Evidence map›Paper›PMID 40160812›Full record

ArticleFrontiers in immunology2025

Efficacy and safety of tocilizumab in managing cytokine release syndrome after CD19 CAR-T therapy for relapsed or refractory B-cell acute lymphoblastic leukemia.

Qianyi Zhou, Yuxin An, Xiaomei Zhang, Xia Xiao, Xue Bai, Pengjiang Liu, Yedi Pu, Juanxia Meng, Haibo Zhu, Cuicui Lyu and 5 more

Abstract read
In one paragraph

Article in Frontiers in immunology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

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

5 citing papers in PubMed.

  1. Review
  2. Review
  3. Beyond the infusion: nursing at the vanguard of cytokine release syndrome rescue in CAR-T cell therapy.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Review
  4. Immune Toxicities in AAV Gene Therapy: Overview for Clinicians.International journal of molecular sciences · 2026
    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

15 authors.

Qianyi Zhou *First Center Clinical College, Tianjin Medical University, Tianjin, China.
Yuxin An *First Center Clinical College, Tianjin Medical University, Tianjin, China.
Xiaomei ZhangDepartment of Hematology, Tianjin First Central Hospital, Tianjin, China.
Xia XiaoNankai University School of Medicine, Nankai University, Tianjin, China.
Xue BaiNankai University School of Medicine, Nankai University, Tianjin, China.
Pengjiang LiuNankai University School of Medicine, Nankai University, Tianjin, China.
Yedi PuNankai University School of Medicine, Nankai University, Tianjin, China.
Juanxia MengNankai University School of Medicine, Nankai University, Tianjin, China.
Haibo ZhuNankai University School of Medicine, Nankai University, Tianjin, China.
Cuicui LyuNankai University School of Medicine, Nankai University, Tianjin, China.
Huan ZhangNankai University School of Medicine, Nankai University, Tianjin, China.
Yu ZhangNankai University School of Medicine, Nankai University, Tianjin, China.
Tianle XieNankai University School of Medicine, Nankai University, Tianjin, China.
Haotian MengNankai University School of Medicine, Nankai University, Tianjin, China.
Hairong LyuNankai University School of Medicine, Nankai University, Tianjin, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: CD19 chimeric antigen receptor T (CAR-T) cell therapy has shown promise in treating relapsed or refractory (R/R) B-cell acute lymphoblastic leukemia (B-ALL), but cytokine release syndrome (CRS) remains a significant side effect. Methods: This retrospective cohort study investigated the use of tocilizumab for managing CAR-T-related CRS in 45 R/R B-ALL patients. Results: Of these, 17 patients received tocilizumab, resulting in a significant reduction in the duration of grade 3 CRS compared to those who did not receive the drug. Additionally, 10 patients showed decreased cytokine levels.Importantly, tocilizumab did not impair CAR-T cell expansion or efficacy, nor did it increase the incidence of adverse events. Conclusion: These findings suggest that tocilizumab may be an effective and safe strategy for mitigating CAR-T-related CRS in R/R B-ALL patients, potentially improving patient outcomes and survival.

Indexed as

Antibodies, Monoclonal, HumanizedAntigens, CD19Cytokine Release SyndromeImmunotherapy, AdoptivePrecursor B-Cell Lymphoblastic Leukemia-LymphomaAdolescentAdultAgedChildFemaleHumansMaleMiddle AgedReceptors, Chimeric AntigenRecurrenceRetrospective StudiesAntibodies, Monoclonal, HumanizedAntigens, CD19Receptors, Chimeric Antigentocilizumabacute B-lymphoblastic leukemia (B-ALL)chimeric antigen receptor T (CAR-T) cellcytokine release syndrome (CRS)efficacy and safetytocilizumab

Identifiers

PMID40160812
PMCPMC11949925

What OpenQuestion holds

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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.