Evidence map›Paper›PMID 40278918›Full record

ArticleAnnals of hematology2025

Whole brain radiotherapy combined with CART-cell therapy for relapsed/refractory central nervous system B-cell lymphoma.

Hui Shi, Peihao Zheng, Zhonghua Fu, Miaomiao Cao, Fan Yang, Yuelu Guo, Rui Liu, Lixia Ma, Shaomei Feng, Xiuyan Tao and 6 more

Abstract read
In one paragraph

Article in Annals of hematology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

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

  1. Pooled it
  2. Review
  3. Review
  4. Review
  5. Article
  6. Review
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  8. 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

16 authors.

Hui ShiDepartment of Lymphoma and Myeloma Research Center, Beijing GoBroad Hospital, No. 4 Building, Kexueyuan Street, Changping District, Beijing City, 102200, China.
Peihao ZhengDepartment of Lymphoma and Myeloma Research Center, Beijing Gobroad Boren Hospital, Beijing, 100070, China.
Zhonghua FuDepartment of Lymphoma and Myeloma Research Center, Beijing GoBroad Hospital, No. 4 Building, Kexueyuan Street, Changping District, Beijing City, 102200, China.
Miaomiao CaoDepartment of Lymphoma and Myeloma Research Center, Beijing GoBroad Hospital, No. 4 Building, Kexueyuan Street, Changping District, Beijing City, 102200, China.
Fan YangDepartment of Lymphoma and Myeloma Research Center, Beijing GoBroad Hospital, No. 4 Building, Kexueyuan Street, Changping District, Beijing City, 102200, China.
Yuelu GuoDepartment of Lymphoma and Myeloma Research Center, Beijing GoBroad Hospital, No. 4 Building, Kexueyuan Street, Changping District, Beijing City, 102200, China.
Rui LiuDepartment of Lymphoma and Myeloma Research Center, Beijing GoBroad Hospital, No. 4 Building, Kexueyuan Street, Changping District, Beijing City, 102200, China.
Lixia MaDepartment of Lymphoma and Myeloma Research Center, Beijing GoBroad Hospital, No. 4 Building, Kexueyuan Street, Changping District, Beijing City, 102200, China.
Shaomei FengDepartment of Lymphoma and Myeloma Research Center, Beijing Gobroad Boren Hospital, Beijing, 100070, China.
Xiuyan TaoDepartment of Lymphoma and Myeloma Research Center, Beijing GoBroad Hospital, No. 4 Building, Kexueyuan Street, Changping District, Beijing City, 102200, China.
Biping DengDepartment of Lymphoma and Myeloma Research Center, Beijing Gobroad Boren Hospital, Beijing, 100070, China.
Yang LeiDepartment of Lymphoma and Myeloma Research Center, Beijing GoBroad Hospital, No. 4 Building, Kexueyuan Street, Changping District, Beijing City, 102200, China.
Yimeng DouDepartment of Lymphoma and Myeloma Research Center, Beijing GoBroad Hospital, No. 4 Building, Kexueyuan Street, Changping District, Beijing City, 102200, China.
Xuenan ZhangDepartment of Lymphoma and Myeloma Research Center, Beijing GoBroad Hospital, No. 4 Building, Kexueyuan Street, Changping District, Beijing City, 102200, China.
Xiaoyan KeDepartment of Lymphoma and Myeloma Research Center, Beijing GoBroad Hospital, No. 4 Building, Kexueyuan Street, Changping District, Beijing City, 102200, China. kexy@gobroadhealthcare.com.
Kai HuDepartment of Lymphoma and Myeloma Research Center, Beijing GoBroad Hospital, No. 4 Building, Kexueyuan Street, Changping District, Beijing City, 102200, China. huk@gobroadhealthcare.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Relapsed or refractory central nervous system B-cell lymphoma (r/r CNS-BL), including primary central nervous system lymphoma (PCNSL) and secondary central nervous system lymphoma (SCNSL), remains a significant therapeutic challenge with limited treatment options and poor prognosis. This study investigated the combination of whole-brain radiotherapy (WBRT) and chimeric antigen receptor T-cell (CAR-T) therapy in 27 r/r CNS-BL patients. Peripheral blood mononuclear cells were collected before radiotherapy to prepare CAR-T cells. Patients then received whole-brain radiotherapy (WBRT), with or without local boost, followed by CAR-T cell infusion at least one week after radiotherapy completion. Post-CAR-T therapy, the optimal objective response rate (ORR) increased to 88.9%, and the optimal CR rate reached 85.2%. With a median follow-up of 12 months, the median progression-free survival (PFS) and overall survival (OS) were not reached (NR), and the 1-year estimated PFS and OS rate were 61.3% and 56.6%, respectively. Cytokine release syndrome (CRS) occurred in 48.1% of patients. Immune effector cell-associated neurotoxicity syndrome (ICANS) was observed in 29.6% of patients, with only 3.7% on grade 4, all of whom recovered after treatment. This study demonstrates that the combination of WBRT and CAR-T therapy offers a promising therapeutic strategy for r/r CNS-BL patients, improving remission rates and providing a well-tolerated treatment option.

Indexed as

Central Nervous System NeoplasmsCranial IrradiationImmunotherapy, AdoptiveLymphoma, B-CellAdultAgedCombined Modality TherapyFemaleHumansMaleMiddle AgedNeoplasm Recurrence, LocalReceptors, Chimeric AntigenReceptors, Chimeric AntigenCART-cell therapyCentral nervous system lymphomaCRSICANSWhole brain radiotherapy

Identifiers

PMID40278918
PMCPMC12052746

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.