Evidence map›Paper›PMID 40400509›Full record

ArticleHemaSphere2025

Efficacy and safety of CAR T-cell therapy in patients with primary or secondary CNS lymphoma: A study on behalf of the EBMT and the GoCART coalition.

Anna Ossami Saidy, Christophe Peczynski, Catherine Thieblemont, Michael Daskalakis, Marc Wehrli, David Beauvais, Jürgen Finke, Elisabeth Schorb, Peter Vandenberghe, Philipp Berning and 18 more

Abstract read
In one paragraph

Article in HemaSphere, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. 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. Pooled it
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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

28 authors.

Anna Ossami SaidyDepartment of Hematology and Cell Therapy Helios Klinikum Berlin-Buch Berlin Germany.ORCID 0000-0001-6722-0065
Christophe PeczynskiEBMT Paris Study Office European Society for Blood and Marrow Transplantation Paris France.
Catherine ThieblemontUniversity Paris Cité, Assistance Publique-Hôpitaux de Paris Hemato-oncology, INSERM U1153, Hôpital Saint-Louis Paris France.
Michael DaskalakisDepartment of Hematology and Central Hematology Laboratory Inselspital, Bern University Hospital Bern Switzerland.
Marc WehrliDepartment of Medical Oncology Inselspital, Bern University Hospital Bern Switzerland.
David BeauvaisDepartment of Hematology Centre Hospitalier Universitaire de Lille Lille France.
Jürgen FinkeDepartment of Medicine I, Faculty of Medicine, Medical Center-University of Freiburg University of Freiburg Freiburg Germany.
Elisabeth SchorbDepartment of Medicine I, Faculty of Medicine, Medical Center-University of Freiburg University of Freiburg Freiburg Germany.
Peter VandenbergheDepartment of Hematology University Hospitals Leuven Leuven Belgium.
Philipp BerningDepartment of Hematology University Hospitals Leuven Leuven Belgium.ORCID 0000-0003-0442-3521
Matthias StelljesDepartment of Medicine A University Hospital Muenster Muenster Germany.
Francis AyukDepartment of Stem Cell Transplantation University Medical Center Hamburg-Eppendorf Hamburg Germany.
Ron RamBone Marrow Transplantation Unit, Faculty of Medicine, Tel Aviv Sourasky Medical Center Tel Aviv University Tel Aviv Israel.
Malte Von BoninMedical Clinic I University Hospital Carl Gustav Carus, Technische Universität Dresden Dresden Germany.
Peter DregerDepartment of Medicine V University of Heidelberg Heidelberg Germany.
Wolfgang BethgeDepartment of Internal Medicine II, Hematology, Oncology, Clinical Immunology, and Rheumatology University Hospital Tübingen Tübingen Germany.
Andrea KuhnlDepartment of Haematology King's College Hospital London United Kingdom.ORCID 0000-0002-4952-2550
Lasse JostDepartment of Medicine II, Division for Stem Cell Transplantation and Cellular Immunotherapy University Cancer Center Schleswig-Holstein, University Hospital Schleswig-Holstein Kiel Kiel Germany.
Friedrich StölzelDepartment of Medicine II, Division for Stem Cell Transplantation and Cellular Immunotherapy University Cancer Center Schleswig-Holstein, University Hospital Schleswig-Holstein Kiel Kiel Germany.
Bastian von TresckowDepartment of Hematology and Stem Cell Transplantation, West German Cancer Center and German Cancer Consortium (DKTK partner site Essen) University Hospital Essen, University of Duisburg-Essen Essen Germany.
Christoph RennerDivision of Hematology/Oncology Clinic Hirslanden Zurich Switzerland.
Stephan FuhrmannPraxis für Hämatologie und Onkologie Berlin Mitte Berlin Germany.
Jacques-Emmanuelle GalimardEBMT Paris Study Office European Society for Blood and Marrow Transplantation Paris France.
Eva MichelEBMT Paris Study Office European Society for Blood and Marrow Transplantation Paris France.
Ali BazarbachiDepartment of Internal Medicine, Bone Marrow Transplantation Program University of Beirut Beirut Lebanon.ORCID 0000-0002-7171-4997
Anna Sureda BalariClinical Hematology Department, Institut Català d'Oncologia-Hospitalet, Institut d'Investigació Biomèdica de Bellvitge (IDIBELL) University of Barcelona Barcelona Spain.
Norbert SchmitzDepartment of Medicine A University Hospital Muenster Muenster Germany.
Bertram GlassDepartment of Hematology and Cell Therapy Helios Klinikum Berlin-Buch Berlin Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Patients with relapsed or refractory (r/r) primary central nervous system (CNS) lymphoma (PCNSL) or secondary central nervous system (CNS) lymphoma (SCNSL) face a dismal prognosis. They have been excluded from most clinical CAR T-cell trials as investigators feared an increased risk for severe immune effector cell-associated neurotoxicity (ICANS). To investigate the potential of anti-CD19 CAR T-cell therapy (CART) in such patients, we analyzed data of 100 patients with CNS manifestation treated with CART between January 2018 and July 2023 and reported to European Society for Blood and Marrow Transplantation. Median age was 62 years. Of patients, 58% had failed ≥3 treatment lines, and 40% had received autologous stem-cell transplantation before CART. Fifty-nine patients received axicabtagene ciloleucel, 38 patients were treated with tisagenlecleucel, three patients received other products. At the time of CART, 67 patients had active CNS disease. Overall and progression-free survival (PFS) at 24 months were 37% and 28%. Relapse incidence (RI) at 24 months was 59%, whereas non-relapse mortality at 1 year was 7%. Cytokine release syndrome (CRS) and ICANS of any grade occurred in 83% and 42% of patients, respectively. CRS grade 3 occurred in 11 and ICANS grades 3-4 in 17 patients. Two patients died of neurotoxicity. Elevated lactate dehydrogenase was an independent risk factor for RI and PFS (hazard ratio [HR] 2.4,

Identifiers

PMID40400509
PMCPMC12093105

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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.