Evidence map›Paper›PMID 42360480›Full record

ArticleAnnals of hematology2026

Immune Effector Cell-associated Hemophagocytic Syndrome (IEC-HS) as a late immune-mediated toxicity after CAR-T therapy in Diffuse Large B-Cell Lymphoma (DLBCL): a case report.

Sofía Rincón-López, Ricardo García-Muñoz, Johelys Atencio-Matos, Olalla Pereda-Sainz, Javier Larreina-Pérez, Andrea Campeny-Najara, Pilar Herrera Pérez, Montserrat Hernández-Pérez, Jesús Feliu, Ada Esteban-Figuerola

Abstract readCase Reports
In one paragraph

Article in Annals of hematology, 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

10 authors.

Sofía Rincón-LópezUniversidad de La Rioja, Logroño, Spain. sorincon@unirioja.es.ORCID http://orcid.org/0009-0009-8972-7006
Ricardo García-MuñozDepartment of Hematology, Hospital Universitario San Pedro, Logroño, La Rioja, 26006, Spain.ORCID http://orcid.org/0000-0003-3201-3909
Johelys Atencio-MatosDepartment of Hematology, Hospital Universitario San Pedro, Logroño, La Rioja, 26006, Spain.ORCID http://orcid.org/0009-0009-5217-6319
Olalla Pereda-SainzDepartment of Hematology, Hospital Universitario San Pedro, Logroño, La Rioja, 26006, Spain.ORCID http://orcid.org/0009-0007-0871-8198
Javier Larreina-PérezDepartment of Hematology, Hospital Universitario San Pedro, Logroño, La Rioja, 26006, Spain.ORCID http://orcid.org/0009-0005-1660-5228
Andrea Campeny-NajaraDepartment of Hematology, Hospital Universitario San Pedro, Logroño, La Rioja, 26006, Spain.
Pilar Herrera PérezDepartment of Hematology, Hospital Universitario San Pedro, Logroño, La Rioja, 26006, Spain.
Montserrat Hernández-PérezDepartment of Hematology, Hospital Universitario San Pedro, Logroño, La Rioja, 26006, Spain.
Jesús FeliuDepartment of Hematology, Hospital Universitario San Pedro, Logroño, La Rioja, 26006, Spain.ORCID http://orcid.org/0000-0002-9630-8813
Ada Esteban-FiguerolaDepartment of Hematology, Hospital Universitario San Pedro, Logroño, La Rioja, 26006, Spain.ORCID http://orcid.org/0000-0002-4590-0999

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chimeric antigen receptor (CAR) T-cell therapy has dramatically improved the prognosis of patients with relapsed or refractory diffuse large B-cell lymphoma (DLBCL) [1,2]. However, immune-mediated toxicities represent a significant emerging clinical challenge, particularly those with late onset or uncommon presentations. We report the case of a 71-year-old woman with heavily pretreated DLBCL who developed immune effector cell-associated hemophagocytic syndrome (IEC-HS) with a fatal outcome six months following CAR-T infusion. This case highlights the occurrence of late -onset CAR-T-related toxicities and the potential role of CAR-T cell persistence in sustaining dysregulated immune activation.

Indexed as

Immunotherapy, AdoptiveLymphohistiocytosis, HemophagocyticLymphoma, Large B-Cell, DiffuseReceptors, Chimeric AntigenAgedAntineoplastic Combined Chemotherapy ProtocolsCyclophosphamideDoxorubicinFatal OutcomeFemaleHumansPrednisoneVincristineCyclophosphamideDoxorubicinPrednisoneReceptors, Chimeric AntigenVincristineCAR-T therapyDiffuse Large B-Cell Lymphoma (DLBCL)Immune Effector Cell-associated Hemophagocytic Syndrome (IEC-HS)Late immune-mediated toxicity

Identifiers

PMID42360480
PMCPMC13572328

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.