Evidence map›Paper›PMID 42791198›Full record

SynthesisJournal of cellular and molecular medicine2026

Efficacy of CAR-T-Cell-Based Immunotherapies in Patients With Glioma: A Systematic Review and Meta-Analysis.

Seyed Mostafa Mostafavi Zadeh, Sima Kalantari, Shaghayegh Shafiee Dastgerdi, Hossein Sharifi, Mahdi Mohammadi, Raheleh Roudi, Ahmad Shariftabrizi, Abolfazl Kalantari, Davoud Ahmadvand, Maryam Yazdi and 1 more

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Journal of cellular and molecular medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

11 authors.

Seyed Mostafa Mostafavi ZadehDivision of Gene Therapy Science, Gunma University, Initiative for Advanced Research (GIAR), Maebashi, Japan.ORCID https://orcid.org/0000-0002-1068-1837
Sima KalantariDepartment of Molecular Imaging, Faculty of Advanced Technologies in Medicine, Iran University of Medical Sciences (IUMS), Tehran, Iran.ORCID https://orcid.org/0000-0003-2961-9969
Shaghayegh Shafiee DastgerdiFaculty of Physics, University of Isfahan, Isfahan, Iran.ORCID https://orcid.org/0009-0004-9518-8890
Hossein SharifiDepartment of Molecular Imaging, Faculty of Advanced Technologies in Medicine, Iran University of Medical Sciences (IUMS), Tehran, Iran.ORCID https://orcid.org/0009-0003-7999-393X
Mahdi MohammadiDepartment of Molecular Imaging, Faculty of Advanced Technologies in Medicine, Iran University of Medical Sciences (IUMS), Tehran, Iran.ORCID https://orcid.org/0000-0003-2833-2472
Raheleh RoudiDepartment of Radiology, Molecular Imaging Program at Stanford, Stanford University, Stanford, California, USA.ORCID https://orcid.org/0000-0001-5023-4743
Ahmad ShariftabriziDepartment of Radiology, University of Iowa Hospitals and Clinics, Iowa city, Iowa, USA.ORCID https://orcid.org/0000-0003-2397-6914
Abolfazl KalantariDepartment of Molecular Imaging, Faculty of Advanced Technologies in Medicine, Iran University of Medical Sciences (IUMS), Tehran, Iran.
Davoud AhmadvandDepartment of Molecular Imaging, Faculty of Advanced Technologies in Medicine, Iran University of Medical Sciences (IUMS), Tehran, Iran.ORCID https://orcid.org/0000-0002-5611-5056
Maryam YazdiChild Growth and Development Research Center, Research Institute for Primordial Prevention of Non-Communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran.ORCID https://orcid.org/0000-0003-3961-6702
Reza NedaeiniaPediatric Inherited Diseases Research Center, Research Institute for Primordial Prevention of Non-Communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran.ORCID https://orcid.org/0000-0001-9922-7181

Funding

Iran University of Medical Sciences IR.IUMS.REC.1402.3.75.25755
6 · The paper itself

Abstract

Glioma is an aggressive intracranial malignancy associated with a poor prognosis and high mortality. Chimeric antigen receptor (CAR) T-cell therapy has emerged as a promising immunotherapeutic approach for solid tumours; however, its application in glioma is constrained by several significant challenges. This study conducted a systematic review and meta-analysis to synthesise current methodologies and critically evaluate the clinical efficacy of CAR-T-cell-based immunotherapies in patients with glioma. A comprehensive literature search was performed across PubMed, Scopus, Web of Science and Embase using MeSH terms along with relevant keywords. The review process adhered to the PRISMA framework, applying clearly defined inclusion and exclusion criteria. Standard and augmented meta-analyses were employed to evaluate clinical outcomes, associated complications and potential publication bias. The study protocol was prospectively registered in PROSPERO under registration number CRD42022373297. Of 7723 retrieved records, 23 studies encompassing 306 patients with glioma met inclusion criteria. Efficacy analysis of 12 studies (n = 153 evaluable patients) demonstrated a pooled overall response rate of 16.9% (95% confidence interval [CI], 8.0%-32.2%), driven by complete responses in 8.1% (95% CI, 3.5%-17.8%) and partial responses in 13.1% (95% CI, 6.3%-25.5%) of patients. Stable disease was achieved in 46.6% (95% CI, 34.3%-59.3%); progressive disease was observed in 43.9% (95% CI, 27.7%-61.5%). Safety evaluation revealed grade ≥ 3 adverse events in 18.6% (95% CI, 10.0%-33.0%) of treated patients (n = 69 across 9 studies). Cytokine release syndrome affected 29.7% (95% CI, 9.3%-63.3%) (n = 80 across 9 studies), while immune effector cell-associated neurotoxicity syndrome developed in 12.9% (95% CI, 3.6%-37.0%) (n = 59 across 7 studies). This review demonstrated CAR-T-cell therapy to have promise in glioma, but evidence remains limited by heterogeneity and small samples. Larger standardised trials, systematic adverse-event reporting and mechanistic studies on constructs, dosing and combinations are needed. Biomarker discovery will refine patient selection, reduce risk and clarify the therapeutic role of CAR-T cells in glioma.

Indexed as

Brain NeoplasmsGliomaImmunotherapyImmunotherapy, AdoptiveReceptors, Chimeric AntigenHumansTreatment OutcomeReceptors, Chimeric AntigenCAR‐T cellsgliomaimmunotherapymeta‐analysis

Identifiers

PMID42791198
PMCPMC13614879

What Socratic holds

Textmetadata
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.