Evidence map›Paper›PMID 42629429›Full record

ArticleBone marrow transplantation2026

Response kinetics following CAR T-cell therapy for large B-cell lymphoma: a LYSA study from the DESCAR-T registry.

Guillaume Manson, Roberta Di Blasi, Roch Houot, Franck Morschhauser, Guillaume Cartron, Thomas Gastinne, Didier Blaise, François-Xavier Gros, Pierre Bories, Fabien Le Bras and 25 more

Registry-linked trialAbstract read
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In one paragraph

Article in Bone marrow transplantation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04328298 (French Register Of Patients With Hemopathy Eligible For CAR-T Cell Treatment), which is not on this 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.

NCT04328298 recruitingnot on this map

French Register Of Patients With Hemopathy Eligible For CAR-T Cell Treatment (DESCAR-T)

Typeobservational_patient_registrySponsorThe Lymphoma Academic Research OrganisationRan2019 to 2038Enrolled5,000ConditionsHematopathology Eligible or CAR-t Cell Treatment
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

35 authors.

Guillaume MansonDepartment of Hematology, University Hospital of Rennes, Rennes, France.
Roberta Di BlasiService d'Hémato-Oncologie, Hôpital Saint-Louis, AP-HP, Université Paris Cité, Paris, France.
Roch HouotDepartment of Hematology, University Hospital of Rennes, Rennes, France.
Franck MorschhauserDepartment of Hematology, University Hospital of Lille, Lille, France.ORCID http://orcid.org/0000-0002-3714-9824
Guillaume CartronDepartment of Hematology, Montpellier University Hospital, CNRS UMR 5535, Montpellier, France.
Thomas GastinneDepartment of Hematology, University Hospital of Nantes, Nantes, France.
Didier BlaiseDepartment of Hematology, Transplant and Cellular Immunotherapy Program, Institut Paoli Calmettes, Aix-Marseille University, Marseille, France.ORCID http://orcid.org/0000-0002-5684-9447
François-Xavier GrosDepartment of Hematology, University Hospital of Bordeaux, Bordeaux, France.ORCID http://orcid.org/0000-0001-8998-3039
Pierre BoriesDepartment of Hematology, University Hospital of Toulouse, Toulouse, France.
Fabien Le BrasDepartment of Hematology, Hôpital Henri Mondor, Créteil, France.
Marie-Thérèse RubioDepartment of Hematology, CNRS UMR 7365, CHRU de Nancy, Nancy, France.ORCID http://orcid.org/0000-0003-3732-5442
Mohammad MohtyDepartment of Hematology, Hôpital Saint-Antoine, INSERM UMR S938, Sorbonne University, Paris, France.ORCID http://orcid.org/0000-0002-7264-808X
Jacques-Olivier BayDepartment of Hematology, University Hospital of Clermont-Ferrand, Clermont-Ferrand, France.ORCID http://orcid.org/0000-0002-7032-5180
Stéphanie GuidezDepartment of Hematology, CIC 1082, U1313, University Hospital of Poitiers, Poitiers, France.
Cristina Castilla LlorenteDepartment of Hematology, Gustave Roussy Cancer Campus, Villejuif, France.ORCID http://orcid.org/0000-0002-7728-5804
Fabrice JardinCentre Henri Becquerel, Rouen, France.
Amandine DurandDepartment of Hematology, University Hospital François Mitterrand, INSERM UMR 1231, Dijon, France.
Blandine GuffroyDepartment of Hematology, Institut de Cancérologie Strasbourg Europe, Strasbourg, France.
Michaël LoschiDepartment of Hematology, University Hospital of Nice, Nice, France.ORCID http://orcid.org/0000-0002-4460-5939
Laurianne Drieu La RochelleDepartment of Hematology and Cell Therapy, Clinical Investigation Centre, INSERM U1415, University of Tours, Tours, France.
Julie AbrahamDepartment of Hematology, University Hospital of Limoges, Limoges, France.
Adrien ChauchetDepartment of Hematology, University Hospital of Besançon, Besançon, France.
Laura HerbreteauDepartment of Hematology, University Hospital of Brest, Brest, France.
Sylvain ChoquetDepartment of Hematology, Hôpital de la Pitié Salpêtrière, AP-HP Sorbonne Université, Paris, France.ORCID http://orcid.org/0000-0002-7791-0470
Magalie JorisDepartment of Hematology, University Hospital of Amiens, Amiens, France.
Sylvain CarrasDepartment of Hematology, Institute for Advanced Biosciences (INSERM U1209, CNRS UMR 5309), University Hospital of Grenoble, University Grenoble-Alpes, La Tronche, France.
Gandhi-Laurent DamajDepartment of Hematology, University Hospital of Caen, Caen, France.ORCID http://orcid.org/0000-0002-4689-3882
Justine DecroocqDepartment of Clinical Hematology, Cochin Hospital, AP-HP, University Paris Cité, Paris, France.
Tanguy-Schmidt AlineDepartment of Hematology, University Hospital of Angers, CRCINA INSERM, University of Nantes, University of Angers, Angers, France.
Olivier HermineDepartment of Hematology, Hôpital Necker, AP-HP, University Paris Descartes, Paris, France.
Emmanuelle Nicolas-VirelizierDepartment of Hematology, Centre Léon Bérard, Lyon, France.
Elodie GatDepartment of Biostatistics, LYSARC, Hôpital Lyon Sud, Pierre-Bénite, France.
Steven Le GouillDepartment of Hematology, Institut Curie, Paris, France.
Emmanuel BachyDepartment of Hematology, Lyon Sud Hospital, Pierre-Bénite, France.ORCID http://orcid.org/0000-0003-2694-7510
Remy DuleryDepartment of Clinical Hematology and Cellular Therapy, Saint-Antoine Hospital, Sorbonne University, Paris, France. remy_dulery@dfci.harvard.edu.ORCID http://orcid.org/0000-0002-5024-1713

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Response kinetics after CAR T-cell therapy remain poorly characterized. In this nationwide real-world evidence study using the French DESCAR-T registry (NCT04328298), we analyzed outcomes in 1542 adults with large B-cell lymphoma treated with CAR T cells after ≥2 prior therapies. At one month (M1), 49.1% achieved complete remission (CR), 28.9% partial response (PR), 6.1% stable disease (SD), and 15.9% progressive disease. Median event-free survival (EFS) at M1 was 22.3 months for CR, 3.5 for PR, and 2.3 for SD (p < 0.001). Among 484 patients with incomplete response (PR/SD) at M1, 35.5% subsequently converted to CR, mostly within 6 months. These conversions were associated with response duration and overall survival (OS) comparable to sustained early CR. Multivariate analyses identified age >65 years, lack of response to bridging therapy, and tisagenlecleucel use as independent predictors of lower CR conversion, shorter EFS, and reduced OS. A prognostic score combining these factors stratified PR/SD patients into four risk groups with distinct outcomes. In conclusion, an incomplete response at M1 should not automatically prompt watch-and-wait. Although over one-third convert to CR with favorable outcomes, most progress or die and may require early intervention. These findings support risk-adapted post-infusion management and inform future prospective trials. CLINICAL

trial registrationThe DESCAR-T registry is registered under ClinicalTrials.gov identifier NCT04328298.

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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.