Evidence map›Paper›PMID 39365257›Full record

ArticleBlood2025

Safety and efficacy of standard-of-care ciltacabtagene autoleucel for relapsed/refractory multiple myeloma.

Surbhi Sidana, Krina K Patel, Lauren C Peres, Radhika Bansal, Mehmet H Kocoglu, Leyla Shune, Shebli Atrash, Kinaya Smith, Shonali Midha, Christopher Ferreri and 28 more

Abstract readMulticenter Study
In one paragraph

Article in Blood, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 100 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
100citing papers in PubMed, 6 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

100 citing papers in PubMed, 6 syntheses or guidelines pooled it.

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40 more citing papers are in PubMed but not listed here.

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

38 authors.

Surbhi SidanaDivision of Blood and Marrow Transplantation and Cellular Therapy, Stanford University School of Medicine, Palo Alto, CA.ORCID 0000-0003-3288-7614
Krina K PatelDepartment of Lymphoma/Myeloma, The University of Texas MD Anderson Cancer Center, Houston, TX.ORCID 0000-0002-8894-027X
Lauren C PeresDivision of Cancer Epidemiology, Moffitt Cancer Center, Tampa, FL.
Radhika BansalDivision of Hematology, Mayo Clinic, Rochester, MN.ORCID 0000-0003-0964-098X
Mehmet H KocogluDivision of Hematology/Oncology, University of Maryland School of Medicine, Baltimore, MD.ORCID 0000-0002-9888-5737
Leyla ShuneDivision of Hematologic Malignancies and Cellular Therapeutics, The University of Kansas Medical Center, Westwood, KS.
Shebli AtrashPlasma Cell Disorders Division, Levine Cancer Institute, Charlotte, NC.ORCID 0000-0003-4547-7534
Kinaya SmithDivision of Hematology, Medical College of Wisconsin, Milwaukee, WI.
Shonali MidhaDivision of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA.
Christopher FerreriPlasma Cell Disorders Division, Levine Cancer Institute, Charlotte, NC.
Binod DhakalDivision of Hematology, Medical College of Wisconsin, Milwaukee, WI.ORCID 0000-0002-4377-9742
Danai DimaDepartment of Hematology and Medical Oncology, Cleveland Clinic Taussig Cancer Center, Cleveland, OH.ORCID 0000-0002-3587-7975
Patrick CostelloDivision of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA.
Charlotte WagnerDivision of Hematology and Hematologic Malignancies, Huntsman Cancer Institute, University of Utah, Salt Lake City, UT.ORCID 0000-0003-0568-0781
Ran ReshefDivision of Hematology/Oncology, Columbia University Irving Medical Center, New York, NY.
Hitomi HosoyaDivision of Blood and Marrow Transplantation and Cellular Therapy, Stanford University School of Medicine, Palo Alto, CA.
Lekha MikkilineniDivision of Blood and Marrow Transplantation and Cellular Therapy, Stanford University School of Medicine, Palo Alto, CA.
Djordje AtanackovicDivision of Hematology/Oncology, University of Maryland School of Medicine, Baltimore, MD.ORCID 0000-0003-4747-488X
Saurabh ChhabraDivision of Hematology/Oncology, Department of Medicine, Mayo Clinic, Scottsdale, AZ.ORCID 0000-0001-9117-8696
Ricardo ParrondoDivision of Hematology/Oncology, Mayo Clinic, Jacksonville, FL.ORCID 0000-0002-9314-9933
Omar NadeemDivision of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA.
Hashim MannDepartment of Internal Medicine, Virginia Commonwealth University, Richmond, VA.ORCID 0000-0002-8961-6228
Nilesh KalariyaDepartment of Lymphoma/Myeloma, The University of Texas MD Anderson Cancer Center, Houston, TX.
Vanna HovankyDivision of Blood and Marrow Transplantation and Cellular Therapy, Stanford University School of Medicine, Palo Alto, CA.
Gabriel De AvilaDivision of Cancer Epidemiology, Moffitt Cancer Center, Tampa, FL.
Ciara L FreemanDivision of Cancer Epidemiology, Moffitt Cancer Center, Tampa, FL.ORCID 0000-0002-0662-6480
Frederick L LockeDivision of Cancer Epidemiology, Moffitt Cancer Center, Tampa, FL.
Melissa AlsinaDivision of Cancer Epidemiology, Moffitt Cancer Center, Tampa, FL.
Sandy WongDivision of Hematology and Oncology, University of California San Francisco, San Francisco, CA.
Megan HerrDivision of Clinical Epidemiology, Rosewell Park Cancer Center, Buffalo, NY.ORCID 0000-0001-5768-9396
Myo HtutDivision of Hematology and Hematopoetic Stem Cell Transplantation, City of Hope Comprehensive Cancer Center, Duarte, CA.
Joseph McGuirkDivision of Hematologic Malignancies and Cellular Therapeutics, The University of Kansas Medical Center, Westwood, KS.ORCID 0000-0002-0539-4796
Douglas W SborovDivision of Hematology and Hematologic Malignancies, Huntsman Cancer Institute, University of Utah, Salt Lake City, UT.ORCID 0000-0003-4268-2698
Jack KhouriDepartment of Hematology and Medical Oncology, Cleveland Clinic Taussig Cancer Center, Cleveland, OH.ORCID 0000-0002-2473-6528
Thomas MartinDivision of Hematology and Oncology, University of California San Francisco, San Francisco, CA.
Murali JanakiramDivision of Hematology and Hematopoetic Stem Cell Transplantation, City of Hope Comprehensive Cancer Center, Duarte, CA.
Yi LinDivision of Hematology, Mayo Clinic, Rochester, MN.
Doris K HansenDivision of Cancer Epidemiology, Moffitt Cancer Center, Tampa, FL.

