Evidence map›Paper›PMID 40754223›Full record

ArticleTransplantation and cellular therapy2025

Chimeric Antigen Receptor T-Cell Therapy for Richter Transformation: A CIBMTR Analysis.

Kalyan V Nadiminti, Kwang W Ahn, Jinalben Patel, Qinghua Lian, Evandro Bezerra, Andy Chen, Siddhartha Ganguly, Usama Gergis, Hamza Hashmi, Mohamed A Kharfan-Dabaja and 15 more

Abstract read
In one paragraph

Article in Transplantation and cellular therapy, 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. Article
  2. Review
  3. Review
  4. Review
  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

25 authors.

Kalyan V NadimintiDivision of Hematology, Medical Oncology and Palliative Care, University of Wisconsin, Carbone Cancer Center, Madison, Wisconsin.
Kwang W AhnDivision of Biostatistics, Institute for Health and Equity, Medical College of Wisconsin, Milwaukee, Wisconsin.
Jinalben PatelCenter for International Blood and Marrow Transplant Research, Department of Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin.
Qinghua LianDivision of Biostatistics, Institute for Health and Equity, Medical College of Wisconsin, Milwaukee, Wisconsin.
Evandro BezerraDivision of Hematology, The Ohio State University, Columbus, Ohio.
Andy ChenKnight Cancer Institute, Oregon Health & Science University, Portland, Oregon.
Siddhartha GangulyHouston Methodist Hospital Neal Cancer Center, Houston, Texas.
Usama GergisThomas Jefferson University & Sidney Kimmel Cancer Center, Philadelphia, Pennsylvania.
Hamza HashmiMyeloma & Cell Therapy Service, Memorial Sloan Kettering Cancer Center, New York city, New York.
Mohamed A Kharfan-DabajaDivision of Hematology-Oncology and Blood and Marrow Transplantation and Cellular Therapy Program, Mayo Clinic, Jacksonville, Florida.
John KuruvillaDepartment of Medical Oncology and Hematology, Princess Margaret Cancer Centre, Toronto, Ontario, Canada.
Lazaros LekakisUniversity of Miami Health System, Sylvester Comprehensive Cancer Center, Miami, Florida.
Frederick L LockeDepartment of Blood and Marrow Transplant and Cellular Immunotherapy, Moffitt Cancer Center, Tampa, Florida.
Hemant MurthyDivision of Hematology and Oncology, Mayo Clinic Florida, Jacksonville, Florida.
Muhamad Alhaj MousthafaDivision of Hematology and Oncology, Mayo Clinic Florida, Jacksonville, Florida.
Miguel-Angel PeralesAdult Bone Marrow Transplantation Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York; Department of Medicine, Weill Cornell Medical College, New York, New York.
Priyanka PophaliDivision of Hematology, Medical Oncology and Palliative Care, University of Wisconsin, Carbone Cancer Center, Madison, Wisconsin.
Peter A RiedellDavid and Etta Jonas Center for Cellular Therapy, University of Chicago, Chicago, Illinois.
Nirav N ShahDepartment of Medicine, Blood and Marrow Transplant and Cellular Therapy Program, Medical College of Wisconsin, Milwaukee, Wisconsin.
Trent WangUniversity of Miami Miller School of Medicine, Miami, Florida.
Marcelo PasquiniCenter for International Blood and Marrow Transplant Research, Department of Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin.
Mehdi HamadaniCenter for International Blood and Marrow Transplant Research, Department of Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin; Department of Medicine, Blood and Marrow Transplant and Cellular Therapy Program, Medical College of Wisconsin, Milwaukee, Wisconsin. Electronic address: mhamadani@mcw.edu.
Cameron J TurtleClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, Washington; Division of Hematology and Medical Oncology, University of Washington, Seattle, Washington.
Alex F HerreraDivision of Lymphoma, Department of Hematology and Hematopoietic Cell Transplantation, City of Hope, Duarte, California.
Mazyar ShadmanClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, Washington; Division of Hematology and Medical Oncology, University of Washington, Seattle, Washington.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4M
Data Resource for Analyzing Blood &Marrow TransplantsU24CA076518 · NCI · MEDICAL COLLEGE OF WISCONSIN · PI Amy M Moskop, Bronwen Shaw · 1998 to 2026
$105.2M
NTP INFORMATION SYSTEMS SUPPORT27305C0011 · NIEHS · Z-TECH CORPORATION · 2007 to 2009
$4.3M
Clinical and mechanistic studies defining optimal preparative approaches to infants with IL2RG/JAK3/RAG1/RAG2 SCID: a randomized trial of busulfan dosageU01AI184132 · NIAID · NATIONAL MARROW DONOR PROGRAM · PI JEFFERY J AULETTA, Michael A Pulsipher · 2024 to 2026
$3.2M
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
BMT Core - Pediatric Transplantation and Cellular Therapy Consortium (PTCTC): Providing Clinical Trial Access For Children With Life Threatening DiseasesUG1HL174426 · NHLBI · NATIONAL MARROW DONOR PROGRAM · PI Leslie S Kean, Heather E Stefanski · 2024 to 2026
$513k
PROVIDE RABBITS, RATS, MICE, HAMSTERS, GERBILS, GUINEA PIGS27307C0011 · NIEHS · PI BOLEN, WAYNE · 2007 to 2007
$500k
NCI NIH HHS K08 CA282987NCI NIH HHS P30 CA008748NCI NIH HHS U24 CA076518NHLBI NIH HHS UG1 HL174426NIAID NIH HHS U01 AI184132NIEHS NIH HHS 27305C0011NIEHS NIH HHS 27307C0011NIEHS NIH HHS 27398C0011
6 · The paper itself

