Evidence map›Paper›PMID 35240681›Full record

ArticleBlood advances2022

A multicenter retrospective study of polatuzumab vedotin in patients with large B-cell lymphoma after CAR T-cell therapy.

Sushanth Gouni, Allison C Rosenthal, Jennifer L Crombie, Andrew Ip, Manali K Kamdar, Brian Hess, Lei Feng, Grace Watson, Amy Ayers, Sattva S Neelapu and 5 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Blood advances, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
3.8field-weighted citation impact, top 5% of its field
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

26 citing papers in PubMed, 37 citations in OpenAlex.

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  15. Management of aggressive lymphoma after CAR T-cell therapy failure.Hematology. American Society of Hematology. Education Program · 2023
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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

15 authors at 8 institutions in 1 country.

Sushanth GouniDepartment of Lymphoma and Myeloma, The University of Texas MD Anderson Cancer Center, Houston, TX.
Allison C RosenthalDivision of Hematology-Oncology, Mayo Clinic, Phoenix, AZ.
Jennifer L CrombieDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA.
Andrew IpJohn Theurer Cancer Center, Hackensack University Medical Center, Hackensack, NJ.
Manali K KamdarBlood Disorders Center, University of Colorado, Aurora, CO.
Brian HessDivision of Haematology, Medical University of South Carolina, Charleston, SC.
Lei FengDepartment of Biostatistics, The University of Texas MD Anderson Cancer Center, Houston, TX.
Grace WatsonDepartment of Lymphoma and Myeloma, The University of Texas MD Anderson Cancer Center, Houston, TX.
Amy AyersDepartment of Lymphoma and Myeloma, The University of Texas MD Anderson Cancer Center, Houston, TX.
Sattva S NeelapuDepartment of Lymphoma and Myeloma, The University of Texas MD Anderson Cancer Center, Houston, TX.ORCID 0000-0003-1045-4914
Arushi KhuranaDivision of Hematology, Mayo Clinic, Rochester, MN; and.ORCID 0000-0001-5645-0949
Yi LinDivision of Hematology, Mayo Clinic, Rochester, MN; and.
Madiha IqbalDivision of Hematology, Mayo Clinic, Jacksonville, FL.
Reid W MerrymanDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA.
Paolo StratiDepartment of Lymphoma and Myeloma, The University of Texas MD Anderson Cancer Center, Houston, TX.
The University of Texas MD Anderson Cancer Center · USDana-Farber Cancer Institute · USMayo Clinic in Arizona · USCenter for Cancer and Blood Disorders · USHackensack University Medical Center · USMayo Clinic Hospital · USMedical University of South Carolina · USWinnMed · US

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI DIANE BODURKA · 1985 to 2026
$290.8M
NCI NIH HHS P30 CA016672
6 · The paper itself

Abstract

Polatuzumab vedotin (PV) is an antibody-drug conjugate targeting CD79b that is approved for patients with relapsed/refractory large B-cell lymphoma (LBCL). Patients who relapse after chimeric antigen receptor (CAR) T-cell therapy were not included in the registration study, and reports of PV use after CAR T cells are limited. This multicenter retrospective analysis included patients with LBCL who relapsed or progressed after CAR T-cell therapy and subsequently received PV with or without rituximab and bendamustine between July 2019 and May 2021. Response to treatment and progression were assessed based on the 2014 Lugano criteria. Fifty-seven patients were included in the study: 18 (32%) patients were primary refractory to CAR T-cell therapy, and 34 (60%) patients received PV-based therapy immediately after CAR T-cell therapy. PV was combined with rituximab in 54 (95%) patients and administered with bendamustine in 35 (61%) patients. A response was achieved in 25 (44%) patients, including complete remission in 8 (14%). No significant association between baseline characteristics and response was observed. After a median follow-up of 47 weeks (95% confidence interval [CI], 40-54), 46 (81%) patients had disease progression or died, and the median progression-free survival was 10 weeks (95% CI, 5-15). On a multivariate analysis, bone marrow involvement (hazard ratio, 5.2; 95% CI, 1.8-15; P = .003) and elevated lactate dehydrogenase levels (hazard ratio, 5.0; 95% CI, 1.4-16; P = .01) were associated with shorter progression-free survival. Studies aimed at better characterizing the intrinsic mechanism of resistance and identifying optimal consolidation strategies for these patients are warranted.

Indexed as

ImmunoconjugatesLymphoma, Large B-Cell, DiffuseAntibodies, MonoclonalAntineoplastic Combined Chemotherapy ProtocolsBendamustine HydrochlorideHumansImmunotherapy, AdoptiveNeoplasm Recurrence, LocalRetrospective StudiesRituximabAntibodies, MonoclonalBendamustine HydrochlorideImmunoconjugatespolatuzumab vedotinRituximab

Identifiers

PMID35240681
PMCPMC9092406
OpenAlexW4214828525

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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 Socratic graph.