Evidence map›Paper›PMID 42487493›Full record

SynthesisCancer2026

Outcomes of loncastuximab tesirine in heavily pretreated patients with diffuse large B-cell lymphoma, including the post-CAR T-cell therapy setting: A meta-analysis.

Fernando Gibran-Nunes, Henrique Pêcego, Juliana Santos, Yasmim Nunes, Bianca Freitas, Jacqueline Rena, Marcos Fogale, Aliana Ferreira, Maria Seiwald, Elisabetta Xue and 6 more

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Cancer, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
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

16 authors.

Fernando Gibran-NunesAdvanced Therapies and Clinical Research Center, Hospital Sírio-Libanês, São Paulo, Brazil.ORCID https://orcid.org/0009-0009-3509-3925
Henrique PêcegoD'Or Institute for Research and Education, Rio de Janeiro, Brazil.ORCID https://orcid.org/0000-0001-7473-6764
Juliana SantosDepartment of Hematology, BMT and Cell Therapy, Hospital Sírio-Libanês, São Paulo, Brazil.
Yasmim NunesAfya Faculdade de Ciências Médicas de Palmas, Palmas, Brazil.ORCID https://orcid.org/0009-0000-2715-979X
Bianca FreitasFaculdade Maurício de Nassau-Sergipe-Brazil, Aracaju, Brazil.
Jacqueline RenaAdvanced Therapies and Clinical Research Center, Hospital Sírio-Libanês, São Paulo, Brazil.
Marcos FogaleDepartment of Hematology, BMT and Cell Therapy, Hospital Sírio-Libanês, São Paulo, Brazil.
Aliana FerreiraDepartment of Hematology, BMT and Cell Therapy, Hospital Sírio-Libanês, São Paulo, Brazil.
Maria SeiwaldDepartment of Hematology, BMT and Cell Therapy, Hospital Sírio-Libanês, São Paulo, Brazil.
Elisabetta XueMemorial Sloan Kettering Cancer Center, New York, New York, USA.
Anita CortezAdvanced Therapies and Clinical Research Center, Hospital Sírio-Libanês, São Paulo, Brazil.
Ana FonsecaAdvanced Therapies and Clinical Research Center, Hospital Sírio-Libanês, São Paulo, Brazil.
Erick XavierDepartment of Hematology, BMT and Cell Therapy, Hospital Sírio-Libanês, São Paulo, Brazil.
Mariana SerpaDepartment of Hematology, BMT and Cell Therapy, Hospital Sírio-Libanês, São Paulo, Brazil.
Luciana TucunduvaDepartment of Hematology, BMT and Cell Therapy, Hospital Sírio-Libanês, São Paulo, Brazil.
Yana NovisAdvanced Therapies and Clinical Research Center, Hospital Sírio-Libanês, São Paulo, Brazil.

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

backgroundLoncastuximab tesirine, a CD19-directed antibody-drug conjugate, is a therapy for relapsed/refractory diffuse large B-cell lymphoma (DLBCL), including after chimeric antigen receptor T-cell therapy. This study summarized efficacy and safety across published cohorts.

methodsThe authors did a systematic review and meta-analysis of loncastuximab tesirine monotherapy in adults with relapsed or refractory DLBCL. They searched PubMed, Embase, and the Cochrane Library from inception to October 25, 2025, plus American Society of Hematology 2025 abstracts. They pooled single-arm proportions using random-effects proportional meta-analyses with Freeman-Tukey transformation and reconstructed individual patient data from Kaplan-Meier curves for time-to-event pooling (protocol: PROSPERO CRD420251156779). Seven studies (596 patients) met inclusion criteria.

resultsSeven studies (596 patients) contributed to clinical outcomes across all analyses. Pooled overall response was 45.76% (95% CI, 28.75-63.28; I

conclusionsLoncastuximab tesirine shows clinically meaningful activity in heavily pretreated R/R DLBCL, including post-CAR T-cell therapy settings, with frequent but manageable cytopenias. Pooled estimates showed substantial heterogeneity, driven mainly by real-world cohorts, and should be interpreted with caution.

Indexed as

Antibodies, Monoclonal, HumanizedImmunoconjugatesImmunotherapy, AdoptiveLymphoma, Large B-Cell, DiffuseBenzodiazepinesHumansTreatment OutcomeAntibodies, Monoclonal, HumanizedBenzodiazepinesImmunoconjugatesloncastuximab tesirineCAR T‐cell therapydiffuse large B‐cell lymphomaloncastuximab tesirinemeta‐analysisrelapsed/refractory

Identifiers

PMID42487493
PMCPMC13392591

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.