Evidence map›Paper›PMID 41862439›Full record

ArticleBlood cancer journal2026

Efficacy of stem cell boost (SCB) for chimeric antigen receptor-T cell therapy (CAR-T)-related hematologic toxicity in patients with relapsed/refractory multiple myeloma (RRMM)-real world experience from the US multiple myeloma immunotherapy consortium.

Cindy Varga, Myra Robinson, James A Davis, Hamza Hashmi, Thomas G Martin, Anupama Kumar, Douglas W Sborov, Charlotte B Wagner, Doris K Hansen, Omar Castaneda Puglianini and 18 more

Abstract readMulticenter Study
In one paragraph

Article in Blood cancer journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

28 authors.

Cindy VargaLevine Cancer Institute/Atrium Health, Charlotte, NC, USA. Cindy.varga@advocatehealth.org.ORCID 0009-0004-8066-6781
Myra RobinsonLevine Cancer Institute/Atrium Health, Charlotte, NC, USA.
James A DavisMedical University of South Carolina, Charleston, SC, USA.
Hamza HashmiMemorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID 0000-0002-4129-5867
Thomas G MartinUniversity of California San Francisco Helen Diller Comprehensive Cancer Center, San Francisco, CA, USA.
Anupama KumarUniversity of California San Francisco Helen Diller Comprehensive Cancer Center, San Francisco, CA, USA.
Douglas W SborovHuntsman Cancer Institute / University of Utah, Salt Lake City, UT, USA.ORCID 0000-0003-4268-2698
Charlotte B WagnerHuntsman Cancer Institute / University of Utah, Salt Lake City, UT, USA.ORCID 0000-0003-0568-0781
Doris K HansenH. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, USA.ORCID 0000-0002-9813-3578
Omar Castaneda PuglianiniH. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, USA.ORCID 0000-0003-0423-5870
Leyla ShuneUniversity of Kansas Medical Center, Kansas City, KS, USA.
Evgeunia BhurtelUniversity of Kansas Medical Center, Kansas City, KS, USA.
Aimaz AfroughSimmons Comprehensive Cancer Center at UT Southwestern Medical Center, Dallas, TX, USA.ORCID 0000-0003-2645-8557
Larry D AndersonSimmons Comprehensive Cancer Center at UT Southwestern Medical Center, Dallas, TX, USA.ORCID 0000-0002-6531-9595
Binod DhakalMedical College of Wisconsin, Milwaukee, WI, USA.ORCID 0000-0002-4377-9742
Megan M HerrRoswell Park Comprehensive Cancer Center, Buffalo, NY, USA.ORCID 0000-0001-5768-9396
Shambavi RichardICAHN School of Medicine at Mount Sinai, New York, NY, USA.ORCID 0000-0003-0274-4292
Alex Lieberman-CribbinICAHN School of Medicine at Mount Sinai, New York, NY, USA.ORCID 0009-0004-5462-4991
Daniel SherbenouUniversity of Colorado Comprehensive Cancer Center, Aurora, CO, USA.
Peter A ForsbergUniversity of Colorado Comprehensive Cancer Center, Aurora, CO, USA.
Sneha PurveyVirginia Commonwealth University, Richmond, VA, USA.
Jack KhouriCleveland Clinic Taussig Cancer Center, Cleveland, OH, USA.ORCID 0000-0002-2473-6528
Yi LinMayo Clinic Comprehensive Cancer Center, Rochester, USA.ORCID 0000-0002-1556-6416
Surbhi SidanaStanford University School of Medicine, Stanford, CA, USA.ORCID 0000-0003-3288-7614
Krina K PatelThe University of Texas MD Anderson Cancer Center, Houston, USA.ORCID 0000-0002-8894-027X
Mehmet KocogluUniversity of Maryland Marlene and Stewart Greenbaum Comprehensive Cancer Center, Baltimore, MD, USA.
Shonali MidhaDana Farber Cancer Institute, Boston, MA, USA.ORCID 0000-0003-4948-5507
Christopher J FerreriLevine Cancer Institute/Atrium Health, Charlotte, NC, USA.ORCID 0000-0003-2997-4856

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

Prolonged cytopenias are a well-recognized complication following CAR-T therapy. Autologous SCB offers a potential strategy to promote fast hematologic recovery. We conducted a retrospective multi-institutional comparing outcomes of SCB versus supportive care alone in patients with prolonged cytopenias after CAR-T infusion. Patients were included if they received SCB within 1 year following commercial CAR-T between 6/2021 and 3/2024. To identify matched controls, we reviewed 590 CAR-T recipients and selected patients with ANC and platelet thresholds representing the 75th percentile of cytopenia severity in the SCB cohort. Hematologic recovery in the SCB cohort was assessed using CIBMTR engraftment criteria. For the non-SCB (nSCB) group, cell counts were analyzed cross-sectionally at day 60 and 90 post-CAR-T and compared to the SCB cohort with Kruskal-Wallis tests. Progression-free survival (PFS) and overall survival (OS) were evaluated using Kaplan-Meier methods. Of 590 patients, 91 patients (15.4%) developed prolonged cytopenias, 39 of whom received SCB. Median CD34+ cell dose was 2.9 million/kg (range: 1.8-23.6) administered at a median of 53 days post-CAR-T (range 24-265). All but one patient (97.4%) in the SCB group achieved hematologic recovery, with median time to recovery of 24 days (range 9-87). No new toxicities attributable to SCB were observed. On day 90 post CAR-T infusion, SCB patients had higher median Hb (10.6 vs. 8.7g/dL, p = 0.002), and platelet counts (135 vs. 35K/L (p < 0.001). After a median follow-up period of 12.6 months in the SCB cohort and 11.6 months in the nSCB arm, the mPFS was 11.0 months and 8.2 months, respectively. Median OS was not reached vs. 12.3 months in the SCB vs. nSCB groups, respectively. Overall, SCB lead to rapid and successful hematologic outcomes in nearly all patients. Compared to matched controls, Hb and platelets were significantly improved by day 90 post-CAR-T infusion.

Indexed as

Immunotherapy, AdoptiveMultiple MyelomaReceptors, Chimeric AntigenStem Cell TransplantationAdultAgedCytopeniaFemaleHumansMaleMiddle AgedRetrospective StudiesReceptors, Chimeric Antigen

Identifiers

PMID41862439
PMCPMC13018517

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.