Evidence map›Paper›PMID 40025178›Full record

Observational studyBone marrow transplantation2025

Chimeric antigen receptor T cell therapy in octogenarians with B cell lymphoma: a real-world US multicenter collaborative study.

Mohamed A Kharfan-Dabaja, Razan Mohty, Neela Easwar, Patrick Johnston, Madiha Iqbal, Narendranath Epperla, Jean Yared, Nausheen Ahmed, Mehdi Hamadani, Amer Beitinjaneh and 27 more

Abstract readMulticenter StudyObservational Study
PubMed Publisher
In one paragraph

Observational study in Bone marrow transplantation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

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

  1. Guideline
  2. Article
  3. Article
  4. Review
  5. 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

37 authors.

Mohamed A Kharfan-Dabaja *Division of Hematology-Oncology and Blood and Marrow Transplantation and Cellular Therapy Program, Mayo Clinic, Jacksonville, FL, USA.ORCID http://orcid.org/0000-0001-7394-5185
Razan Mohty *Moffitt Cancer Center, Tampa, FL, USA.ORCID http://orcid.org/0000-0002-0189-8233
Neela EaswarDivision of Hematology and Medical Oncology, Weill Cornell Medicine, New York, NY, USA.
Patrick JohnstonMayo Clinic, Rochester, MN, USA.
Madiha IqbalDivision of Hematology-Oncology and Blood and Marrow Transplantation and Cellular Therapy Program, Mayo Clinic, Jacksonville, FL, USA.ORCID http://orcid.org/0000-0001-6752-5440
Narendranath EpperlaThe Ohio State University Comprehensive Cancer Center, Columbus, OH, USA.
Jean YaredTransplant and Cellular Therapy Program, University of Maryland Marlene and Stewart Greenebaum Comprehensive Cancer Center, Baltimore, MD, USA.
Nausheen AhmedHematologic Malignancies and Cellular Therapeutics, Department of Medicine, University of Kansas Cancer Center, Westwood, KS, USA.ORCID http://orcid.org/0000-0003-4336-4982
Mehdi HamadaniBMT and Cellular Therapy Program, Department of Medicine, Medical College of Wisconsin, Milwaukee, WI, USA.ORCID http://orcid.org/0000-0001-5372-510X
Amer BeitinjanehDivision of Transplantation and Cellular Therapy, Department of Medicine, University of Miami Miller School of Medicine, Miami, FL, USA.
Mayur NarkhedeDivision of Hematology/Oncology, The University of Alabama at Birmingham, Birmingham, AL, USA.
Deepa JagadeeshCleveland Clinic Foundation, Cleveland, OH, USA.
Praveen Ramakrishnan GeethakumariSection of Hematologic Malignancies and Cellular Therapy, Division of Hematology and Oncology, at Harold C. Simmons Comprehensive Cancer Center, UT Southwestern Medical Center, Dallas, TX, USA.
Bhagirathbhai DholariaDivision of Hematology Oncology, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.
Usama GergisThomas Jefferson University, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0003-0656-7385
Javier MunozMayo Clinic, Scottsdale, AZ, USA.
Jose Sandoval-SusMoffitt Cancer Center at Memorial Health Care system, Pembroke Pines, FL, USA.
Frederick L LockeMoffitt Cancer Center, Tampa, FL, USA.ORCID http://orcid.org/0000-0001-9063-6691
Joshua FeinDivision of Hematology and Medical Oncology, Weill Cornell Medicine, New York, NY, USA.ORCID http://orcid.org/0000-0001-5441-1516
Arushi KhuranaMayo Clinic, Rochester, MN, USA.
Ernesto AyalaDivision of Hematology-Oncology and Blood and Marrow Transplantation and Cellular Therapy Program, Mayo Clinic, Jacksonville, FL, USA.
Kaitlin AnnunzioThe Ohio State University Comprehensive Cancer Center, Columbus, OH, USA.
Aaron P RapoportTransplant and Cellular Therapy Program, University of Maryland Marlene and Stewart Greenebaum Comprehensive Cancer Center, Baltimore, MD, USA.
Forat LutfiHematologic Malignancies and Cellular Therapeutics, Department of Medicine, University of Kansas Cancer Center, Westwood, KS, USA.
Othman Salim AkhtarBMT and Cellular Therapy Program, Department of Medicine, Medical College of Wisconsin, Milwaukee, WI, USA.
Lazaros LekakisDivision of Transplantation and Cellular Therapy, Department of Medicine, University of Miami Miller School of Medicine, Miami, FL, USA.
Amitkumar MehtaDivision of Hematology/Oncology, The University of Alabama at Birmingham, Birmingham, AL, USA.
Olalekan O OluwoleDivision of Hematology Oncology, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.ORCID http://orcid.org/0000-0001-8525-9641
Jennifer LogueMoffitt Cancer Center at Memorial Health Care system, Pembroke Pines, FL, USA.
Michael D JainMoffitt Cancer Center, Tampa, FL, USA.ORCID http://orcid.org/0000-0002-7789-1257
Tsiporah ShoreDivision of Hematology and Medical Oncology, Weill Cornell Medicine, New York, NY, USA.ORCID http://orcid.org/0000-0001-6033-0747
Urshila DuraniMayo Clinic, Rochester, MN, USA.
Muhamad Alhaj MoustafaDivision of Hematology-Oncology and Blood and Marrow Transplantation and Cellular Therapy Program, Mayo Clinic, Jacksonville, FL, USA.ORCID http://orcid.org/0000-0001-8582-1219
Joseph McGuirkHematologic Malignancies and Cellular Therapeutics, Department of Medicine, University of Kansas Cancer Center, Westwood, KS, USA.ORCID http://orcid.org/0000-0002-0539-4796
Yi LinMayo Clinic, Rochester, MN, USA.ORCID http://orcid.org/0000-0002-1556-6416
Samuel YamshonDivision of Hematology and Medical Oncology, Weill Cornell Medicine, New York, NY, USA.
Julio C ChavezMoffitt Cancer Center, Tampa, FL, USA. julio.c.chavez@moffitt.org.ORCID http://orcid.org/0000-0002-2045-6238

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Older patients with lymphoma are typically underrepresented in clinical trials with chimeric antigen receptor T cell (CAR T) therapy. In this multicenter, observational study we aimed to assess the safety and efficacy of standard CD19 CAR T in patients 80 years of age or older. At total of 88 patients, median age 82 (range, 80-89) years, were included. Diffuse large B cell lymphoma (DLBCL) (N = 60, 68.2%) represented the most common histology. Patients were treated mostly with axicabtagene ciloleucel (N = 41, 46.6%) followed by lisocabtagene maraleucel (N = 25, 28.4%). Cytokine release syndrome (CRS) (any grade) was seen in 68 (77.3%) and 51 (58%) developed immune effector cell-associated neurotoxicity syndrome (ICANS). Incidence of grade 3-4 CRS and ICANS were 7.4% and 31.4%, respectively. For patients with DLBCL/tFL, the 1-year NRM, relapse, PFS, and OS were 11.6%, 40.8%, 47.6%, and 61.2%, respectively. We conclude that CAR T is feasible and effective in patients 80 years or older with B cell lymphomas. These patients must be provided the opportunity to be evaluated for this curative approach.

Indexed as

Immunotherapy, AdoptiveLymphoma, B-CellLymphoma, Large B-Cell, DiffuseReceptors, Chimeric AntigenAged, 80 and overFemaleHumansMaleUnited StatesReceptors, Chimeric Antigen

Identifiers

What OpenQuestion holds

Textmetadata
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.