Evidence map›Paper›PMID 40127395›Full record

ArticleBlood advances2025

Real-world outcomes for young adult patients receiving CD19 CAR T-cell therapy.

Hannah Lust, Liora M Schultz, Soyang Kwon, Gregory W Roloff, Ibrahim Aldoss, Christina Baggott, Samuel John, Jenna E Rossoff, Kevin O McNerney, Vanessa A Fabrizio and 36 more

Erratum issuedAbstract read
In one paragraph

Article in Blood advances, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

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

  1. Guideline
  2. Trial
  3. Advances in targeted and cellular therapies for relapsed/refractory mantle cell lymphoma: immunotherapeutic strategies and challenges.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Review
  4. Article
  5. Review
  6. Article
  7. Review
  8. Frontiers in immunology · 2026
    Article
  9. Article
  10. Article
  11. Review
  12. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

46 authors.

Hannah LustDivision of Hematology, Oncology, Neuro-Oncology, and Stem Cell Transplantation, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL.ORCID 0000-0002-3579-5996
Liora M SchultzDepartment of Pediatrics, Bass Center for Childhood Cancer and Blood Disorders, Stanford University School of Medicine, Stanford, CA.
Soyang KwonDepartment of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, IL.
Gregory W RoloffDivision of Hematology/Oncology, University of Chicago, Chicago, IL.ORCID 0000-0003-2109-5152
Ibrahim AldossDivision of Leukemia, Hematology and Blood Stem Cell and Marrow Transplant, City of Hope, Duarte, CA.
Christina BaggottDepartment of Pediatrics, Bass Center for Childhood Cancer and Blood Disorders, Stanford University School of Medicine, Stanford, CA.
Samuel JohnDivision of Pediatric Hematology/Oncology, Simmons Comprehensive Cancer Center, University of Texas Southwestern Medical Center, Dallas, TX.
Jenna E RossoffDivision of Hematology, Oncology, Neuro-Oncology, and Stem Cell Transplantation, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL.ORCID 0000-0003-0471-9883
Kevin O McNerneyDivision of Hematology, Oncology, Neuro-Oncology, and Stem Cell Transplantation, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL.
Vanessa A FabrizioDepartment of Pediatric Hematology, Oncology, and Blood and Marrow Transplant, University of Colorado Anschutz Medical Campus, Colorado Children's Hospital, Aurora, CO.ORCID 0000-0002-8405-1141
Julie-An TalanoDivision of Pediatric Hematology/Oncology/Blood and Marrow Transplant, Department of Pediatrics, Medical College of Wisconsin, Milwaukee, WI.
Amy MoskopDivision of Pediatric Hematology/Oncology/Blood and Marrow Transplant, Department of Pediatrics, Medical College of Wisconsin, Milwaukee, WI.
Kevin J CurranDepartment of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, NY.
Christine L PhillipsDivision of Oncology, Cancer and Blood Diseases Institute, Cincinnati Children's Hospital, Cincinnati, OH.
Nicole KarrasDepartment of Pediatrics, City of Hope, Duarte, CA.
Susanne H C BaumeisterDivision of Hematology/Oncology, Department of Pediatric Oncology, Harvard Medical School, Boston, MA.
Stacy L CooperDepartment of Oncology, Division of Pediatric Oncology, Johns Hopkins, Baltimore, MD.
Michelle HermistonDivision of Pediatric Allergy, Immunology, and Blood & Marrow Transplantation, University of California San Francisco Benioff Children's Hospital, San Francisco, CA.ORCID 0000-0003-1790-2679
Prakash SatwaniDivision of Pediatric Hematology, Oncology, and Stem Cell Transplantation, Department of Pediatrics, Columbia University Medical Center, New York, NY.
Muna QayedDepartment of Pediatrics, Aflac Cancer and Blood Disorders Center, Children's Healthcare of Atlanta, Emory University School of Medicine, Atlanta, GA.ORCID 0000-0001-7689-343X
Sunil S RaikarDepartment of Pediatrics, Aflac Cancer and Blood Disorders Center, Children's Healthcare of Atlanta, Emory University School of Medicine, Atlanta, GA.ORCID 0000-0003-2903-9542
Margaret MacMillanDivision of Pediatric Blood and Marrow Transplantation and Cellular Therapy, University of Minnesota, Minneapolis, MN.
Erin HallDivision of Pediatric Hematology, Oncology, and Blood & Marrow Transplantation, Children's Mercy, Kansas City, KS.
Khanh NguyenDepartment of Pediatrics, Bass Center for Childhood Cancer and Blood Disorders, Stanford University School of Medicine, Stanford, CA.ORCID 0009-0000-0688-8651
Ryan D CassadayClinical Research Division, Fred Hutchinson Cancer Center, Seattle, WA.
Noam E KopmarDivision of Medical Oncology, Department of Medicine, University of Washington, Seattle, WA.
Vamsi K KotaDepartment of Medicine, Division of Hematology and Oncology, Augusta University Medical Center, Augusta, GA.
John MathewsDepartment of Transplant and Cellular Therapy, Sarah Cannon and Texas Oncology Transplant and Cellular Therapy Program, Medical City Dallas, Dallas, TX.
Paul ShaughnessyDepartment of Transplant and Cellular Therapy, Sarah Cannon Transplant and Cellular Therapy Program, Methodist Hospital, HCA Healthcare, San Antonio, TX.
Marc S SchwartzDepartment of Hematology and Oncology, University of Colorado, Aurora, CO.
Abdullah LadhaJane Anne Nohl Division of Hematology and Center for the Study of Blood Disease, University of Southern California Norris Comprehensive Cancer Center, Los Angeles, CA.ORCID 0009-0006-9598-6467
George YaghmourJane Anne Nohl Division of Hematology and Center for the Study of Blood Disease, University of Southern California Norris Comprehensive Cancer Center, Los Angeles, CA.
Muthu V KumaranDivision of Hematology and Oncology, University of Arkansas for Medical Sciences, Little Rock, AR.
Veronika BachanovaDivision of Hematology, Oncology, and Transplantation, University of Minnesota, Minneapolis, MN.
Sean TracyDivision of Hematology, Oncology, and Transplantation, University of Minnesota, Minneapolis, MN.
Tamer OthmanDivision of Hematology and Oncology, University of California San Francisco, San Francisco, CA.
Marlise R LuskinDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA.ORCID 0000-0002-5781-4529
Evan C ChenDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA.ORCID 0000-0002-9218-215X
Anjani S AdvaniLeukemia Program, Department of Hematology and Medical Oncology, Taussig Cancer Institute, Cleveland Clinic, Cleveland, OH.ORCID 0000-0003-0015-5902
Nikeshan JeyakumarDivision of Blood and Marrow Transplantation and Cellular Therapy, Stanford University, Stanford, CA.ORCID 0000-0001-9979-4434
Katharine MillerDivision of Blood and Marrow Transplantation and Cellular Therapy, Stanford University, Stanford, CA.
Amy ZhangDivision of Blood and Marrow Transplantation and Cellular Therapy, Stanford University, Stanford, CA.
Katherine C SutherlandDivision of Blood and Marrow Transplantation and Cellular Therapy, Stanford University, Stanford, CA.
Bijal D ShahDivision of Blood and Marrow Transplant and Cellular Immunotherapy, H. Lee Moffitt Cancer Center, Tampa, FL.ORCID 0000-0003-4328-6021
Lori MufflyDivision of Blood and Marrow Transplantation and Cellular Therapy, Stanford University, Stanford, CA.ORCID 0000-0002-9887-6136
Rawan FaramandDivision of Blood and Marrow Transplant and Cellular Immunotherapy, H. Lee Moffitt Cancer Center, Tampa, FL.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

