Evidence map›Paper›PMID 39754644›Full record

SynthesisRheumatology international2025

Safety and efficacy of CAR-T cell therapy in patients with autoimmune diseases: a systematic review.

Lakshmi Kattamuri, Bhavesh Mohan Lal, Nikhil Vojjala, Mansi Jain, Kunal Sharma, Siddharth Jain, Samer Al Hadidi

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Rheumatology international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing 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

23 citing papers in PubMed.

  1. Review
  2. Review
  3. Review
  4. Review
  5. Can we cure autoimmunity?Current opinion in immunology · 2026
    Review
  6. Review
  7. Review
  8. Review
  9. Review
  10. Review
  11. Review
  12. Landscape ofMolecular therapy. Methods & clinical development · 2025
    Article
  13. Review
  14. Article
  15. Review
  16. Review
  17. Review
  18. Review
  19. Review
  20. 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

7 authors.

Lakshmi KattamuriDepartment of Internal Medicine, Texas Tech University Health Sciences Center, El Paso, TX, 79905, USA.ORCID 0009-0004-3906-480X
Bhavesh Mohan LalDepartment of Internal Medicine, University of Arkansas for Medical Sciences, Little Rock, AR, 72205, USA.ORCID 0000-0001-5554-3342
Nikhil VojjalaDepartment of Internal Medicine, Trinity Health Oakland/Wayne State University School of Medicine, Michigan, 48341, USA.ORCID 0000-0001-7238-1058
Mansi JainDepartment of Physiology, All India Institute of Medical Sciences, New Delhi, 110029, India.ORCID 0000-0003-1599-9497
Kunal SharmaDepartment of Internal Medicine, Texas Tech University Health Sciences Center, El Paso, TX, 79905, USA.ORCID 0000-0001-5720-0706
Siddharth JainDepartment of Internal Medicine, All India Institute of Medical Sciences, New Delhi, 110029, India.ORCID 0000-0003-4065-5880
Samer Al HadidiDivision of Hematology-Oncology, Department of Internal Medicine, University of Arkansas for Medical Sciences, Little Rock, AR, 72205, USA. salhadidi@uams.edu.ORCID 0000-0003-4297-8042

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chimeric antigen receptor T-cell (CAR-T) therapy has revolutionized the treatment of various hematological malignancies. Recently, CAR-T has been used in refractory auto-immune diseases with initial encouraging results. In this systematic review, we examined the safety and efficacy of CAR-T in patients with refractory auto-immune diseases. PubMed/Medline, EMBASE, Web of Science, and Scopus search revealed 1552 articles, of which 24 were included for the final analysis. 80 patients with autoimmune diseases received CAR-T cell therapy, of which 52 patients had systemic lupus erythematosus, 16 patients had systemic sclerosis, 7 patients had idiopathic inflammatory myopathies, 2 patient had anti-phospholipid antibody syndrome, 2 patients had rheumatoid arthritis, and 1 patient had Sjogren's disease. 44 patients got CD-19 CAR-T and 36 patients got BCMA/CD-19 compound CAR-T. All the patients achieved an immunosuppression-free state at the last follow-up. Of the 47 patients with follow-up data, 79 patients developed cytokine release syndrome (CRS) and 4 patients developed neurotoxicity. None of the patients had fatal adverse events with CAR-T cell therapy. CAR-T appears to be safe and effective in patients with refractory autoimmune diseases. Future studies are crucial to further validate these findings, explore long-term outcomes, and refine the treatment protocols to enhance efficacy and safety.

Indexed as

Autoimmune DiseasesImmunotherapy, AdoptiveReceptors, Chimeric AntigenAdultCytokine Release SyndromeFemaleHumansMaleMiddle AgedTreatment OutcomeReceptors, Chimeric AntigenAutoimmune disordersCAR-T Cell therapyCytokine release syndromeHematologic malignanciesSystematic review

Identifiers

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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.