Evidence map›Paper›PMID 37024595›Full record

ReviewNature medicine2023

Tumor inflammation-associated neurotoxicity.

Jasia Mahdi, Jorg Dietrich, Karin Straathof, Claire Roddie, Brian J Scott, Tom Belle Davidson, Laura M Prolo, Tracy T Batchelor, Cynthia J Campen, Kara L Davis and 12 more

Open access · greenAbstract readReview
In one paragraph

Review in Nature medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 111 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
111citing papers in PubMed, 2 pooled it
29.9field-weighted citation impact, top 1% 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

111 citing papers in PubMed, 2 syntheses or guidelines pooled it, 130 citations in OpenAlex.

  1. Guideline
  2. Pooled it
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  11. IVT-free, chemically synthesized protein-encoding RNA oligonucleotides for rapid production of personalized cancer vaccines.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  12. Review
  13. Article
  14. Neurological complications of current and emerging CAR-T cell therapies.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2026
    Review
  15. Review
  16. Article
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51 more citing papers are in PubMed but not listed here.

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

22 authors at 10 institutions in 2 countries.

Jasia MahdiDepartment of Neurology and Neurological Sciences, Stanford University, Stanford, CA, USA.
Jorg DietrichDepartment of Neurology, Massachusetts General Hospital, Boston, MA, USA.
Karin StraathofResearch Department of Hematology and Oncology, Cancer Institute, University College London, London, UK.ORCID http://orcid.org/0000-0001-9673-8568
Claire RoddieResearch Department of Hematology and Oncology, Cancer Institute, University College London, London, UK.
Brian J ScottDepartment of Neurology and Neurological Sciences, Stanford University, Stanford, CA, USA.
Tom Belle DavidsonCancer and Blood Disease Institute, Children's Hospital Los Angeles, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.ORCID http://orcid.org/0000-0002-1655-3860
Laura M ProloDepartment of Neurosurgery, Stanford University, Stanford, CA, USA.
Tracy T BatchelorDepartment of Neurology, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA.
Cynthia J CampenDepartment of Neurology and Neurological Sciences, Stanford University, Stanford, CA, USA.
Kara L DavisStanford Center for Cancer Cell Therapy, Stanford University School of Medicine, Stanford, CA, USA.ORCID http://orcid.org/0000-0002-7182-2592
Juliane GustDepartment of Neurology, University of Washington, Seattle, WA, USA.ORCID http://orcid.org/0000-0001-5679-1989
Michael LimDepartment of Neurosurgery, Stanford University, Stanford, CA, USA.ORCID http://orcid.org/0000-0003-0523-3076
Robbie G MajznerStanford Center for Cancer Cell Therapy, Stanford University School of Medicine, Stanford, CA, USA.ORCID http://orcid.org/0000-0001-6969-8011
Julie R ParkDepartment of Pediatrics, Seattle Children's Hospital, University of Washington, Seattle, WA, USA.ORCID http://orcid.org/0000-0002-6777-9165
Sonia PartapDepartment of Neurology and Neurological Sciences, Stanford University, Stanford, CA, USA.
Sneha RamakrishnaStanford Center for Cancer Cell Therapy, Stanford University School of Medicine, Stanford, CA, USA.ORCID http://orcid.org/0000-0001-7445-3190
Rebecca RichardsStanford Center for Cancer Cell Therapy, Stanford University School of Medicine, Stanford, CA, USA.ORCID http://orcid.org/0000-0001-6815-969X
Liora SchultzStanford Center for Cancer Cell Therapy, Stanford University School of Medicine, Stanford, CA, USA.
Nicholas A VitanzaDepartment of Pediatrics, Seattle Children's Hospital, University of Washington, Seattle, WA, USA.ORCID http://orcid.org/0000-0002-3966-4985
Leo D WangCity of Hope, Departments of Pediatrics and Immuno-oncology, Beckman Research Institute, City of Hope National Medical Center, Duarte, CA, USA.ORCID http://orcid.org/0000-0002-2945-9005
Crystal L MackallStanford Center for Cancer Cell Therapy, Stanford University School of Medicine, Stanford, CA, USA. cmackall@stanford.edu.ORCID http://orcid.org/0000-0001-6323-4304
Michelle MonjeDepartment of Neurology and Neurological Sciences, Stanford University, Stanford, CA, USA. mmonje@stanford.edu.ORCID http://orcid.org/0000-0002-3547-237X
Stanford Medicine · USStanford University · USSeattle Children's Hospital · USUniversity College London · GBBrigham and Women's Hospital · USCity Of Hope National Medical Center · USHoward Hughes Medical Institute · USMassachusetts General Hospital · USUniversity of Southern California · USUniversity of Washington · US

