Evidence map›Paper›PMID 40464994›Full record

ArticleCancer immunology, immunotherapy : CII2025

Predictive factors and nomogram for the risk of cytokine release syndrome with anti-CD3 × CD20 bispecific antibodies for Chinese patients.

Peng Sun, Cui Chen, Bai-Tian Zhao, Bo-Yan Zhang, Hang Yang, Yu Wang, Fei Xu, Kang-Ming Huang, Yin-Ting Liu, Mei-Shuo Ouyang and 4 more

Abstract read
In one paragraph

Article in Cancer immunology, immunotherapy : CII, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

14 authors.

Peng Sun *Department of Medical Oncology, Sun Yat-sen University Cancer Center, Guangzhou, 510060, China.
Cui Chen *Department of Oncology, Sun Yat-sen University the First Affiliated Hospital, Guangzhou, 510080, China.
Bai-Tian Zhao *State Key Laboratory of Oncology in South China, Guangdong Provincial Clinical Research Center for Cancer, Guangzhou, 510060, China.
Bo-Yan ZhangDepartment of Pharmaceutics, School of Pharmacy, Guangdong Pharmaceutical University, Guangzhou, 510006, China.
Hang YangDepartment of Medical Oncology, Sun Yat-sen University Cancer Center, Guangzhou, 510060, China.
Yu WangDepartment of Medical Oncology, Sun Yat-sen University Cancer Center, Guangzhou, 510060, China.
Fei XuDepartment of Medical Oncology, Sun Yat-sen University Cancer Center, Guangzhou, 510060, China.
Kang-Ming HuangDepartment of Medical Oncology, Sun Yat-sen University Cancer Center, Guangzhou, 510060, China.
Yin-Ting LiuDepartment of Biostatistics, University of Nebraska Medical Center, Omaha, NE, 68198, USA.
Mei-Shuo OuyangDepartment of Surgery, Duke University School of Medicine, Duke University, Durham, NC, 27710, USA.
Jia-Jia HuangDepartment of Medical Oncology, Sun Yat-sen University Cancer Center, Guangzhou, 510060, China.
Pan-Pan LiuDepartment of Medical Oncology, Sun Yat-sen University Cancer Center, Guangzhou, 510060, China. liupp@sysucc.org.cn.
Ying GuoState Key Laboratory of Oncology in South China, Guangdong Provincial Clinical Research Center for Cancer, Guangzhou, 510060, China. guoying@sysucc.org.cn.
Zhi-Ming LiDepartment of Medical Oncology, Sun Yat-sen University Cancer Center, Guangzhou, 510060, China. lizhm@sysucc.org.cn.

Funding

National Natural Science Foundation of China 82470185, 82073917Natural Science Foundation of Guangdong Provience 2023A1515011525Sun Yat-sen University Cancer Center Clinical Research 308 Program 2014-fxy-106, 2016-fxy-079
6 · The paper itself

Abstract

backgroundTargeting CD3 × CD20 bispecific antibodies (BsAbs) represents a new milestone in the salvage therapy of relapsed/relapsed large B cell lymphoma and follicular lymphoma. However, cytokine release syndrome (CRS) remains one of the major concerns in clinical practice of CD3 × CD20 BsAbs. This study aimed to identify the potential predictive factors and to construct a nomogram of grade ≥ 2 CRS in CD3 × CD20 BsAbs in Chinese patients.

methodsA total of 87 consecutive patients with B-NHL who received CD3 × CD20 BsAbs at Sun Yat-sen University Cancer Center from January 2021 to December 2023 were included and analyzed. Clinical data were collected, and various methods including machine learning algorithms were introduced.

resultsThe median age of the patients was 55 years, and the median number of previous treatment lines was 2. CRS occurred in 42 patients (48.3%), including 27 cases of grade 1, 9 cases of grade 2, 5 cases of grade 3, and 1 case of grade 5. Four variables were revealed and selected: bulky disease (> 5 cm), number of previous treatment lines (≥ 3), monocyte-to-lymphocyte ratio (MLR), and platelet count (PLT). Bootstrap resampling was introduced for both internal validation and model building. A predictive nomogram was ultimately established, with the ROC-AUC of 0.867 (95% CI 0.719-0.954).

conclusionThis study suggests four potential predictive factors and provides a feasible and easy-to-use nomogram for grade ≥ 2 CRS in Chinese patients for the first time, which is important for guiding personalized management and early intervention of CRS.

Indexed as

Antibodies, BispecificAntigens, CD20CD3 ComplexCytokine Release SyndromeNomogramsAdultAgedChinaEast Asian PeopleFemaleHumansMaleMiddle AgedRetrospective StudiesRisk FactorsAntibodies, BispecificAntigens, CD20CD3 ComplexCD3 × CD20 bispecific antibodies (BsAbs)Cytokine release syndrome (CRS)NomogramPredictive factors

Identifiers

PMID40464994
PMCPMC12137836

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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.