Evidence map›Paper›PMID 41437832›Full record

ArticleHaematologica2026

Locally manufactured

Ronit Marcus, Abraham Avigdor, Uri Greenbaum, Samantha Brown, Shalev Fried, Noa Golan-Accav, Noga Shem-Tov, Ronit Yerushalmi, Ivetta Danylesko, Elad Jacoby and 19 more

Abstract readMulticenter StudyComparative Study
In one paragraph

Article in Haematologica, 2026. 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. Article
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

29 authors.

Ronit MarcusDivision of Hematology and Bone Marrow Transplantation, Chaim Sheba Medical Center, HaShomer, Israel; School of Medicine, Faculty of Medical and Health Sciences, Aviv University, Aviv.
Abraham AvigdorDivision of Hematology and Bone Marrow Transplantation, Chaim Sheba Medical Center, HaShomer, Israel; School of Medicine, Faculty of Medical and Health Sciences, Aviv University, Aviv.
Uri GreenbaumDepartment of Hematology, Soroka University Medical center and Faculty of Health and Science, Ben Gurion University of the Negev, Beer Sheva.
Samantha BrownDepartment of Biostatistics and Epidemiology, Memorial Sloan Kettering Cancer Center, New York.
Shalev FriedSchool of Medicine, Faculty of Medical and Health Sciences, Aviv University, Aviv, Israel; The Goldschleger Eye Institute, Sheba Medical Center.
Noa Golan-AccavDivision of Hematology and Bone Marrow Transplantation, Chaim Sheba Medical Center, HaShomer, Israel; School of Medicine, Faculty of Medical and Health Sciences, Aviv University, Aviv.
Noga Shem-TovDivision of Hematology and Bone Marrow Transplantation, Chaim Sheba Medical Center, HaShomer, Israel; School of Medicine, Faculty of Medical and Health Sciences, Aviv University, Aviv.
Ronit YerushalmiDivision of Hematology and Bone Marrow Transplantation, Chaim Sheba Medical Center, HaShomer, Israel; School of Medicine, Faculty of Medical and Health Sciences, Aviv University, Aviv.
Ivetta DanyleskoDivision of Hematology and Bone Marrow Transplantation, Chaim Sheba Medical Center, HaShomer, Israel; School of Medicine, Faculty of Medical and Health Sciences, Aviv University, Aviv.
Elad JacobyDivision of Hematology and Bone Marrow Transplantation, Chaim Sheba Medical Center, HaShomer, Israel; School of Medicine, Faculty of Medical and Health Sciences, Aviv University, Aviv.
Arnon NaglerDivision of Hematology and Bone Marrow Transplantation, Chaim Sheba Medical Center, HaShomer, Israel; School of Medicine, Faculty of Medical and Health Sciences, Aviv University, Aviv.
Avichai ShimoniDivision of Hematology and Bone Marrow Transplantation, Chaim Sheba Medical Center, HaShomer, Israel; School of Medicine, Faculty of Medical and Health Sciences, Aviv University, Aviv.
Orit ItzhakiDivision of Hematology and Bone Marrow Transplantation, Chaim Sheba Medical Center, HaShomer, Israel; School of Medicine, Faculty of Medical and Health Sciences, Aviv University, Aviv.
Jonathan EsenstenAdvanced Biotherapy Center, Sheba Medical Center, Hashomer.
Ori Ben ValidDivision of Hematology and Bone Marrow Transplantation, Chaim Sheba Medical Center, HaShomer, Israel; School of Medicine, Faculty of Medical and Health Sciences, Aviv University, Aviv.
Annamaria BallwegDepartment of Medicine, Adult Bone Marrow Transplant Service, Cellular Therapy Service, Memorial Sloan Kettering Cancer Center, New York, NY, USA; Department of Medicine, Weill Cornell Medical College, New York, NY.
Xavier Deschênes-SimardDepartment of Medicine, Adult Bone Marrow Transplant Service, Cellular Therapy Service, Memorial Sloan Kettering Cancer Center, New York, NY, USA; Department of Medicine, Weill Cornell Medical College, New York, NY.
Efrat LuttwakDepartment of Medicine, Adult Bone Marrow Transplant Service, Cellular Therapy Service, Memorial Sloan Kettering Cancer Center, New York, NY, USA; Department of Medicine, Weill Cornell Medical College, New York, NY.
Gunjan ShahDepartment of Medicine, Adult Bone Marrow Transplant Service, Cellular Therapy Service, Memorial Sloan Kettering Cancer Center, New York, NY, USA; Department of Medicine, Weill Cornell Medical College, New York, NY.
Michael ScordoDepartment of Medicine, Adult Bone Marrow Transplant Service, Cellular Therapy Service, Memorial Sloan Kettering Cancer Center, New York, NY, USA; Department of Medicine, Weill Cornell Medical College, New York, NY.
Parastoo DahiDepartment of Medicine, Adult Bone Marrow Transplant Service, Cellular Therapy Service, Memorial Sloan Kettering Cancer Center, New York, NY, USA; Department of Medicine, Weill Cornell Medical College, New York, NY.
Miguel-Angel PeralesDepartment of Medicine, Adult Bone Marrow Transplant Service, Cellular Therapy Service, Memorial Sloan Kettering Cancer Center, New York, NY, USA; Department of Medicine, Weill Cornell Medical College, New York, NY.
Tsila ZuckermanDepartment of Hematology and Bone Marrow Transplantation, Rambam Health Care Campus, Haifa; Ruth and Bruce Rappaport Faculty of Medicine, Technion, Haifa.
Sean M DevlinDepartment of Biostatistics and Epidemiology, Memorial Sloan Kettering Cancer Center, New York.
Dana Yehudai-OfirDepartment of Hematology and Bone Marrow Transplantation, Rambam Health Care Campus, Haifa; Ruth and Bruce Rappaport Faculty of Medicine, Technion, Haifa.
Hazim KhatibDepartment of Hematology and Bone Marrow Transplantation, Rambam Health Care Campus, Haifa; Ruth and Bruce Rappaport Faculty of Medicine, Technion, Haifa.
Nivin ShiblyDepartment of Hematology and Bone Marrow Transplantation, Rambam Health Care Campus, Haifa.
Roni ShouvalDepartment of Medicine, Adult Bone Marrow Transplant Service, Cellular Therapy Service, Memorial Sloan Kettering Cancer Center, New York, NY, USA; Department of Medicine, Weill Cornell Medical College, New York, NY. shouvalr@mskcc.org.
Ofrat Beyar-KatzDepartment of Hematology and Bone Marrow Transplantation, Rambam Health Care Campus, Haifa; Ruth and Bruce Rappaport Faculty of Medicine, Technion, Haifa.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4M
T LYMPHOCYTE SUBSET FUNCTION POST-TRANSPLANTATIONP01CA023766 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI PERALES, MIGUEL-ANGEL · 1985 to 2023
$59.0M
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
NCI NIH HHS K08 CA282987NCI NIH HHS P01 CA023766NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

