Evidence map›Paper›PMID 41727499›Full record

Trial reportFrontiers in immunology2026

Predictors and responses to varying durations of BTK inhibitor bridging therapy before anti-CD19 CAR-T cell therapy in patients with relapsed/refractory DLBCL.

Jia Wang, Rui Cui, Yao Qi, Juan Mu, Xin Li, Qing Li, Qi Deng

Erratum issuedAbstract readClinical Trial
In one paragraph

Trial report in Frontiers in immunology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Jia WangDepartment of Hematology, Tianjin First Central Hospital, School of Medicine, Nankai University, Tianjin, China.
Rui CuiDepartment of Hematology, Tianjin First Central Hospital, School of Medicine, Nankai University, Tianjin, China.
Yao QiDepartment of Hematology, Tianjin First Central Hospital, School of Medicine, Nankai University, Tianjin, China.
Juan MuDepartment of Hematology, Tianjin First Central Hospital, School of Medicine, Nankai University, Tianjin, China.
Xin LiDepartment of Hematology, Tianjin First Central Hospital, School of Medicine, Nankai University, Tianjin, China.
Qing LiDepartment of Hematology, Tianjin First Central Hospital, School of Medicine, Nankai University, Tianjin, China.
Qi DengDepartment of Hematology, Tianjin First Central Hospital, School of Medicine, Nankai University, Tianjin, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Anti-CD19 chimeric antigen receptor (CAR)-T cell therapy has demonstrated clinical potential in treating relapsed or refractory (R/R) diffuse large B-cell lymphoma (DLBCL); however, enhancing its therapeutic efficacy remains a significant challenge. To this end, bridging therapy with Brutonyg tyrosine kinase inhibitors (BTKi), such as ibrutinib or zanubrutinib, is being investigated as a strategy to improve treatment outcomes. Patients and methods: In this retrospective analysis, we assessed the impact of different durations of BTKi bridging therapy prior to anti-CD19 CAR-T cell infusion in 33 patients with R/R DLBCL. Patients meeting predefined eligibility criteria, including the presence of at least one high-risk prognostic factor. These 33 patients were stratified into two groups based on the duration of BTKi exposure: ≥x months versus <2 months. Results: The R/R DLBCL patients receiving BTKi for ≥o months demonstrated a higher overall response rate than the patients receiving BTKi for <2 month. There was no statistically significant differences in progression free survival (PFS) or overall survival (OS) between the two groups. Exploratory analyses suggested potential biomarkers for BTKi bridging efficacy, including modulation of nicotinamide phosphoribosyltransferase (NAMPT) and programmed cell death protein 1 (PD-1). Conclusions: Prolonged BTKi bridging might improve the overall response to CAR-T cell therapy in patients with R/R DLBCL, despite the initial disparities. However, the risk of hematological toxicity associated with extended BTKi use requires attention. Further investigations are essential to validate and translate these observations into clinical practice, thus highlighting the need for further research in this area. Clinical Trial Registration: https://www.chictr.org.cn/showproj.aspx?proj=33185, ChiCTR1800019622.

Indexed as

Agammaglobulinaemia Tyrosine KinaseAntigens, CD19Immunotherapy, AdoptiveLymphoma, Large B-Cell, DiffuseProtein Kinase InhibitorsAdenineAdultAgedAged, 80 and overBridge TherapyFemaleGuanidinesHumansMaleMiddle AgedPiperidinesAdenineAgammaglobulinaemia Tyrosine KinaseAntigens, CD19BTK protein, humanGuanidinesibrutinibPiperidinesProtein Kinase InhibitorsPyrazolesPyrimidinesReceptors, Chimeric Antigenzanubrutinibbridging therapyBTK inhibitorschimeric antigen receptor (CAR)diffuse large B-cell lymphomanicotinamide phosphoribosyl transferaseprogrammed cell death 1

Identifiers

PMID41727499
PMCPMC12920493

What Socratic holds

Textmetadata
LicenceCC BY
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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.