Evidence map›Paper›PMID 40098061›Full record

ArticleJournal of hematology & oncology2025

Second primary malignancies following CAR T-cell therapy in patients with hematologic malignancies.

Elvira Umyarova, Charles Pei, William Pellegrino, Qiuhong Zhao, Nidhi Sharma, Don Benson, Francesca Cottini, Evandro Bezerra, Jonathan Brammer, Naresh Bumma and 21 more

Abstract readLetter
In one paragraph

Article in Journal of hematology & oncology, 2025. 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. Pooled it
  2. Review
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  4. Article
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  6. Article
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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

31 authors.

Elvira UmyarovaDivision of Hematology, The Ohio State University Comprehensive Cancer Center, Columbus, OH, USA. Elvira.Umyarova@osumc.edu.
Charles PeiDivision of Hematology, The Ohio State University Comprehensive Cancer Center, Columbus, OH, USA.
William PellegrinoDivision of Hematology, The Ohio State University Comprehensive Cancer Center, Columbus, OH, USA.
Qiuhong ZhaoDivision of Hematology, The Ohio State University Comprehensive Cancer Center, Columbus, OH, USA.
Nidhi SharmaDivision of Hematology, The Ohio State University Comprehensive Cancer Center, Columbus, OH, USA.
Don BensonDivision of Hematology, The Ohio State University Comprehensive Cancer Center, Columbus, OH, USA.
Francesca CottiniDivision of Hematology, The Ohio State University Comprehensive Cancer Center, Columbus, OH, USA.
Evandro BezerraDivision of Hematology, The Ohio State University Comprehensive Cancer Center, Columbus, OH, USA.
Jonathan BrammerDivision of Hematology, The Ohio State University Comprehensive Cancer Center, Columbus, OH, USA.
Naresh BummaDivision of Hematology, The Ohio State University Comprehensive Cancer Center, Columbus, OH, USA.
Hannah ChoeDivision of Hematology, The Ohio State University Comprehensive Cancer Center, Columbus, OH, USA.
Nathan DenlingerDivision of Hematology, The Ohio State University Comprehensive Cancer Center, Columbus, OH, USA.
Srinivas DevarakondaDivision of Hematology, The Ohio State University Comprehensive Cancer Center, Columbus, OH, USA.
Abdullah KhanDivision of Hematology, The Ohio State University Comprehensive Cancer Center, Columbus, OH, USA.
Sam PenzaDivision of Hematology, The Ohio State University Comprehensive Cancer Center, Columbus, OH, USA.
Ashley RoskoDivision of Hematology, The Ohio State University Comprehensive Cancer Center, Columbus, OH, USA.
Sumithira VasuDivision of Hematology, The Ohio State University Comprehensive Cancer Center, Columbus, OH, USA.
Sarah WallDivision of Hematology, The Ohio State University Comprehensive Cancer Center, Columbus, OH, USA.
Lapo AlinariDivision of Hematology, The Ohio State University Comprehensive Cancer Center, Columbus, OH, USA.
Robert BaiocchiDivision of Hematology, The Ohio State University Comprehensive Cancer Center, Columbus, OH, USA.
David A BondDivision of Hematology, The Ohio State University Comprehensive Cancer Center, Columbus, OH, USA.
Beth ChristianDivision of Hematology, The Ohio State University Comprehensive Cancer Center, Columbus, OH, USA.
Walter HanelDivision of Hematology, The Ohio State University Comprehensive Cancer Center, Columbus, OH, USA.
Kami MaddocksDivision of Hematology, The Ohio State University Comprehensive Cancer Center, Columbus, OH, USA.
John ReneauDivision of Hematology, The Ohio State University Comprehensive Cancer Center, Columbus, OH, USA.
Yazeed SawalhaDivision of Hematology, The Ohio State University Comprehensive Cancer Center, Columbus, OH, USA.
Alma HabibDivision of Hematology, The Ohio State University Comprehensive Cancer Center, Columbus, OH, USA.
Audrey SigmundDivision of Hematology, The Ohio State University Comprehensive Cancer Center, Columbus, OH, USA.
Timothy J VoorheesDivision of Hematology, The Ohio State University Comprehensive Cancer Center, Columbus, OH, USA.
Marcos de LimaDivision of Hematology, The Ohio State University Comprehensive Cancer Center, Columbus, OH, USA.
Narendranath EpperlaDivision of Hematology, The Ohio State University Comprehensive Cancer Center, Columbus, OH, USA. naren.epperla@hci.utah.edu.

Funding

Translational Therapeutics Research Program (TT)P30CA016058 · NCI · OHIO STATE UNIVERSITY · PI Tasleem J Padamsee · 1985 to 2026
$132.3M
Investigating CD56 signaling in multiple myeloma growth and immune escapeK08CA263476 · NCI · OHIO STATE UNIVERSITY · PI Francesca Cottini · 2022 to 2026
$1.3M
NCI NIH HHS K08 CA263476NCI NIH HHS P30 CA016058
6 · The paper itself

Abstract

Chimeric antigen receptor T-cell (CAR-T) therapy has transformed the management of patients with relapsed/refractory (R/R) hematologic malignancies, including B-cell lymphomas and multiple myeloma (MM). While data pertaining to the efficacy and toxicity associated with CAR-T have been widely reported, there are limited data on long-term complications. We retrospectively analyzed 246 patients treated with CAR-T for R/R B-cell lymphoma (n = 228) and MM (n = 18) at Ohio State University from 2016 to 2022, with a minimum of two years of follow-up. The median age was 66 years, and the median number of prior treatments was four. With a median follow-up of 38 months (range 11-66), 21 patients (8.5%) developed a second primary malignancy (SPM), with non-melanoma skin cancer being the most common (52%), followed by hematologic malignancies (33%) and non-skin solid tumors (14%). Squamous cell carcinoma accounted for 38% of skin cancers, while myelodysplastic syndrome and acute myeloid leukemia were the predominant hematologic malignancies. Solid tumors included bladder, prostate, and breast cancer. The distinct pattern of SPMs suggests potential CAR-T-related risks, warranting vigilant post-treatment surveillance. Further studies are necessary to elucidate underlying mechanism and predictive factors and guide long-term management of SPM risk in CAR-T survivors.

Indexed as

Hematologic NeoplasmsImmunotherapy, AdoptiveNeoplasms, Second PrimaryReceptors, Chimeric AntigenAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedRetrospective StudiesReceptors, Chimeric AntigenCAR-TLBCLMMSecond primary malignanciesSPM

Identifiers

PMID40098061
PMCPMC11916994

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Registered trials

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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.