Evidence map›Paper›PMID 41836222›Full record

ArticleFrontiers in oncology2026

Case Report: CAR-T therapy for relapsed diffuse large B-cell lymphoma in a patient with pre-existing Parkinson's disease-unfolding clinical challenges.

Anas Ibraheem, Helena Vincentelli, Andrea Kuhnl, Emil A Kumar, Andres Moya Davila, Piers Em Patten, Deborah Yallop, Reuben Benjamin, Charlotte Graham, Aaron Niblock and 1 more

Abstract readCase Reports
In one paragraph

Article in Frontiers in oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

11 authors.

Anas IbraheemDepartment of Haematology, King's College Hospital, London, United Kingdom.
Helena VincentelliDepartment of Haematology, King's College Hospital, London, United Kingdom.
Andrea KuhnlDepartment of Haematology, King's College Hospital, London, United Kingdom.
Emil A KumarDepartment of Haematology, King's College Hospital, London, United Kingdom.
Andres Moya DavilaDepartment of Haematology, King's College Hospital, London, United Kingdom.
Piers Em PattenDepartment of Haematology, King's College Hospital, London, United Kingdom.
Deborah YallopDepartment of Haematology, King's College Hospital, London, United Kingdom.
Reuben BenjaminDepartment of Haematology, King's College Hospital, London, United Kingdom.
Charlotte GrahamDepartment of Haematology, King's College Hospital, London, United Kingdom.
Aaron NiblockNorthern Health Care and Social Trust, Antrim, Northern Ireland, United Kingdom.
Robin SandersonDepartment of Haematology, King's College Hospital, London, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chimeric antigen receptor T-cell (CAR-T) therapy has transformed the outcomes for relapsed/refractory diffuse large B-cell lymphoma (DLBCL). However, immune effector cell-associated neurotoxicity syndrome (ICANS) remains a concern. Pre-existing neurological disorders such as Parkinson's disease (PD) introduce additional, poorly studied challenges due to the risk of unpredictable complications. We report a 62-year-old man with relapsed DLBCL and pre-existing PD who was treated with lisocabtagene maraleucel. Baseline assessments by neurology, physiotherapy, and speech-language teams enabled tailored monitoring, including use of a modified Immune Effector Cell-Associated Encephalopathy (ICE) score. His dopaminergic regimen was optimised prior to therapy. Following lymphodepletion and CAR-T infusion, he experienced grade 1 cytokine release syndrome, which resolved with tocilizumab and ward-based supportive care. Although a stable partial response was observed on PET-CT scan at 1 and 3 months, the absence of ICANS or PD worsening up to his most recent follow-up on Day +86 suggests that CAR-T therapy can be safely delivered in patients with pre-existing PD when tailored strategies are applied, including a multidisciplinary approach, modified neurotoxicity monitoring, and careful selection of the CAR-T construct. Further studies and longer follow-up are needed to clarify long-term safety in this population.

Indexed as

CAR-T therapydiffuse large B-cell lymphoma (DLBCL)immune effector cell–associated neurotoxicity syndrome (ICANS)multidisciplinary approachparkinsonismParkinson’s disease (PD)

Identifiers

PMID41836222
PMCPMC12979116

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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.