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  1. Article ; Online: Re: CARTIFAN-1: Concerning fatal adverse events with global use of chimeric antigen receptor-T-cell therapy in multiple myeloma.

    Mi, Jian-Qing / Zhao, Wanhong / Jing, Hongmei / Jin, Jie / Chen, Sai-Juan

    European journal of cancer (Oxford, England : 1990)

    2023  Volume 188, Page(s) 108–110

    MeSH term(s) Humans ; Receptors, Chimeric Antigen ; Multiple Myeloma/drug therapy ; Immunotherapy, Adoptive/adverse effects ; Receptors, Antigen, T-Cell ; Cell- and Tissue-Based Therapy
    Chemical Substances Receptors, Chimeric Antigen ; Receptors, Antigen, T-Cell
    Language English
    Publishing date 2023-05-23
    Publishing country England
    Document type Letter ; Research Support, Non-U.S. Gov't ; Comment
    ZDB-ID 82061-1
    ISSN 1879-0852 ; 0277-5379 ; 0959-8049 ; 0964-1947
    ISSN (online) 1879-0852
    ISSN 0277-5379 ; 0959-8049 ; 0964-1947
    DOI 10.1016/j.ejca.2023.04.003
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: A Spatio-temporal Bayesian model to estimate risk and influencing factors related to tuberculosis in Chongqing, China, 2014-2020.

    Chen, Zhi-Yi / Deng, Xin-Yi / Zou, Yang / He, Ying / Chen, Sai-Juan / Wang, Qiu-Ting / Xing, Dian-Guo / Zhang, Yan

    Archives of public health = Archives belges de sante publique

    2023  Volume 81, Issue 1, Page(s) 42

    Abstract: Background: Tuberculosis (TB) is a serious infectious disease that is one of the leading causes of death worldwide. This study aimed to investigate the spatial and temporal distribution patterns and potential influencing factors of TB incidence risk, ... ...

    Abstract Background: Tuberculosis (TB) is a serious infectious disease that is one of the leading causes of death worldwide. This study aimed to investigate the spatial and temporal distribution patterns and potential influencing factors of TB incidence risk, and to provide a scientific basis for the prevention and control of TB.
    Methods: We collected reported cases of TB in 38 districts and counties in Chongqing from 2014 to 2020 and data on environment, population characteristics and economic factors during the same period. By constructing a Bayesian spatio-temporal model, we explored the spatio-temporal distribution pattern of TB incidence risk and potential influencing factors, identified key areas and key populations affected by TB, compared the spatio-temporal distribution characteristics of TB in populations with different characteristics, and explored the differences in the influence of various social and environmental factors.
    Results: The high-risk areas for TB incidence in Chongqing from 2014 to 2020 were mainly concentrated in southeastern and northeastern regions of Chongqing, and the overall relative risk (RR) of TB showed a decreasing trend during the study period, while RR of TB in main urban area and southeast of Chongqing showed an increasing trend. The RR of TB was relatively high in the main urban area for the female population and the population aged 0-29 years, and the RR of TB for the population aged 30-44 years in the main urban area and the population aged 60 years or older in southeast of Chongqing had an increasing trend, respectively. For each 1 μg/m
    Conclusion: This study showed that high-risk areas for TB were concentrated in the southeastern and northeastern regions of Chongqing, and that the elderly population was a key population for TB incidence. There were spatial and temporal differences in the incidence of TB in populations with different characteristics, and various socio-environmental factors had different effects on different populations. Local governments should focus on areas and populations at high risk of TB and develop targeted prevention interventions based on the characteristics of different populations.
    Language English
    Publishing date 2023-03-21
    Publishing country England
    Document type Journal Article
    ZDB-ID 1117688-x
    ISSN 2049-3258 ; 0778-7367 ; 0003-9578
    ISSN (online) 2049-3258
    ISSN 0778-7367 ; 0003-9578
    DOI 10.1186/s13690-023-01044-z
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Poisoning the Devil.

