Evidence map›Paper›PMID 36094847›Full record

ArticleBlood advances2023

Peri-CAR-T practice patterns and survival predictors for all CAR-T patients and post-CAR-T failure in aggressive B-NHL.

Joanna Zurko, Imran Nizamuddin, Narendranath Epperla, Kevin David, Jonathon B Cohen, Tamara K Moyo, Thomas Ollila, Brian Hess, Ishan Roy, Robert Ferdman and 24 more

Abstract readMulticenter Study
In one paragraph

Article in Blood advances, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing 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

35 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  9. Observational
  10. Selecting the best treatment approach and optimizing sequencing strategies in large B-cell lymphoma.Hematology. American Society of Hematology. Education Program · 2025
    Article
  11. ctDNA MRD after CAR-T.Blood advances · 2025
    Article
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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

34 authors.

Joanna ZurkoDepartment of Medicine, Carbone Cancer Center, University of Wisconsin, Madison, WI.ORCID 0000-0002-9532-4336
Imran NizamuddinDepartment of Medicine, Robert H. Lurie Comprehensive Cancer Center, Northwestern University Feinberg School of Medicine, Chicago, IL.
Narendranath EpperlaDepartment of Internal Medicine, Arthur G. James Cancer Hospital and Richard J. Solove Research Institute, The Ohio State University, Columbus, OH.ORCID 0000-0002-8216-3457
Kevin DavidDepartment of Medicine, Rutgers Cancer Institute of New Jersey, Rutgers University, New Brunswick, NJ.ORCID 0000-0001-7415-0376
Jonathon B CohenDepartment of Hematology and Medical Oncology, Winship Cancer Institute, Emory University, Atlanta, GA.ORCID 0000-0002-2723-6481
Tamara K MoyoAtrium Health Carolinas Medical Center, Charlotte, NC.
Thomas OllilaDepartment of Medicine, Lifespan Cancer Institute, Brown University, Providence, RI.ORCID 0000-0003-0102-6491
Brian HessDepartment of Medicine, Hollings Cancer Center, Medical University of South Carolina, Charleston, SC.
Ishan RoyDepartment of Medicine, Robert H. Lurie Comprehensive Cancer Center, Northwestern University Feinberg School of Medicine, Chicago, IL.ORCID 0000-0002-9109-0421
Robert FerdmanDepartment of Medicine, Roswell Park Comprehensive Cancer Center, Buffalo, NY.
Jieqi LiuDepartment of Medicine, Rutgers Cancer Institute of New Jersey, Rutgers University, New Brunswick, NJ.
Sayan Mullick ChowdhuryDepartment of Internal Medicine, Arthur G. James Cancer Hospital and Richard J. Solove Research Institute, The Ohio State University, Columbus, OH.
Jason RomancikDepartment of Hematology and Medical Oncology, Winship Cancer Institute, Emory University, Atlanta, GA.ORCID 0000-0003-0054-9362
Rahul S BhansaliDepartment of Medicine, Abramson Cancer Center, University of Pennsylvania, Philadelphia, PA.ORCID 0000-0002-3616-7393
Elyse I HarrisDepartment of Medicine, Carbone Cancer Center, University of Wisconsin, Madison, WI.
Mckenzie SorrellDepartment of Medicine, Hollings Cancer Center, Medical University of South Carolina, Charleston, SC.
Rebecca MaselDepartment of Medicine, Lifespan Cancer Institute, Brown University, Providence, RI.
Adam S KittaiDepartment of Internal Medicine, Arthur G. James Cancer Hospital and Richard J. Solove Research Institute, The Ohio State University, Columbus, OH.
Nathan DenlingerDepartment of Internal Medicine, Arthur G. James Cancer Hospital and Richard J. Solove Research Institute, The Ohio State University, Columbus, OH.
Audrey M SigmundDepartment of Internal Medicine, Arthur G. James Cancer Hospital and Richard J. Solove Research Institute, The Ohio State University, Columbus, OH.ORCID 0000-0003-0706-4843
Lindsey FitzgeraldDepartment of Internal Medicine, Huntsman Cancer Institute, The University of Utah, Salt Lake City, UT.
Carlos GalvezDepartment of Medicine, Robert H. Lurie Comprehensive Cancer Center, Northwestern University Feinberg School of Medicine, Chicago, IL.ORCID 0000-0002-2155-0939
Shuo MaDepartment of Medicine, Robert H. Lurie Comprehensive Cancer Center, Northwestern University Feinberg School of Medicine, Chicago, IL.ORCID 0000-0002-6139-5486
Jane WinterDepartment of Medicine, Robert H. Lurie Comprehensive Cancer Center, Northwestern University Feinberg School of Medicine, Chicago, IL.
Barbara ProDepartment of Medicine, Robert H. Lurie Comprehensive Cancer Center, Northwestern University Feinberg School of Medicine, Chicago, IL.
Leo I GordonDepartment of Medicine, Robert H. Lurie Comprehensive Cancer Center, Northwestern University Feinberg School of Medicine, Chicago, IL.ORCID 0000-0003-1666-7064
Alexey DanilovDepartment of Hematology & Hematopoietic Cell Transplantation, City of Hope Comprehensive Cancer Center, Duarte, CA.
Deborah StephensDepartment of Internal Medicine, Huntsman Cancer Institute, The University of Utah, Salt Lake City, UT.ORCID 0000-0001-9188-5008
Nirav N ShahDepartment of Medicine, MCW Cancer Center, Medical College of Wisconsin, Milwaukee, WI.ORCID 0000-0002-4336-1071
Vaishalee KenkreDepartment of Medicine, Carbone Cancer Center, University of Wisconsin, Madison, WI.
Stefan K BartaDepartment of Medicine, Abramson Cancer Center, University of Pennsylvania, Philadelphia, PA.
Pallawi TorkaDepartment of Medicine, Roswell Park Comprehensive Cancer Center, Buffalo, NY.ORCID 0000-0002-1681-5883
Geoffrey ShouseDepartment of Hematology & Hematopoietic Cell Transplantation, City of Hope Comprehensive Cancer Center, Duarte, CA.ORCID 0000-0002-7917-5713
Reem KarmaliDepartment of Medicine, Robert H. Lurie Comprehensive Cancer Center, Northwestern University Feinberg School of Medicine, Chicago, IL.ORCID 0000-0003-0984-4376

