Evidence map›Paper›PMID 41476076›Full record

ArticleBlood cancer journal2025

Clinical course, risk factors and mitigating strategies for Immune effector cell-associated late onset neurotoxicities after ciltacabtagene autoleucel CAR-T in multiple myeloma.

Kenneth J C Lim, Melinda Tan, Ricardo Parrondo, Saurabh Chhabra, Katharine Dooley, Andre De Menezes Silva Corraes, Darin Carabenciov, Morie Gertz, Lisa Hwa, Stephens Haily and 14 more

Abstract read
In one paragraph

Article in Blood cancer journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing 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

18 citing papers in PubMed.

  1. Article
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  5. Article
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  7. Article
  8. CAR T cells take on precancers.Nature medicine · 2026
    Article
  9. Balancing Efficacy and Safety in Multiple Myeloma Patients Receiving B cell Maturation Antigen-Directed CAR T-Cell Therapy.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2026
    Review
  10. Article
  11. Review
  12. Review
  13. Article
  14. Review
  15. Article
  16. Article
  17. Review
  18. 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

24 authors.

Kenneth J C LimDivision of Hematology, Department of Medicine, Mayo Clinic, Rochester, MN, USA.ORCID 0000-0002-2664-116X
Melinda TanDivision of Hematology, Department of Medicine, Mayo Clinic, Rochester, MN, USA.
Ricardo ParrondoDivision of Hematology and Medical Oncology, Department of Medicine, Mayo Clinic, Jacksonville, FL, USA.ORCID 0000-0002-9314-9933
Saurabh ChhabraDivision of Hematology and Medical Oncology, Department of Medicine, Mayo Clinic, Phoenix, AZ, USA.ORCID 0000-0001-9117-8696
Katharine DooleyDepartment of Research, Mayo Clinic, Rochester, MN, USA.
Andre De Menezes Silva CorraesDepartment of Research, Mayo Clinic, Rochester, MN, USA.
Darin CarabenciovDepartment of Neurology and Center for Multiple Sclerosis and Autoimmune Neurology, Mayo Clinic College of Medicine, Rochester, MN, USA.
Morie GertzDivision of Hematology, Department of Medicine, Mayo Clinic, Rochester, MN, USA.ORCID 0000-0002-3853-5196
Lisa HwaDivision of Hematology, Department of Medicine, Mayo Clinic, Rochester, MN, USA.
Stephens HailyDivision of Hematology, Department of Medicine, Mayo Clinic, Rochester, MN, USA.
Prashant KapoorDivision of Hematology, Department of Medicine, Mayo Clinic, Rochester, MN, USA.ORCID 0000-0002-4342-364X
Taxiarchis KourelisDivision of Hematology, Department of Medicine, Mayo Clinic, Rochester, MN, USA.ORCID 0000-0001-8573-9434
Rahma WarsameDivision of Hematology, Department of Medicine, Mayo Clinic, Rochester, MN, USA.
Joselle CookDivision of Hematology, Department of Medicine, Mayo Clinic, Rochester, MN, USA.ORCID 0000-0001-5335-9533
Moritz BinderDivision of Hematology, Department of Medicine, Mayo Clinic, Rochester, MN, USA.ORCID 0000-0001-9014-9658
P Leif BergsagelDivision of Hematology and Medical Oncology, Department of Medicine, Mayo Clinic, Phoenix, AZ, USA.ORCID 0000-0003-1523-7388
Udit YadavDivision of Hematology and Medical Oncology, Department of Medicine, Mayo Clinic, Phoenix, AZ, USA.
Erin Wiedmeier-NutorDivision of Hematology and Medical Oncology, Department of Medicine, Mayo Clinic, Phoenix, AZ, USA.
Susan GeyerDepartment of Research, Mayo Clinic, Rochester, MN, USA.
Sikander AilawadhiDivision of Hematology and Medical Oncology, Department of Medicine, Mayo Clinic, Jacksonville, FL, USA.ORCID 0000-0002-8377-8111
Rafael FonsecaDivision of Hematology and Medical Oncology, Department of Medicine, Mayo Clinic, Phoenix, AZ, USA.ORCID 0000-0002-5938-3769
Shaji KumarDivision of Hematology, Department of Medicine, Mayo Clinic, Rochester, MN, USA.ORCID 0000-0001-5392-9284
Anastasia Zekeridou *Department of Neurology and Center for Multiple Sclerosis and Autoimmune Neurology, Mayo Clinic College of Medicine, Rochester, MN, USA.
Yi Lin *Division of Hematology, Department of Medicine, Mayo Clinic, Rochester, MN, USA. lin.yi@mayo.edu.ORCID 0000-0002-1556-6416

Funding

Project 4: Targeting Resistance to T-Cell Directed Therapy in Multiple MyelomaP50CA186781 · NCI · MAYO CLINIC ARIZONA · PI Peter Leif Bergsagel · 2015 to 2026
$25.5M
NCI NIH HHS P50 CA186781
6 · The paper itself

Abstract

We examined the clinical course and risk factors for late onset neurotoxicities, including nerve palsies (IEC-NP) and parkinsonism (IEC-PKS), in patients with relapsed/refractory multiple myeloma (RRMM) treated with ciltacabtagene autoleucel (cilta-cel) in standard-of-care practice (SOC). Among 235 RRMM patients who received cilta-cel, 15 (6.4%) developed IEC-NP and 9 (3.8%) developed IEC-PKS with one patient developing both. Pre-infusion, patients with age >75 years, bone marrow plasma cells ≥20%, or involved free light chain ≥20 mg/dL had increased odds of IEC-PKS. Post-infusion, patients who developed ICANS, received higher cumulative steroid doses or received >1 dose of tocilizumab also had increased odds of IEC-PKS. High peak absolute lymphocyte count (ALCpeak) was a statistically significant predictor on univariate and multivariate analysis for IEC-NP and IEC-PKS. ALC

Indexed as

Antigens, CD19Immunotherapy, AdoptiveMultiple MyelomaNeurotoxicity SyndromesAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedRisk FactorsAntigens, CD19

Identifiers

PMID41476076
PMCPMC12827462

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.