Evidence map›Paper›PMID 42606754›Full record

ArticleClinical and experimental medicine2026

Prognostic factor analysis of CD19 CAR-T therapy followed by hematopoietic stem cell transplantation in relapsed/refractory B-ALL.

Xin Wang, Linlin Liu, Yuanyuan Zhai, Jianmei Xu, Jile Liu, Hairong Lyu, Mingfeng Zhao

Abstract read
In one paragraph

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

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Xin WangFirst Central Hospital of Tianjin Medical University, Tianjin Medical University, Tianjin, China.
Linlin LiuFirst Central Hospital of Tianjin Medical University, Tianjin Medical University, Tianjin, China.
Yuanyuan ZhaiFirst Central Hospital of Tianjin Medical University, Tianjin Medical University, Tianjin, China.
Jianmei XuDepartment of Hematology, Affiliated Hospital of Hebei University, Baoding, China.
Jile LiuFirst Central Hospital of Tianjin Medical University, Tianjin Medical University, Tianjin, China.
Hairong LyuDepartment of Hematology, Tianjin Thrombosis and Hemostasis Institute, Tianjin First Central Hospital, No.2 Baoshan West Road, Xiqing District, Tianjin, 300192, China.
Mingfeng ZhaoDepartment of Hematology, Tianjin Thrombosis and Hemostasis Institute, Tianjin First Central Hospital, No.2 Baoshan West Road, Xiqing District, Tianjin, 300192, China. mingfengzhao@sina.com.

Funding

National Natural Science Foundation of China , the major special project on public health science and technology in Tianjin , the Science and Technology Project of Tianjin Municipal Education Committee,the Science and Technology Project of Tianjin Municipal Health Committee, the incubation Fund of Tianjin First Central Hospital, and the General Program of Tianjin Natural Science Foundation Joint F 82570277;24ZXGZSY00120;24ZXGZSY00120;TJWJ2024QN040;TJWJ2023XK010;TJWJ2023QN027;TJWJ2025MS011;2025FYQN04;25JCLMJC00580;TJYXZDXK-3-001A-004
6 · The paper itself

Abstract

To evaluate the long-term prognosis of patients with relapsed/refractory B-cell acute lymphoblastic leukemia (R/R B-ALL) who received sequential allogeneic hematopoietic stem cell transplantation (allo-HSCT) following CD19 Chimeric Antigen Receptor T-cell (CAR-T) therapy, and to identify the risk factors influencing overall survival (OS) and the severity of acute graft-versus-host disease (aGVHD). A retrospective analysis was conducted on 63 patients with R/R B-ALL who received sequential allo-HSCT after CD19 CAR-T therapy. Cox regression analysis was used to identify factors influencing OS. Patients were stratified according to the severity of aGVHD (low-grade vs. high-grade). Logistic regression was employed to identify predictors of severe aGVHD, and a nomogram was constructed based on these predictors. The model was internally validated using receiver operating characteristic (ROC) curves, calibration plots, and decision curve analysis (DCA). The two-year OS and progression-free survival (PFS) rates were 67.7% and 55.6%, respectively.The time interval from CAR-T therapy to transplantation, along with high-grade aGVHD, were identified as independent risk factors for OS, whereas low-grade aGVHD exerted a protective effect. A longer time interval from CAR-T therapy to transplantation and pre-transplant minimalresidual disease (MRD)-positive status were independent predictors of severe aGVHD. The nomogram developed for predicting the severity of aGVHD demonstrated good discrimination (areaunder the curve [AUC] = 0.827), satisfactory calibration, and clinical utility upon internal validation. We identified key prognostic factors and developed a validated nomogram that enables early, individualized prediction of severe aGVHD in this setting. This model can assist in early risk stratification and targeted intervention to improve outcomes.

Indexed as

Antigens, CD19Hematopoietic Stem Cell TransplantationImmunotherapy, AdoptivePrecursor B-Cell Lymphoblastic Leukemia-LymphomaAdolescentAdultChildFemaleGraft vs Host DiseaseHumansMaleMiddle AgedNomogramsPrognosisRecurrenceRetrospective StudiesAntigens, CD19Acute Graft-versus-Host DiseaseAllogeneic Hematopoietic Stem Cell TransplantationChimeric Antigen Receptor T-cellNomogramRelapsed/Refractory B-cell Acute Lymphoblastic Leukemia

Identifiers

PMID42606754
PMCPMC13481590

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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.