Abstract

Relapsed and/or refractory Richter transformation (RT) is generally associated with poor response to available therapies and a short survival time. As RT patients were excluded from participating in the pivotal studies of chimeric antigen receptor T cell therapy (CAR-T) for large B-cell lymphoma, there is a paucity of information about the efficacy of CAR-T in RT. Therefore, through the Center for International Blood and Marrow Transplant Research (CIBMTR) registry, we analyzed data from 140 RT patients who received anti-CD19 CAR-T between 2018 and 2023. Patients had received a median of 3 lines of therapy for RT (range: 1 to 8), with nearly 43% being exposed to a Bruton's tyrosine kinase inhibitor and/or venetoclax. Axicabtagene ciloleucel (axi-cel) (65%) and tisagenlecleucel (tisa-cel) (28%) were the most commonly prescribed products. Grade ≥3 cytokine release syndrome and immune effector cell-associated neurotoxicity syndrome occurred in 9.4% and 20%, respectively. After a median follow-up of 25 months (range: 1.8 to 61.5) from CAR-T infusion, 2-year progression-free and overall survival were 32.5% (95% CI, 24 to 41) and 46.6% (95% CI, 38 to 58), respectively. The 2-year cumulative incidence of relapse and non-relapse mortality were 58.8% (95% CI, 50 to 67), and 8.7% (95% CI, 4% to 14%), respectively. Poor performance status and refractory disease before CAR-T infusion were predictive of inferior survival and disease progression. Our results show that anti-CD19 CAR-T can function as an effective treatment modality for a proportion of RT patients.

Indexed as

Immunotherapy, AdoptiveLymphoma, Large B-Cell, DiffuseReceptors, Chimeric AntigenAdultAgedAged, 80 and overAntigens, CD19FemaleHumansMaleMiddle AgedReceptors, Antigen, T-CellRegistriesYoung AdultAntigens, CD19Receptors, Antigen, T-CellReceptors, Chimeric AntigenCAR-TCIBMTRCLLRichter Transformation

Identifiers

PMID40754223
PMCPMC12718520

What OpenQuestion holds

Textmetadata
LicenceTDM
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.