Evidence map›Paper›PMID 38803454›Full record

ArticleHemaSphere2024

Remission after CAR T-cell therapy: Do lymphoma patients recover a normal life?

Alya Perthus, Fanny Colin, Emilie Charton, Amélie Anota, Faustine Lhomme, Guillaume Manson, Sophie De Guibert, Pierre Daufresne, Adeline Bellec, Laetitia Le Bars and 7 more

Abstract read
In one paragraph

Article in HemaSphere, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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. Review
  2. Article
  3. Review
  4. 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

17 authors.

Alya PerthusService d'Hématologie-CHU Pontchaillou, Department of Hematology University Hospital of Rennes Rennes France.ORCID 0000-0003-2570-3637
Fanny ColinService d'Hématologie-CHU Pontchaillou, Department of Hematology University Hospital of Rennes Rennes France.
Emilie ChartonHuman and Social Sciences Department Leon Berard Center Lyon France.
Amélie AnotaHuman and Social Sciences Department Leon Berard Center Lyon France.
Faustine LhommeService d'Hématologie-CHU Pontchaillou, Department of Hematology University Hospital of Rennes Rennes France.
Guillaume MansonService d'Hématologie-CHU Pontchaillou, Department of Hematology University Hospital of Rennes Rennes France.
Sophie De GuibertService d'Hématologie-CHU Pontchaillou, Department of Hematology University Hospital of Rennes Rennes France.
Pierre DaufresneService d'Hématologie-CHU Pontchaillou, Department of Hematology University Hospital of Rennes Rennes France.
Adeline BellecService d'Hématologie-CHU Pontchaillou, Department of Hematology University Hospital of Rennes Rennes France.
Laetitia Le BarsService d'Hématologie-CHU Pontchaillou, Department of Hematology University Hospital of Rennes Rennes France.
Sandra De BarrosDepartment of Hematology Cancer University Institute of Toulouse Oncopole Toulouse France.
Loïc YsebaertDepartment of Hematology Cancer University Institute of Toulouse Oncopole Toulouse France.
Marianne MerceurDepartment of Physical and Rehabilitation Medicine University Hospital of Rennes Rennes France.
Mélanie CognéDepartment of Physical and Rehabilitation Medicine University Hospital of Rennes Rennes France.
Thierry Lamy De La ChapelleService d'Hématologie-CHU Pontchaillou, Department of Hematology University Hospital of Rennes Rennes France.
Roch HouotService d'Hématologie-CHU Pontchaillou, Department of Hematology University Hospital of Rennes Rennes France.
Aline MoignetService d'Hématologie-CHU Pontchaillou, Department of Hematology University Hospital of Rennes Rennes France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chimeric antigen receptor T cells (CAR T cells) can induce prolonged remission in a substantial subset of patients with relapse/refractory lymphoma. However, little is known about patients' life after CAR T-cell therapy. We prospectively assessed the multidimensional recovery of lymphoma patients in remission, before leukapheresis, before CAR T-cell infusion, and 3, 6, and 12 months thereafter. Validated tools were used to measure lymphoma-related and global health-related quality of life (HRQoL; Functional Assessment of Cancer Therapy-Lymphoma [FACT-Lym] and EQ-5D-5L), cognitive complaint (FACT-Cognition), fatigue (FACIT-Fatigue subscale), psychological status (Hospital Anxiety and Depression Scale, Post-Traumatic Check List Scale), and sexuality (Relationship and Sexuality Scale). Beyond 12 months of remission, we also surveyed physical, professional, sexual, and general life status. At 3, 6, and 12 months, 53, 35, and 23 patients were evaluable, respectively. Improvement in lymphoma-related HRQoL was clinically relevant at 3, 6, and 12 months with a mean change from baseline of 10.9 (95% confidence interval [CI]: 5.8; 16.1), 12.2 (95% CI: 4.2; 20.1), and 11.72 (95% CI: 2.06; 21.38), respectively. Improvement in global HRQoL, fatigue, and anxiety was clinically relevant, but 20%-40% of patients experienced persistent fatigue, psychological distress, and cognitive complaints over time. Beyond 12 months after CAR T cells, 81.8% of 22 evaluable patients were satisfied with their daily life. Physical activity, professional, sexual, and global well-being had returned to prediagnosis levels in nearly half of the patients. We found an improvement in HRQoL after CAR T-cell therapy including anxiety, depression, sexual satisfaction, and general well-being. However, not all patients recover a "normal life." Further research is needed to determine which patients are at risk of quality-of-life impairment to improve recovery after CAR T-cell infusion.

Identifiers

PMID38803454
PMCPMC11129324

What OpenQuestion holds

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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.