Locally manufactured chimeric antigen receptor T-cell (CAR T) therapy enables rapid manufacturing and a substantially shorter vein-to-vein time. However, its clinical efficacy compared to commercial CAR T products remains unclear. This retrospective study compared outcomes in patients with large B-cell lymphoma (LBCL) treated with a CD19-directed autologous locally manufactured CAR T product (CD28-based co-stimulation) versus axicabtagene-ciloleucel (axi-cel) or tisagenlecleucel (tisa-cel) across three academic centers. All patients had received at least two prior lines of therapy. Propensity score analysis for CAR T product adjusted for age, Karnofsky performance status, lactate dehydrogenase (LDH) level, primary refractory disease, and transformed histology was performed to account for underlying differences in treatment groups. Among 330 patients (132 axi-cel, 104 tisa-cel, 94 locally manufactured products), those treated with locally manufactured CAR T were younger, had higher performance status, and were more likely to present with elevated LDH and primary refractory disease. The median time from apheresis to CAR T infusion was significantly shorter with locally manufactured CAR T (11 days) than with axi-cel (38 days) or tisa-cel (44 days) (P<0.001). In adjusted analysis, a trend to improved progression-free survival with axi-cel was found when comparing locally manufactured products versus axi-cel (weighted hazard ratio [WHR]=1.54; 95% confidence interval [95% CI]: 1.00-2.37; P=0.051) and no difference between those given a locally manufactured product versus tisa-cel (WHR=0.71; 95% CI: 0.45-1.11; P=0.13). Overall survival was comparable across treatment groups: locally manufactured product versus axi-cel (WHR=1.35, 95% CI: 0.87-2.10; P=0.18) and locally manufactured product versus tisa-cel (WHR=0.85, 95% CI: 0.53-1.34; P=0.48). Rates of grade ≥2 cytokine release syndrome were lower with locally manufactured CAR T. These findings support locally manufactured CAR T as a clinically comparable alternative to commercial products for LBCL, with the potential advantage of rapid availability for patients with aggressive disease.

Indexed as

Immunotherapy, AdoptiveLymphoma, Large B-Cell, DiffuseReceptors, Antigen, T-CellReceptors, Chimeric AntigenAdultAgedBiological ProductsFemaleHumansMaleMiddle AgedPropensity ScoreRetrospective StudiesTreatment Outcomeaxicabtagene ciloleucelBiological ProductsReceptors, Antigen, T-CellReceptors, Chimeric Antigentisagenlecleucel

Identifiers

PMID41437832
PMCPMC13231105

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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.