Evidence map›Paper›PMID 39091918›Full record

SynthesisFrontiers in oncology2024

A systematic review and meta-analysis on utilizing anti-CD19 chimeric antigen receptor T-cell therapy as a second-line treatment for relapsed and refractory diffuse large B-cell lymphoma.

Kanwal Asghar, Maryam Zafar, Eva Holland, Ali Bin Abduljabbar, Sara A Albagoush, Noureen Asghar, Akshat Sood, Jalal M Dufani, Joseph Thirumalaredy, Bradley DeVrieze and 2 more

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. 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

12 authors.

Kanwal AsgharDepartment of Medicine, Dow Medical College, Karachi, Pakistan.
Maryam ZafarDepartment of Medicine, Dow Medical College, Karachi, Pakistan.
Eva HollandSchool of Medicine, Creighton University, Omaha, NE, United States.
Ali Bin AbduljabbarDepartment of Internal Medicine, Creighton University, Omaha, NE, United States.
Sara A AlbagoushDepartment of Internal Medicine, Creighton University, Omaha, NE, United States.
Noureen AsgharDepartment of Internal Medicine, Creighton University, Omaha, NE, United States.
Akshat SoodDepartment of Internal Medicine, Creighton University, Omaha, NE, United States.
Jalal M DufaniDepartment of Internal Medicine, Creighton University, Omaha, NE, United States.
Joseph ThirumalaredyDepartment of Internal Medicine, Creighton University, Omaha, NE, United States.
Bradley DeVriezeDepartment of Internal Medicine, Creighton University, Omaha, NE, United States.
Abubakar TauseefDepartment of Internal Medicine, Creighton University, Omaha, NE, United States.
Muhammad HusnainDepartment of Medicine, University of Arizona, Tucson, AZ, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Inconsistent results observed in recent phase III trials assessing chimeric antigenic receptor T (CAR-T) cell therapy as a second-line treatment compared to standard of care (SOC) in patients with relapsed/refractory diffuse large B-cell lymphoma (R/R DLBCL) prompted a meta-analysis to assess the effectiveness of CAR-T cell therapy in this setting. Methods: Random-effects meta-analysis was conducted to pool effect estimates for comparison between CAR-T cell therapy and SOC. Mixed treatment comparisons were made using a frequentist network meta-analysis approach. Results: Meta-analysis of three trials with 865 patients showed significant improvement in event-free survival (EFS: HR: 0.51; 95% CI: 0.27-0.97; I2: 92%), progression-free survival (PFS: HR: 0.47; 95% CI: 0.37-0.60; I2: 0%) with CAR-T cell therapy compared to SOC. Although there was a signal of potential overall survival (OS) improvement with CAR-T cell therapy, the difference was not statistically significant between the two groups (HR 0.76; 95% CI: 0.56 to 1.03; I2: 29%). Mixed treatment comparisons showed significant EFS benefit with liso-cel (HR: 0.37; 95% CI: 0.22-0.61) and axi-cel (HR: 0.42; 95% CI: 0.29-0.61) compared to tisa-cel. Discussion: CAR-T cell therapy, as a second-line treatment, appears to be effective in achieving higher response rates and delaying the disease progression compared to SOC in R/R DLBCL.

Indexed as

CAR-T cell therapyDLBCL - diffuse large B cell lymphomarelapsed and refractorysecond line treatmentstandard of care

Identifiers

PMID39091918
PMCPMC11291309

What OpenQuestion holds

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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.