Evidence map›Paper›PMID 39093952›Full record

ArticleBlood advances2024

Impact of prior inotuzumab ozogamicin treatment on brexucabtagene autoleucel outcomes in adults with B-cell ALL.

Ibrahim Aldoss, Gregory W Roloff, Rawan Faramand, Noam E Kopmar, Chenyu Lin, Anjali S Advani, Simone E Dekker, Vishal K Gupta, Timothy E O'Connor, Nikeshan Jeyakumar and 53 more

Abstract readMulticenter Study
In one paragraph

Article in Blood advances, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

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

  1. Guideline
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  4. Advances in targeted and cellular therapies for relapsed/refractory mantle cell lymphoma: immunotherapeutic strategies and challenges.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Review
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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

63 authors.

Ibrahim AldossDivision of Leukemia, Department of Hematology and Hematopoietic Cell Transplantation, City of Hope National Medical Center, Duarte, CA.ORCID 0000-0001-9564-4498
Gregory W RoloffSection of Hematology/Oncology, Department of Medicine, University of Chicago, Chicago, IL.ORCID 0000-0003-2109-5152
Rawan FaramandDepartment of Malignant Hematology, Moffitt Cancer Center, Tampa, FL.
Noam E KopmarDivision of Hematology and Oncology, Department of Medicine, University of Washington, Seattle, WA.
Chenyu LinDivision of Hematologic Malignancies and Cellular Therapy, Duke University, Durham, NC.ORCID 0000-0002-4542-4232
Anjali S AdvaniDepartment of Hematologic Oncology and Blood Disorders, Cleveland Clinic Taussig Cancer Center, Cleveland, OH.ORCID 0000-0003-0015-5902
Simone E DekkerDivision of Hematology and Oncology, Department of Medicine, University of Washington, Seattle, WA.
Vishal K GuptaDivision of Hematology & Oncology, University of California, Los Angeles, CA.
Timothy E O'ConnorDivision of Hematology/Oncology, Loyola University Medical Center, Maywood, IL.
Nikeshan JeyakumarDivision of Blood and Marrow Transplantation and Cellular Therapy, Stanford University School of Medicine, Stanford, CA.ORCID 0000-0001-9979-4434
Ibrahim N MuhsenSection of Hematology and Oncology, Department of Medicine, Baylor College of Medicine, Houston, TX.
Yannis ValtisDepartment of Hematology and Oncology, Memorial Sloan Kettering Cancer Institute, New York, NY.
Amy ZhangDivision of Blood and Marrow Transplantation and Cellular Therapy, Stanford University School of Medicine, Stanford, CA.
Katharine MillerDivision of Blood and Marrow Transplantation and Cellular Therapy, Stanford University School of Medicine, Stanford, CA.
Katherine SutherlandDivision of Blood and Marrow Transplantation and Cellular Therapy, Stanford University School of Medicine, Stanford, CA.
Kaitlyn C DykesDepartment of Medicine, Division of Hematology and Oncology, University of California, San Diego, CA.ORCID 0000-0002-1638-1755
Mohamed AhmedDepartment of Hematology and Oncology, Cedars Sinai Medical Center, Los Angeles, CA.
Evan ChenAdult Leukemia Program, Dana-Farber Cancer Institute, Boston, MA.ORCID 0000-0002-9218-215X
Hector ZambranoDepartment of Transplant and Cellular Therapy, Sarah Cannon Cancer Institute, Tampa, FL.
Danielle BradshawDepartment of Medicine, Division, Hematology and Oncology, Georgia Cancer Center at Augusta University, Augusta, GA.ORCID 0009-0001-7721-3747
Santiago MercadalTransplant and Cellular Therapy Program, University of Utah, Huntsman Cancer Hospital, Salt Lake, UT.
Marc SchwartzDepartment of Hematology and Oncology, University of Colorado, Anschutz Medical Center, Aurora, CO.
Sean TracyDivision of Hematology, Oncology and Transplantation, University of Minnesota, Minneapolis, MN.
Bhagirathbhai DholariaDivision of Hematology and Oncology, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN.ORCID 0000-0003-2371-3655
Michal KubiakDepartment of Medicine, Division, Hematology and Oncology, Georgia Cancer Center at Augusta University, Augusta, GA.
Akash MukherjeeDepartment of Hematology and Oncology, Oncology Hematology Care, Cincinnati, OH.
Navneet MajhailDepartment of Transplant and Cellular therapy, Sarah Cannon Cancer Institute, Nashville, TN.ORCID 0000-0001-7082-891X
