Evidence map›Paper›PMID 40589238›Full record

ArticleBritish journal of haematology2025

Outcomes of CD19 CAR-T therapy in central nervous system lymphoma: Insights from a multicentre experience.

Giulio Cassanello, Efrat Luttwak, Samantha Brown, Sean M Devlin, Brandon Imber, Andrew Ip, Lori A Leslie, Noa Golan Accav, Abraham Avigdor, Ronit Marcus and 14 more

Abstract readMulticenter Study
In one paragraph

Article in British journal of haematology, 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. Review
  4. Article
  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

24 authors.

Giulio CassanelloDepartment of Medicine, Adult Bone Marrow Transplantation Service, Memorial Sloan Kettering Cancer Centre, New York, New York, USA.ORCID https://orcid.org/0000-0002-2192-9930
Efrat LuttwakDepartment of Medicine, Lymphoma Service, Memorial Sloan Kettering Cancer Centre, New York, New York, USA.ORCID https://orcid.org/0000-0003-0212-2135
Samantha BrownDepartment of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Centre, New York, New York, USA.
Sean M DevlinDepartment of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Centre, New York, New York, USA.
Brandon ImberDepartment of Radio-Oncology, Memorial Sloan Kettering Cancer Centre, New York, New York, USA.
Andrew IpHackensack University Medical Centre, Hackensack, New Jersey, USA.ORCID https://orcid.org/0000-0003-0456-5618
Lori A LeslieHackensack University Medical Centre, Hackensack, New Jersey, USA.
Noa Golan AccavDivision of Hematology and Bone Marrow Transplantation, Chaim Sheba Medical Centre, Tel HaShomer, Israel.
Abraham AvigdorDivision of Hematology and Bone Marrow Transplantation, Chaim Sheba Medical Centre, Tel HaShomer, Israel.
Ronit MarcusDivision of Hematology and Bone Marrow Transplantation, Chaim Sheba Medical Centre, Tel HaShomer, Israel.
Ofrat Beyar-KatzDepartment of Hematology and Bone Marrow Transplantation, Rambam Health Care Campus, Haifa, Israel.
Magdalena CoronaDepartment of Medicine, Adult Bone Marrow Transplantation Service, Memorial Sloan Kettering Cancer Centre, New York, New York, USA.
Alejandro Luna De AbiaDepartment of Medicine, Adult Bone Marrow Transplantation Service, Memorial Sloan Kettering Cancer Centre, New York, New York, USA.
Jacopo Calabrese De FeoDepartment of Medicine, Lymphoma Service, Memorial Sloan Kettering Cancer Centre, New York, New York, USA.
Alfredo Rivas DelgadoDepartment of Medicine, Lymphoma Service, Memorial Sloan Kettering Cancer Centre, New York, New York, USA.
Jennifer K LueDepartment of Medicine, Lymphoma Service, Memorial Sloan Kettering Cancer Centre, New York, New York, USA.
Christian GrommesDepartment of Neuro Oncology, Memorial Sloan Kettering Cancer Centre, New York, New York, USA.
Gunjan L ShahDepartment of Medicine, Adult Bone Marrow Transplantation Service, Memorial Sloan Kettering Cancer Centre, New York, New York, USA.
Jae ParkDepartment of Medicine, Adult Bone Marrow Transplantation Service, Memorial Sloan Kettering Cancer Centre, New York, New York, USA.
Miguel-Angel PeralesDepartment of Medicine, Adult Bone Marrow Transplantation Service, Memorial Sloan Kettering Cancer Centre, New York, New York, USA.ORCID https://orcid.org/0000-0002-5910-4571
Gilles SallesDepartment of Medicine, Lymphoma Service, Memorial Sloan Kettering Cancer Centre, New York, New York, USA.
Roni ShouvalDepartment of Medicine, Adult Bone Marrow Transplantation Service, Memorial Sloan Kettering Cancer Centre, New York, New York, USA.ORCID https://orcid.org/0000-0001-9827-8032
Michael ScordoDepartment of Medicine, Adult Bone Marrow Transplantation Service, Memorial Sloan Kettering Cancer Centre, New York, New York, USA.
M Lia PalombaDepartment of Medicine, Lymphoma Service, Memorial Sloan Kettering Cancer Centre, New York, New York, USA.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
A multimodal approach for precision immuno-oncology in lymphoma treated with CAR-T cellsK08CA282987 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI Roni Shouval · 2023 to 2026
$1.1M
Associazione italiana contro le leucemie-linfomi e mieloma Milano e Provincia ONLUSFundación Alfonso Martin EscuderoNCI NIH HHS K08 CA282987NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

Chimeric antigen receptor (CAR) T-cell therapy has reshaped the treatment paradigm for relapsed/refractory (R/R) diffuse large B-cell lymphoma (DLBCL). However, its role in central nervous system lymphoma (CNSL) remains uncertain. We conducted a multicentre, retrospective study on 54 adult R/R CNSL patients treated at four international institutions with commercial (axi-cel, tisa-cel, liso-cel) or a point of care (POC) CD19-CAR T-cell products. At day 100 post CAR-T infusion, 65% of patients attained a complete response as their best response in both systemic and central nervous system compartments. The median progression-free survival (PFS) was 7.5 months, with a 1-year PFS of 35%. The median overall survival (OS) was 19 months, with a 1-year OS of 63%. In multivariable analyses, CAR-T product was significantly associated with PFS (p = 0.009) and OS (p = 0.013), with patients receiving tisa-cel exhibiting poorer outcomes than axi-cel and patients receiving liso-cel or POC CAR-T product demonstrating better outcomes than axi-cel. Toxicity profiles were consistent with pivotal trials in R/R DLBCL. Grade ≥3 cytokine release syndrome occurred in 11% of patients, while grade ≥3 immune-effector cell-associated neurotoxicity syndrome was observed in 28%. Our study supports the feasibility and safety of anti-CD19 CAR-T therapy in CNSL. The specific CAR-T product infused emerged as a factor influencing outcomes.

Indexed as

Antigens, CD19Central Nervous System NeoplasmsImmunotherapy, AdoptiveLymphoma, Large B-Cell, DiffuseReceptors, Chimeric AntigenAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedRetrospective StudiesTreatment OutcomeYoung AdultAntigens, CD19Receptors, Chimeric Antigencellular therapieshaematological oncologyimmunotherapylymphoma

Identifiers

PMID40589238
PMCPMC13482356

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.