Evidence map›Paper›PMID 40763273›Full record

Observational studyBlood advances2025

Outcomes of CAR T-cell therapy in high-grade B-cell lymphomas compared to DLBCL: a weighted comparison analysis.

Anna Dodero, Giusy Ceparano, Beatrice Casadei, Piera Angelillo, Stefania Bramanti, Maria Chiara Tisi, Silva Ljevar, Federico Stella, Annalisa Chiappella, Barbara Botto and 14 more

Registry-linked trialAbstract readComparative StudyObservational Study
In one paragraph

Observational study in Blood advances, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06339255 (A Multicenter Prospective Observational Study on Chimeric Antigen Receptor), which is not on this map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing 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.

NCT06339255 recruitingnot on this map

A Multicenter Prospective Observational Study on Chimeric Antigen Receptor (CAR) T-cell Therapy for Lymphoma: Monitoring Feasibility, Efficacy, Toxicity and Biomarkers in a Real Life Setting

TypeobservationalSponsorPaolo CorradiniRan2019 to 2029Enrolled5,300ConditionsDiffuse Low Grade B-Cell Lymphoma, Primary Mediastinal Large B-cell Lymphoma (PMBCL), Mantle Cell Lymphoma, Follicular Lymphoma
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Trial
  3. Article
  4. Advances in targeted and cellular therapies for relapsed/refractory mantle cell lymphoma: immunotherapeutic strategies and challenges.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Review
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

24 authors.

Anna DoderoDivision of Hematology and Stem Cell Transplantation, Fondazione Istituto di Ricovero e Cura a Carattere Scientifico Istituto Nazionale dei Tumori, Milan, Italy.ORCID 0000-0002-0332-5412
Giusy CeparanoDivision of Hematology and Stem Cell Transplantation, Fondazione Istituto di Ricovero e Cura a Carattere Scientifico Istituto Nazionale dei Tumori, Milan, Italy.ORCID 0009-0002-5475-5161
Beatrice CasadeiIstituto di Ematologia "Seràgnoli," Istituto di Ricovero e Cura a Carattere Scientifico Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.ORCID 0000-0002-4453-6064
Piera AngelilloLymphoma Unit, Department of OncoHematology, Istituto di Ricovero e Cura a Carattere Scientifico Ospedale San Raffaele Milan, Milan, Italy.
Stefania BramantiIstituto di Ricovero e Cura a Carattere Scientifico Humanitas Research Hospital, Transplantation Unit Department of Oncology and Hematology, Milan, Italy.
Maria Chiara TisiHematology Unit, San Bortolo Hospital, Azienda Unita' Sanitaria Locale Socio Sanitaria 8 Berica, Vicenza, Italy.
Silva LjevarUnit of Biostatistics for Clinical Research, Department of Data Science, Fondazione Istituto di Ricovero e Cura a Carattere Scientifico Istituto Nazionale dei Tumori, Milan, Italy.ORCID 0000-0002-1151-1477
Federico StellaDivision of Hematology and Stem Cell Transplantation, University of Milan, Milan, Italy.ORCID 0000-0003-3401-1309
Annalisa ChiappellaDivision of Hematology and Stem Cell Transplantation, Fondazione Istituto di Ricovero e Cura a Carattere Scientifico Istituto Nazionale dei Tumori, Milan, Italy.ORCID 0000-0002-2977-0098
Barbara BottoStruttura Complessa Ematologia, Azienda Ospedaliera Universitaria Città della Salute e della Scienza Torino, Turin, Italy.
Ilaria CutiniStruttura Organizzativa Dipartimentale Terapie Cellulari e Medicina Trasfusionale, Trapianto di Midollo Osseo, Ospedale Careggi, Firenze, Italy.ORCID 0000-0003-3721-0004
Giada ZaniratoDivision of Hematology and Stem Cell Transplantation, Fondazione Istituto di Ricovero e Cura a Carattere Scientifico Istituto Nazionale dei Tumori, Milan, Italy.
Patrizia ChiusoloDipartimento di Scienze di Laboratorio ed Ematologiche-Fondazione Policlinico Universitario Agostino Gemelli-Istituto di Ricovero e Cura a Carattere Scientifico, Sezione di Ematologia, Dipartimento di Scienze Radiologiche ed Ematologiche, Università Cattolica del Sacro Cuore, Rome, Italy.ORCID 0000-0002-1355-1587
Anna Maria BarbuiUnità di Ematologia, Azienda Socio Sanitaria Territoriale Papa Giovanni XXIII, Bergamo, Italy.
Mirko FarinaUnit of Blood Disease and Bone Marrow Transplantation, and Unit of Hematology, University of Brescia, Azienda Socio Sanitaria Territoriale Spedali Civili di Brescia, Brescia, Italy.ORCID 0000-0002-2980-9028
Alice Di RoccoHematology, Department of Translational and Precision Medicine, Univ Sapienza Roma, Rome, Italy.ORCID 0000-0003-0985-9623
Giovanni GrilloDipartimento di Ematologia e trapianto di midollo, Azienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda, Milan, Italy.
Jacopo OlivieriDipartimento di Clinica Ematologica, Centro Trapianti e Terapie Cellulari "Carlo Melzi," Azienda Sanitaria Universitaria Integrata di Udine, Udine, Italy.ORCID 0000-0002-2582-3500
Mauro KramperaHematology and Bone Marrow Transplant Unit, Section of Biomedicine of Innovation, Department of Engineering for Innovative Medicine, University of Verona, Verona, Italy.ORCID 0000-0002-7280-2040
Marco LadettoDipartimento di Medicina Traslazionale Università del Piemonte Orientale ed Struttura complessa a Direzione Universitaria Ematologia Azienda Ospedaliera Universitaria SS Antonio e Biagio e Cesare Arrigo, Alessandria, Italy.
Anna GuidettiDivision of Hematology and Stem Cell Transplantation, Fondazione Istituto di Ricovero e Cura a Carattere Scientifico Istituto Nazionale dei Tumori, Milan, Italy.
Pier Luigi ZinzaniIstituto di Ematologia "Seràgnoli," Istituto di Ricovero e Cura a Carattere Scientifico Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.ORCID 0000-0002-2112-2651
Cristiana CarnitiDivision of Hematology and Stem Cell Transplantation, Fondazione Istituto di Ricovero e Cura a Carattere Scientifico Istituto Nazionale dei Tumori, Milan, Italy.
Paolo CorradiniDivision of Hematology and Stem Cell Transplantation, Fondazione Istituto di Ricovero e Cura a Carattere Scientifico Istituto Nazionale dei Tumori, Milan, Italy.ORCID 0000-0002-9186-1353

