Evidence map›Paper›PMID 40140360›Full record

ArticleBlood cancer journal2025

Double hit & double expressor lymphomas: a multicenter analysis of survival outcomes with CD19-directed CAR T-cell therapy.

Reem Karmali, Geoffrey Shouse, Pallawi Torka, Tamara K Moyo, Jason Romancik, Stefan K Barta, Rahul Bhansali, Jonathon B Cohen, Nirav N Shah, Joanna Zurko and 15 more

Abstract readMulticenter Study
In one paragraph

Article in Blood cancer journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

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

  1. Pooled it
  2. Heterogeneity in primary gastrointestinal DLBCL: from clinical management to molecular mechanisms and treatment strategies.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Review
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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

25 authors.

Reem Karmali *Robert H Lurie Comprehensive Cancer Center, Northwestern University, Chicago, IL, USA. Reem.Karmali@nm.org.ORCID 0000-0003-0984-4376
Geoffrey Shouse *City of Hope Comprehensive Cancer Center, Duarte, CA, USA.ORCID 0000-0002-7917-5713
Pallawi TorkaMemorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID 0000-0002-1681-5883
Tamara K MoyoLevine Cancer Institute, Atrium Health, Charlotte, NC, USA.
Jason RomancikWinship Cancer Institute, Emory University, Atlanta, GA, USA.ORCID 0000-0003-0054-9362
Stefan K BartaAbramson Cancer Center, University of Pennsylvania, Philadelphia, PA, USA.ORCID 0000-0002-3280-5271
Rahul BhansaliAbramson Cancer Center, University of Pennsylvania, Philadelphia, PA, USA.ORCID 0000-0002-3616-7393
Jonathon B CohenWinship Cancer Institute, Emory University, Atlanta, GA, USA.
Nirav N ShahMCW Cancer Center, Medical College of Wisconsin, Milwaukee, WI, USA.ORCID 0000-0002-4336-1071
Joanna ZurkoCarbone Cancer Center, University of Wisconsin-Madison, Madison, WI, USA.
Vaishalee P KenkreCarbone Cancer Center, University of Wisconsin-Madison, Madison, WI, USA.
Brian HessHollings Cancer Center, Medical University of South Carolina, Charleston, SC, USA.
Deborah M StephensLineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, NC, USA.
Lindsey FitzgeraldHuntsman Cancer Institute, University of Utah, Salt Lake City, UT, USA.
Thomas OllilaLifespan Cancer Institute, Brown University, Providence, RI, USA.ORCID 0000-0003-0102-6491
Bukky TabitiRobert H Lurie Comprehensive Cancer Center, Northwestern University, Chicago, IL, USA.
Ishan RoyRobert H Lurie Comprehensive Cancer Center, Northwestern University, Chicago, IL, USA.ORCID 0000-0002-9109-0421
Shuo MaRobert H Lurie Comprehensive Cancer Center, Northwestern University, Chicago, IL, USA.ORCID 0000-0002-6139-5486
Jane WinterRobert H Lurie Comprehensive Cancer Center, Northwestern University, Chicago, IL, USA.
Barbara ProHerbert Irving Comprehensive Cancer Center, Columbia University, New York, NY, USA.
Jonathan MoreiraRobert H Lurie Comprehensive Cancer Center, Northwestern University, Chicago, IL, USA.
Alexey V DanilovCity of Hope Comprehensive Cancer Center, Duarte, CA, USA.ORCID 0000-0003-4461-0970
Kevin DavidRutgers Cancer Institute of New Jersey, Rutgers University, New Brunswick, NJ, USA.
Leo I GordonRobert H Lurie Comprehensive Cancer Center, Northwestern University, Chicago, IL, USA.ORCID 0000-0003-1666-7064
Narendranath EpperlaArthur G. James Cancer Hospital and Richard J. Solove Research Institute, The Ohio State University, Columbus, OH, USA.ORCID 0000-0002-8216-3457

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

Double-hit (DHL) and double expressor (DEL) DLBCL have poor prognosis with standard therapy but CART may overcome this poor prognostic impact. In this multicenter retrospective study, we sought to confirm this observation by evaluating survival outcomes among patients with relapsed/refractory DHL and DEL treated with CART and evaluate outcomes of relapse post-CART. A total of 408 adult patients with relapsed/refractory DLBCL from 13 academic centers were included based on the availability of DHL and DEL. All 408 patients were included in the DHL (n = 80) vs non-DHL (n = 328) analysis, while 333 patients were included in the analysis of DHL (n = 80) vs DEL (n = 74) vs non (n = 179). On MVA, there were no differences for PFS for DHL vs non-DHL (HR 0.8, 95%CI 0.5-1.3, p = 0.35) or DHL vs DEL vs other (three-way p value, p = 0.5). Response rates and toxicities were similar among groups. Patients with DEL had the highest relapse rates post-CART, while DHL had the worst overall survival after CART relapse. In sum, our data support the notion that CART cell therapy can overcome the poor prognostic impact of DHL and DEL DLBCL in the relapsed/refractory setting. Additionally, patients with DHL that relapse after CART have a very poor prognosis.

Indexed as

Antigens, CD19Immunotherapy, AdoptiveLymphoma, Large B-Cell, DiffuseReceptors, Chimeric AntigenAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedPrognosisRetrospective StudiesTreatment OutcomeYoung AdultAntigens, CD19Receptors, Chimeric Antigen

Identifiers

PMID40140360
PMCPMC11947441

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.