Funding

Northwestern University Clinical and Translational Science Institute (NUCATS)UL1TR001422 · NCATS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI D'AQUILA, RICHARD · 2015 to 2023
$56.8M
HEMATOPOIESIS TRAINING GRANTT32DK007780 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI TONG, WEI · 1999 to 2023
$6.7M
NCATS NIH HHS UL1 TR001422NIDDK NIH HHS T32 DK007780
6 · The paper itself

Abstract

Most patients receiving chimeric antigen receptor T-cell therapy (CAR-T) for aggressive B-cell non-Hodgkin lymphoma (B-NHL) do not experience a durable remission. Several novel agents are approved to treat relapsed, refractory aggressive B-NHL; however, it remains unclear how to sequence these therapies pre- and post-CAR-T. We conducted a multicenter retrospective analysis to describe peri-CAR-T practice patterns and survival predictors for patients receiving CD19-directed CAR-T. Patients (n = 514) from 13 centers treated with CAR-T for B-NHL between 2015-2021 were included in the study. Survival curves were constructed using Kaplan-Meier method. Multivariate Cox regression analysis was used to determine the impact of the variables on survival outcomes. For all patients receiving CAR-T, a greater number of lines of therapy pre-CAR-T apheresis and bridging therapy were predictive of inferior progression-free survival (PFS) and overall survival (OS). The median PFS and OS from the time of CAR-T cell infusion were 7.6 and 25.6 months, respectively. From the time of progression post-CAR-T, the median OS was 5.5 months. The median PFS of treatments administered in the first-line post-CAR-T failure was 2.8 months. Patients with refractory disease on day 30 had inferior OS and were less likely to receive subsequent treatment(s) than other patients with CAR-T failure. Allogeneic hematopoietic cell transplantation for selected patients at any time following CAR-T failure led to durable responses in over half of patients at 1 year. These data provide a benchmark for future clinical trials in patients with post-CAR-T cell progression, which remains an unmet clinical need.

Indexed as

Lymphoma, B-CellReceptors, Chimeric AntigenHumansImmunotherapy, AdoptiveProgression-Free SurvivalRetrospective StudiesReceptors, Chimeric Antigen

Identifiers

PMID36094847
PMCPMC10333741

What Socratic 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 Socratic graph.