Minoo BattiwallaDepartment of Transplant and Cellular therapy, Sarah Cannon Cancer Institute, Nashville, TN.
Luke MountjoyDepartment of Lymphoma, Colorado Blood Cancer Institute, Denver, CO.
Shahbaz A MalikCenter for Blood Cancer and Oncology, Texas Transplant Institute, Austin, TX.
John MathewsDepartment of Transplant and Cellular Therapy, Sarah Cannon Cancer Center, Midland, TX.
Paul ShaughnessyDepartment of Transplant and Cellular Therapy, Sarah Cannon Cancer Center, San Antonio, TX.
Aaron C LoganDepartment of Medicine, Division of Hematology and Blood and Marrow Transplantation, University of California, San Francisco, CA.ORCID 0000-0002-1179-5879
Abdullah LadhaDepartment of Hematology, University of Southern California, Los Angeles, CA.ORCID 0009-0006-9598-6467
Maryann StefanDepartment of Hematologic Oncology and Blood Disorders, Cleveland Clinic Taussig Cancer Center, Cleveland, OH.
Caitlin GuzowskiBlood and Marrow Transplant Program, Northside Hospital, Atlanta, GA.
Rasmus T HoegDepartment of Internal Medicine, Division of Hematology and Oncology, University of California, Davis, CA.
Talal HilalDivision of Hematology and Medical Oncology, Mayo Clinic, Rochester, MN.ORCID 0000-0001-8249-4128
Jozal MooreDivision of Hematology/Oncology, Department of Medicine, University of Rochester Medical Center, Rochester, NY.ORCID 0000-0003-4811-5790
Matthew ConnorDivision of Hematology-Oncology, Department of Medicine, University of Pennsylvania, Philadelphia, PA.ORCID 0000-0003-1186-0623
Kristen M O'DwyerDivision of Hematology/Oncology, Department of Medicine, University of Rochester Medical Center, Rochester, NY.
LaQuisa C HillSection of Hematology and Oncology, Department of Medicine, Baylor College of Medicine, Houston, TX.ORCID 0000-0003-4304-935X
Stephanie B TsaiDivision of Hematology/Oncology, Loyola University Medical Center, Maywood, IL.
Joshua SasineDepartment of Hematology and Oncology, Cedars Sinai Medical Center, Los Angeles, CA.ORCID 0000-0001-9866-462X
Melhem M SolhBlood and Marrow Transplant Program, Northside Hospital, Atlanta, GA.
Catherine J LeeTransplant and Cellular Therapy Program, University of Utah, Huntsman Cancer Hospital, Salt Lake, UT.ORCID 0000-0003-2587-8955
Vamsi K KotaDepartment of Medicine, Division, Hematology and Oncology, Georgia Cancer Center at Augusta University, Augusta, GA.
Divya KouraDepartment of Medicine, Division of Hematology and Oncology, University of California, San Diego, CA.
Muthu VeeraputhiranDepartment of Hematology and Oncology, University of Arkansas Medical Center, Little Rock, AR.
Betsy BlunkDepartment of Transplant and Cellular therapy, Sarah Cannon Cancer Institute, Nashville, TN.
Caspian OliaiDivision of Hematology & Oncology, University of California, Los Angeles, CA.
Jessica T LeonardDivision of Hematology-Oncology, Oregon Health Science, Portland, OR.ORCID 0000-0001-5576-0048
Noelle V FreyDivision of Hematology-Oncology, Department of Medicine, University of Pennsylvania, Philadelphia, PA.ORCID 0000-0003-3688-9836
Jae H ParkDepartment of Hematology and Oncology, Memorial Sloan Kettering Cancer Institute, New York, NY.
Marlise R LuskinAdult Leukemia Program, Dana-Farber Cancer Institute, Boston, MA.ORCID 0000-0002-5781-4529
Veronika BachanovaDivision of Hematology, Oncology and Transplantation, University of Minnesota, Minneapolis, MN.
Ahmed GalalDivision of Hematologic Malignancies and Cellular Therapy, Duke University, Durham, NC.
Michael R BishopSection of Hematology/Oncology, Department of Medicine, University of Chicago, Chicago, IL.
Wendy StockSection of Hematology/Oncology, Department of Medicine, University of Chicago, Chicago, IL.
Ryan D CassadayDivision of Hematology and Oncology, Department of Medicine, University of Washington, Seattle, WA.
Vinod PullarkatDivision of Leukemia, Department of Hematology and Hematopoietic Cell Transplantation, City of Hope National Medical Center, Duarte, CA.
Bijal D ShahDepartment of Malignant Hematology, Moffitt Cancer Center, Tampa, FL.
Lori S MufflyDivision of Blood and Marrow Transplantation and Cellular Therapy, Stanford University School of Medicine, Stanford, CA.ORCID 0000-0002-9887-6136