Funding

Tumor Biology and Microenvironment ProgramP30CA013696 · NCI · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI Parisa Tehranifar · 1985 to 2026
$115.3M
TRANSLATIONAL RESEARCHP30CA076292 · NCI · UNIVERSITY OF SOUTH FLORIDA · PI KENNETH Lynn WRIGHT · 1998 to 2026
$93.5M
Project 4: Targeting Resistance to T-Cell Directed Therapy in Multiple MyelomaP50CA186781 · NCI · MAYO CLINIC ARIZONA · PI Rafael Fonseca · 2015 to 2026
$25.5M
Institutional Career Development Core (KL2)KL2TR003143 · NCATS · STANFORD UNIVERSITY · PI ASCH, STEVEN M. · 2019 to 2023
$8.7M
Neurocognitive and Patient-Reported Outcomes after Chimeric Antigen Receptor T-Cell Therapy: A Controlled ComparisonR01CA244328 · NCI · H. LEE MOFFITT CANCER CTR & RES INST · PI HEATHER S.L. JIM, Frederick Locke · 2022 to 2026
$3.8M
Multidisciplinary Training in Gastrointestinal CancersT32CA285274 · NCI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Julian Abrams, Anil K Rustgi · 2024 to 2026
$897k
NCATS NIH HHS KL2 TR003143NCI NIH HHS P30 CA013696NCI NIH HHS P30 CA076292NCI NIH HHS P50 CA186781NCI NIH HHS R01 CA244328NCI NIH HHS T32 CA285274
6 · The paper itself

Abstract

abstractCiltacabtagene autoleucel (cilta-cel) was approved in 2022 for patients with relapsed/refractory multiple myeloma (RRMM). We report outcomes with cilta-cel in the standard-of-care setting. Patients with RRMM who underwent leukapheresis for cilta-cel manufacturing between 1 March 2022 and 31 December 2022 at 16 US academic medical centers were included. Overall, 255 patients underwent leukapheresis and 236 (92.5%) received cilta-cel, of which 54% would not have met CARTITUDE-1 eligibility criteria. In treated patients (N = 236), cytokine release syndrome was seen in 75% (grade ≥3, 5%), immune effector cell-associated neurotoxicity syndrome in 14% (grade ≥3, 4%), and delayed neurotoxicity in 10%. Overall and complete response rates were as follows: all patients who received cilta-cel (N = 236), 89% and 70%; patients receiving conforming cilta-cel (n = 191), 94% and 74%; and conforming cilta-cel with fludarabine/cyclophosphamide lymphodepletion (n = 152), 95% and 76%, respectively. Nonrelapse mortality was 10%, most commonly from infection. After a median follow-up of 13 months from cilta-cel, the median progression-free survival (PFS) was not reached, with 12-month estimate being 68% (95% confidence interval, 62-74). High ferritin levels, high-risk cytogenetics, and extramedullary disease were independently associated with inferior PFS, with a signal for prior B-cell maturation antigen-targeted therapy (P = .08). Second primary malignancies excluding nonmelanoma skin cancers were seen in 5.5% and myeloid malignancies/acute leukemia in 1.7%. We observed a favorable efficacy profile of standard-of-care cilta-cel in RRMM, despite more than half the patients not meeting the CARTITUDE-1 eligibility criteria.

Indexed as

Immunotherapy, AdoptiveMultiple MyelomaStandard of CareAdultAgedAged, 80 and overAntigens, CD19Biological ProductsCytokine Release SyndromeFemaleHumansLeukapheresisMaleMiddle AgedTreatment OutcomeAntigens, CD19axicabtagene ciloleucelBiological Products

Identifiers

PMID39365257
PMCPMC11952008

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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.