abstractTisagenlecleucel (tisa-cel) and brexucabtagene autoleucel (brexu-cel) are approved CD19 chimeric antigen receptor T-cell therapy (CAR T) products for young adults (YA) with relapsed/refractory B-cell acute lymphoblastic leukemia. A distinct analysis of YAs receiving commercial CD19 CAR T has not been reported. Using retrospective data from the Pediatric Real-World CAR T Consortium and the Real-World Outcomes of CAR T in Adult ALL collaboration, we describe the efficacy and safety of tisa-cel and brexu-cel in 70 YAs (18-26 years; tisa-cel, n = 50; brexu-cel, n = 20). Cytokine release syndrome (CRS) and immune effector cell-associated neurotoxicity syndrome (ICANS) were observed more frequently for brexu-cel vs tisa-cel (CRS, 85% vs 56%; ICANS, 40% vs 18%). Complete response rates were similar between products at 80% for brexu-cel and 88% for tisa-cel. Relapse-free survival (RFS) at 12 months was 46% for brexu-cel and 36% for tisa-cel. Durability of remission over 12 months was 61% for brexu-cel vs 41% for tisa-cel; 12-month overall survival (OS) for brexu-cel was 84% vs 68% for tisa-cel. In multivariate analysis, low disease burden was associated with improved OS, whereas inotuzumab before CAR T was associated with inferior outcomes. This study demonstrates comparable real-world efficacy among YAs receiving CD19 CAR T irrespective of CAR T construct; however, rates of toxicity seem higher with brexu-cel.

Indexed as

Antigens, CD19Immunotherapy, AdoptiveReceptors, Chimeric AntigenAdolescentAdultCytokine Release SyndromeFemaleHumansMaleReceptors, Antigen, T-CellRetrospective StudiesTreatment OutcomeYoung AdultAntigens, CD19Receptors, Antigen, T-CellReceptors, Chimeric Antigentisagenlecleucel

Identifiers

PMID40127395
PMCPMC12166372

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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.