Evidence map›Paper›PMID 39261150›Full record

ReviewHematology, transfusion and cell therapy

From the mechanism of action to clinical management: A review of cardiovascular toxicity in adult treated with CAR-T therapy.

Frank Nunes, Breno Moreno de Gusmão, Franciely Bueno Wiginesk, Euler Manenti, Juliana Soares, Mizianne Garcia Freitas, Juliane Dantas Seabra-Garcez, Alexandre Manoel Varela, João Pedro Passos Dutra, Bruno Cesar Bacchiega and 4 more

Abstract readReview
In one paragraph

Review in Hematology, transfusion and cell therapy. 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. Article
  2. Article
  3. Review
  4. Review
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

14 authors.

Frank NunesHospital César Leite, Manhuaçu, Brazil.
Breno Moreno de GusmãoHospital BP, São Paulo, Brazil.
Franciely Bueno WigineskInstituto de Cardiologia Campo Grande, Campo Grande, Brazil.
Euler ManentiInstituto de Medicina Vascular, Hospital Mãe de Deus, Porto Alegre, Brazil.
Juliana SoaresHospital Israelita Albert Einstein, São Paulo, Brazil.
Mizianne Garcia FreitasPrefeitura de Campo Grande, Campo Grande, Brazil.
Juliane Dantas Seabra-GarcezHospital São Lucas Rede D'Or São Luiz, Aracaju, Brazil; Hospital Primavera, Aracaju, Brazil.
Alexandre Manoel VarelaHospital Universitário Evangélico Mackenzie, Curitiba, Brazil; Complexo Hospital de Clínicas da Universidade Federal do Paraná, Curitiba, Brazil; Hospital Erasto Gaertner, Curitiba, Brazil.
João Pedro Passos DutraCentro de Pesquisas Oncológicas, Florianópolis, Brazil; Hospital SOS Cárdio, Florianópolis, Brazil.
Bruno Cesar BacchiegaBarretos Cancer Hospital, Barretos, Brazil.
Tânia Félix Lorenzato da Fonseca PeixotoHospital Felício Rocho, Belo Horizonte, Brazil.
Carolina Maria Pinto Domingues de Carvalho E SilvaCardioPrime Cardiovascular Center, Ribeirão Preto, Brazil.
Renato D LopesDuke University /Duke Clinical Research Institute, Durham, USA.
Ariane Vieira Scarlatelli MacedoFaculdade de Ciências Médicas da Santa Casa de São Paulo, São Paulo, Brazil. Electronic address: Ariane.macedo@fcmsantacasasp.edu.br.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chimeric antigen receptor T-cell therapy represents an innovative approach to immunotherapy and currently stands out, particularly for oncohematological patients refractory to traditional treatments. Ongoing trials are further expanding its clinical use for new oncological and non-oncological indications, potentially leading to newer treatment options soon. This new approach, however, also presents challenges, including cardiovascular toxicity. Little is reported in pivotal studies, and some recent retrospective observations suggest a non-negligible incidence of side effects with presentation ranging from mild adverse cardiovascular events to fatal complications in which, in most cases, there is a direct or indirect association with cytokine release syndrome. In this literature review, the hypotheses of an important interface between cytokine release syndrome and cardiotoxicity by chimeric antigen receptor T-cell therapy will be addressed, as will current knowledge about risk factors for cardiotoxicity and recommendations for pre-therapy evaluation, post-infusion monitoring and clinical management of these complications.

Indexed as

Cardio-OncologyCardiotoxicityChimeric antigen receptor therapyCytokine release syndromeHematology

Identifiers

PMID39261150
PMCPMC12011116

What OpenQuestion holds

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LicenceCC BY
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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.