Evidence map›Paper›PMID 40205032›Full record

ReviewBone marrow transplantation2025

Less frequent complications following CAR T-cell therapies: hemophagocytic lymphohistiocytosis, graft-versus-host disease, thrombotic microangiopathy, coagulation disorders and secondary malignancies: best practice recommendations from the EBMT Practice Harmonization and Guidelines Committee.

Guillermo Ortí, Guillaume Dachy, Charlotte E Graham, Zinaida Peric, Ana Alarcon, Francesca Del Bufalo, Matteo Doglio, Jan-Inge Henter, Claire Roddie, Orla Stewart and 8 more

Abstract readReview
PubMed Publisher
In one paragraph

Review 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 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

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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

18 authors.

Guillermo Ortí *Vall d´Hebron University Hospital, Vall d´Hebron Institute of Oncology (VHIO), Barcelona, Spain. gorti@vhio.net.ORCID http://orcid.org/0000-0002-7889-5807
Guillaume Dachy *Hematology Department, Cliniques Universitaires Saint-Luc, Brussels, Belgium.ORCID http://orcid.org/0000-0002-1668-975X
Charlotte E GrahamSchool of Cancer and Pharmaceutical Sciences, King's College London, London, UK.
Zinaida PericUniversity Hospital Centre Zagreb and School of Medicine, University of Zagreb, Zagreb, Croatia.
Ana AlarconHospital Universitario Puerta de Hierro, Majadahonda, Madrid, Spain.
Francesca Del BufaloDepartment of Hematology, Oncology and Cell and Gene Therapy, IRCCS Bambino Gesù Children's Hospital, Rome, Italy.
Matteo DoglioCo-Lead of the Immunology Subcommittee ADWP of the EBMT, Milan, Italy.ORCID http://orcid.org/0000-0003-2477-2139
Jan-Inge HenterChildhood Cancer Research Unit, Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden.
Claire RoddieUniversity College London Hospital NHS Foundation Trust, London, UK.
Orla StewartDepartment of Haematology, King's College Hospital NHS Foundation Trust, London, UK.
W C J Van de DonkAmsterdam UMC, Vrije Universiteit Amsterdam, Department of Hematology, Cancer Center Amsterdam, Amsterdam, The Netherlands.
Roser VelascoDepartment of Neurology, Neuro-oncology Unit & Lymphoma Unit, Institut Català d´Oncologia-Hospital Universitari de Bellvitge, IDIBELL, Barcelona, Spain.
Mahmoud AljurfKing Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia.ORCID http://orcid.org/0000-0003-3942-7370
Annalisa RuggeriVice-Chair of the Practice Harmonisation and Guidelines Committee of EBMT and Chair of the CTIWP of the EBMT, Milano, Italy.ORCID http://orcid.org/0000-0002-7261-2765
Francesco OnidaVIce-Chair of the Practice Harmonisation and Guidelines Committee of the EBMT, 19- Hematology and BMT Unit, ASST Fatebenefratelli-Sacco, Department of Oncology and Hemato-Oncology, University of Milan, Milan, Italy.ORCID http://orcid.org/0000-0002-2991-3474
Isabel Sánchez-OrtegaEBMT Medical Officer, Executive Office, Barcelona, Spain.ORCID http://orcid.org/0009-0005-5519-9154
Ibrahim Yakoub-AghaChair of the EBMT Practice Harmonisation and Guidelines Committee, Milano, Italy.ORCID http://orcid.org/0000-0003-4524-8782
Olaf PenackDepartment of Hematology, Oncology and Tumorimmunology, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.ORCID http://orcid.org/0000-0003-4876-802X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

CAR T-cell therapies have revolutionized the treatment of hematologic malignancies; however, alongside the well-known complications of cytokine release syndrome (CRS), neurotoxicity, immune effector cell-associated hematotoxicity (ICAHT), and infections, other non-classical toxicities are emerging. This review, developed by the EBMT Practice Harmonization and Guidelines Committee, addresses the management of other critical post-CAR T-cell complications including hemophagocytic lymphohistiocytosis (HLH), graft-versus-host disease (GvHD), thrombotic microangiopathy (TMA), coagulation disorders and secondary malignancies. These complications, though less frequent, present a significant challenge, often contributing to morbidity and mortality with no standardized management protocols. This review provides best practice recommendations for early identification, risk mitigation, and therapeutic interventions, supported by limited but emerging clinical evidence. Comprehensive expert guidance is essential for optimal management of these under-explored toxicities following CAR T-cell therapies.

Indexed as

Blood Coagulation DisordersGraft vs Host DiseaseHematologic NeoplasmsImmunotherapy, AdoptiveLymphohistiocytosis, HemophagocyticThrombotic MicroangiopathiesHumansPractice Guidelines as Topic

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.