Funding

Targeting the Vasular SystemP50CA165962 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI KEITH LLOYD LIGON · 2013 to 2026
$33.5M
Prospective evaluation of barriers to patient referral and enrollment in emerging cellular therapy trials: determining methods and structure to improve equity in future trial designU01TR002487 · NCATS · SEATTLE CHILDREN'S HOSPITAL · PI PARK, JULIE R, RAMSEY, BONNIE W · 2018 to 2022
$7.2M
Targeting the neuronal microenvironment in glioblastomaU19CA264504 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI Michelle Monje-Deisseroth · 2021 to 2026
$6.4M
Glioma Circuitry: Bridging Systems Neuroscience and CancerDP1NS111132 · NINDS · STANFORD UNIVERSITY · PI MONJE-DEISSEROTH, MICHELLE · 2018 to 2022
$5.7M
Developing Safe and Effective GD2-CAR T Cell Therapy for Diffuse Midline GliomasR01CA263500 · NCI · STANFORD UNIVERSITY · PI MACKALL, CRYSTAL, MONJE-DEISSEROTH, MICHELLE · 2021 to 2025
$3.3M
Neuronal Regulation of Low-Grade GliomagenesisR01CA258384 · NCI · STANFORD UNIVERSITY · PI David H Gutmann, Michelle Monje-Deisseroth · 2022 to 2026
$3.1M
Neuronal activity-regulated mechanisms of glioma growthR01NS092597 · NINDS · STANFORD UNIVERSITY · PI MONJE-DEISSEROTH, MICHELLE · 2016 to 2021
$2.1M
Blood Brain Barrier Disruption during Chimeric Antigen Receptor (CAR) T cell therapyK08NS118138 · NINDS · SEATTLE CHILDREN'S HOSPITAL · PI GUST, JULIANE · 2020 to 2024
$879k
Targeting the ARHGAP25 pathway in acute myelogenous leukemia stem cellsK08CA201591 · NCI · BECKMAN RESEARCH INSTITUTE/CITY OF HOPE · PI WANG, LEO D. · 2017 to 2021
$848k
Cancer Research UKNCATS NIH HHS U01 TR002487NCI NIH HHS K08 CA201591NCI NIH HHS P50 CA165962NCI NIH HHS R01 CA258384NCI NIH HHS R01 CA263500NCI NIH HHS U19 CA264504NINDS NIH HHS DP1 NS111132NINDS NIH HHS K08 NS118138NINDS NIH HHS R01 NS092597Wellcome Trust
6 · The paper itself

Abstract

Cancer immunotherapies have unique toxicities. Establishment of grading scales and standardized grade-based treatment algorithms for toxicity syndromes can improve the safety of these treatments, as observed for cytokine release syndrome (CRS) and immune effector cell associated neurotoxicity syndrome (ICANS) in patients with B cell malignancies treated with chimeric antigen receptor (CAR) T cell therapy. We have observed a toxicity syndrome, distinct from CRS and ICANS, in patients treated with cell therapies for tumors in the central nervous system (CNS), which we term tumor inflammation-associated neurotoxicity (TIAN). Encompassing the concept of 'pseudoprogression,' but broader than inflammation-induced edema alone, TIAN is relevant not only to cellular therapies, but also to other immunotherapies for CNS tumors. To facilitate the safe administration of cell therapies for patients with CNS tumors, we define TIAN, propose a toxicity grading scale for TIAN syndrome and discuss the potential management of this entity, with the goal of standardizing both reporting and management.

Indexed as

NeoplasmsNeurotoxicity SyndromesCytokine Release SyndromeHumansImmunotherapyImmunotherapy, AdoptiveInflammation

Identifiers

PMID37024595
PMCPMC10166099
OpenAlexW4362663852

What Socratic holds

Textmetadata
LicenceTDM
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.