Funding

CANCER CLINICAL EPIDEMIOLOGY TRAINING GRANTT32CA009679 · NCI · UNIVERSITY OF PENNSYLVANIA · PI Richard Aplenc, Karen Glanz · 1992 to 2026
$11.1M
NCI NIH HHS T32 CA009679
6 · The paper itself

Abstract

abstractThe effect of prior inotuzumab ozogamicin (InO) treatment on brexucabtagene autoleucel (brexu-cel) outcomes remains unclear in adults with acute lymphoblastic leukemia (ALL). We conducted a retrospective multicenter analysis of 189 patients with relapsed/refractory ALL treated with brexu-cel. Over half of the patients received InO before brexu-cel (InO exposed). InO-exposed patients were more heavily pretreated (P = .02) and frequently had active marrow disease before apheresis (P = .03). Response rate and toxicity profile after brexu-cel were comparable for InO-exposed and InO-naïve patients; however, consolidation therapy after brexu-cel response was used at a higher rate in InO-naïve patients (P = .005). With a median follow-up of 11.4 months, InO-exposed patients had inferior progression-free survival (PFS; P = .013) and overall survival (OS; P = .006) in univariate analyses; however, prior InO exposure did not influence PFS (hazard ratio, 1.20; 95% confidence interval, 0.71-2.03) in multivariate models. Within InO-exposed patients, InO responders had superior PFS (P = .002) and OS (P < .0001) relative to InO-refractory patients. The timing of administering InO did not affect brexu-cel outcomes, with comparable PFS (P = .51) and OS (P = .86) for patients receiving InO as bridging therapy or before apheresis. In conclusion, although InO exposure was associated with inferior survival outcomes after brexu-cel in unadjusted analyses, these associations were no longer significant in multivariate analyses, suggesting it is unlikely that InO negatively affects brexu-cel efficacy. Our data instead imply that InO-exposed recipients of brexu-cel tend to be higher-risk patients with intrinsic adverse leukemia biology.

Indexed as

Inotuzumab OzogamicinAdolescentAdultAgedAntineoplastic Agents, ImmunologicalFemaleHumansImmunotherapy, AdoptiveMaleMiddle AgedPrecursor B-Cell Lymphoblastic Leukemia-LymphomaRetrospective StudiesTreatment OutcomeYoung AdultAntineoplastic Agents, ImmunologicalInotuzumab Ozogamicin

Identifiers

PMID39093952
PMCPMC11707416

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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.