan ShaabanThe Ohio State University Medical Center, Columbus, Ohio, USA.
Alma HabibThe Ohio State University Medical Center, Columbus, Ohio, USA.
Onaopepo Kola-KehindeThe Ohio State University Medical Center, Columbus, Ohio, USA.
Patrick RuzThe Ohio State University Medical Center, Columbus, Ohio, USA.
Sarah KhanThe Ohio State University Medical Center, Columbus, Ohio, USA.
Sneha SharmaThe Ohio State University Medical Center, Columbus, Ohio, USA.
Alexa MearaThe Ohio State University Medical Center, Columbus, Ohio, USA.
Syed MahmoodCatholic Health Medical Center, New York, New York, USA.
Stephanie FeldmanWeill Cornell Medicine, New York, New York, USA.
Eric H YangMedicine, UCLA Medical Center, Los Angeles, California, USA.
Jiwon KimWeill Cornell Medicine, New York, New York, USA.
Narendranath Epperla *The Ohio State University Medical Center, Columbus, Ohio, USA.ORCID 0000-0002-8216-3457
Daniel Addison *The Ohio State University Medical Center, Columbus, Ohio, USA daniel.addison@osumc.edu.
The Ohio State University Wexner Medical Center · USAin Shams University · EGCornell University · USCatholic Medical Center · USUCLA Medical Center · USUniversity of Oklahoma Medical Center · US

Funding

Translational Therapeutics Research Program (TT)P30CA016058 · NCI · OHIO STATE UNIVERSITY · PI Daniel G. Stover · 1985 to 2026
$132.3M
SPORE Leukemia Tissue BankP50CA140158 · NCI · OHIO STATE UNIVERSITY · PI BLOOMFIELD, CLARA D · 2009 to 2013
$11.2M
Novel patient biomarkers and mechanisms of TKI associated CardiotoxicityR01HL170038 · NHLBI · UT SOUTHWESTERN MEDICAL CENTER · PI Daniel Addison · 2023 to 2026
$2.7M
Therapeutic Strategies to Mitigate Toxicities of Anthracycline-Based TherapeuticsR01HL168045 · NHLBI · OHIO STATE UNIVERSITY · PI Daniel Addison, Sharyn D Baker · 2024 to 2026
$2.2M
Early Detection and Mechanisms of Cancer Immunotherapy Associated CardiotoxicityK23HL155890 · NHLBI · OHIO STATE UNIVERSITY · PI ADDISON, DANIEL · 2021 to 2024
$663k
NCI NIH HHS P30 CA016058NCI NIH HHS P50 CA140158NHLBI NIH HHS K23 HL155890NHLBI NIH HHS R01 HL168045NHLBI NIH HHS R01 HL170038
6 · The paper itself

Abstract

backgroundBispecific T-cell engagers (BTEs) are novel agents used to treat hematological malignancies. Early trials were underpowered to define cardiovascular adverse events (CVAE) and no large-scale studies systematically examined the CVAEs associated with BTEs.

methodsLeveraging the US Food and Drug Administration's Adverse Event Reporting System-(FAERS), we identified the relative frequency of CVAEs after initiation of five BTE products approved by the Food and Drug Administration between 2014 and 2023 for the treatment of hematological malignancies. Adjusted reporting ORs (aROR) were used to identify disproportionate reporting of CVAEs with BTEs compared with background rates in the database. Fatality rates and risk ratios (RRs) for each adverse event (AE) were calculated.

resultsFrom 3668 BTE-related cases reported to FAERS, 747 (20.4%) involved CVAEs. BTEs as a class were associated with fatal CVAEs (aROR 1.29 (95% CI 1.12 to 1.50)), an association mainly driven by teclistamab (aROR 2.44 (95% CI 1.65 to 3.60)). Teclistamab was also associated with a disproportionate risk of myocarditis (aROR 25.70 (95% CI 9.54 to 69.23)) and shock (aROR 3.63 (95% CI 2.30 to 5.74)), whereas blinatumomab was associated with a disproportionate risk of disseminated intravascular coagulation (aROR 3.02 (95% CI 1.98 to 4.60)) and hypotension (aROR 1.59 (95% CI 1.25 to 2.03)). CVAEs were more fatal compared with non-CVAEs (31.1% vs 17.4%; RR 1.76 (95% CI 1.54 to 2.03)). Most CVAEs (83.3%) did not overlap with cytokine release syndrome.

conclusionIn the first postmarketing surveillance study of BTEs, CVAEs were involved in approximately one in five AE reports and carried a significant mortality risk.

Indexed as

Antineoplastic AgentsHematologic NeoplasmsHumansAntineoplastic AgentsAntibodies, BispecificCytotoxicity, Immunologic

Identifiers

PMID38388168
PMCPMC10882360
OpenAlexW4392080947

What OpenQuestion holds

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LicenceCC BY-NC
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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.