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

abstractHigh-grade B-cell lymphomas (HGBL, including double-hit/triple-hit [HGBL-DH/TH], and HGBL not otherwise specified) have a poor prognosis upon failure of first-line therapy. Anti-CD19 chimeric antigen receptor (CAR) T-cell therapy for third-line aggressive large B-cell lymphomas (LBCL) resulted in long-term remission in ≤40% of patients. This study evaluated factors that can predict outcomes in HGBL compared to diffuse LBCL (DLBCL). We assessed the predictive value of the subtype (HGBL vs DLBCL) using weighted log-rank tests and weighted Cox models, and overall survival (OS) following CAR T-cell therapy failure. The prospective study cohort comprised 432 patients (HGBL, n = 78; DLBCL, n = 354), median follow-up of 22.8 months for HGBL and 18 months for DLBCL. Interestingly, there was no statistically significant difference in progression-free survival and OS between patients with HGBL-DH/TH lymphomas vs other high-grade histotypes. CAR T-cell therapy expansion in HGBL did not correlate with response. Before weighting, a significant difference in OS was observed between HGBL vs DLBCL (24-month OS: 37% vs 49%, P = .0036). After weighting, the difference in 2-year OS remained significant (37% vs 44%, P = .0343), and it was related to inferior survival following CAR T-cell therapy failure. The 2-year nonrelapse mortality and incidence of secondary malignancies were similar in patients with HGBL and DLBCL (11% vs 11%, P = .830; 6.4% vs 11.4%, P = .844). Among patients in whom CAR T-cell therapy failed, the 1-year OS after failure was significantly higher in transformed than de novo DLBCL and HGBL (59% vs 32% vs 11%, <0.0004). Earlier use of CAR T-cell therapy may improve the outcome of HGBL. This trial was registered at www.clinicaltrials.gov as #NCT06339255.

Indexed as

Immunotherapy, AdoptiveLymphoma, B-CellLymphoma, Large B-Cell, DiffuseReceptors, Chimeric AntigenAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedNeoplasm GradingPrognosisProspective StudiesTreatment OutcomeYoung AdultReceptors, Chimeric Antigen

Identifiers

PMID40763273
PMCPMC12757519

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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.