    Chen, Zhu / Chen, Sai-Juan

    Cell

    2017  Volume 168, Issue 4, Page(s) 556–560

    MeSH term(s) Arsenicals/therapeutic use ; China ; France ; History, 20th Century ; History, 21st Century ; Humans ; Leukemia, Promyelocytic, Acute/drug therapy ; Oxides/therapeutic use ; Tretinoin/therapeutic use
    Chemical Substances Arsenicals ; Oxides ; Tretinoin (5688UTC01R) ; arsenic trioxide (S7V92P67HO)
    Language English
    Publishing date 2017--09
    Publishing country United States
    Document type Autobiography ; Historical Article ; Journal Article ; Portraits
    ZDB-ID 187009-9
    ISSN 1097-4172 ; 0092-8674
    ISSN (online) 1097-4172
    ISSN 0092-8674
    DOI 10.1016/j.cell.2017.01.029
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Mutation associations in RA-defiant APL.

    Chen, Sai-Juan

    Blood

    2012  Volume 120, Issue 10, Page(s) 1969–1970

    MeSH term(s) Antineoplastic Agents/administration & dosage ; Chromosome Aberrations ; Humans ; Leukemia, Promyelocytic, Acute/genetics ; Oncogene Proteins, Fusion/genetics ; Tretinoin/administration & dosage ; fms-Like Tyrosine Kinase 3/genetics
    Chemical Substances Antineoplastic Agents ; Oncogene Proteins, Fusion ; promyelocytic leukemia-retinoic acid receptor alpha fusion oncoprotein ; Tretinoin (5688UTC01R) ; FLT3 protein, human (EC 2.7.10.1) ; fms-Like Tyrosine Kinase 3 (EC 2.7.10.1)
    Language English
    Publishing date 2012-09-06
    Publishing country United States
    Document type Journal Article ; Comment
    ZDB-ID 80069-7
    ISSN 1528-0020 ; 0006-4971
    ISSN (online) 1528-0020
    ISSN 0006-4971
    DOI 10.1182/blood-2012-07-441303
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Treating leukemia: differentiation therapy for mIDH2 AML.

    Sun, Xiao-Jian / Chen, Sai-Juan / Chen, Zhu

    Cell research

    2019  Volume 29, Issue 6, Page(s) 427–428

    MeSH term(s) Humans ; Leukemia, Myeloid, Acute
    Language English
    Publishing date 2019-05-13
    Publishing country England
    Document type Journal Article ; Comment
    ZDB-ID 1319303-x
    ISSN 1748-7838 ; 1001-0602
    ISSN (online) 1748-7838
    ISSN 1001-0602
    DOI 10.1038/s41422-019-0173-4
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Neutrophil activation and clonal CAR-T re-expansion underpinning cytokine release syndrome during ciltacabtagene autoleucel therapy in multiple myeloma.

    Yang, Shuangshuang / Xu, Jie / Dai, Yuting / Jin, Shiwei / Sun, Yan / Li, Jianfeng / Liu, Chenglin / Ma, Xiaolin / Chen, Zhu / Chen, Lijuan / Hou, Jian / Mi, Jian-Qing / Chen, Sai-Juan

    Nature communications

    2024  Volume 15, Issue 1, Page(s) 360

    Abstract: Cytokine release syndrome (CRS) is the most common complication of chimeric antigen receptor redirected T cells (CAR-T) therapy. CAR-T toxicity management has been greatly improved, but CRS remains a prime safety concern. Here we follow serum cytokine ... ...

    Abstract Cytokine release syndrome (CRS) is the most common complication of chimeric antigen receptor redirected T cells (CAR-T) therapy. CAR-T toxicity management has been greatly improved, but CRS remains a prime safety concern. Here we follow serum cytokine levels and circulating immune cell transcriptomes longitudinally in 26 relapsed/refractory multiple myeloma patients receiving the CAR-T product, ciltacabtagene autoleucel, to understand the immunological kinetics of CRS. We find that although T lymphocytes and monocytes/macrophages are the major overall cytokine source in manifest CRS, neutrophil activation peaks earlier, before the onset of severe symptoms. Intracellularly, signaling activation dominated by JAK/STAT pathway occurred prior to cytokine cascade and displayed regular kinetic changes. CRS severity is accurately described and potentially predicted by temporal cytokine secretion signatures. Notably, CAR-T re-expansion is found in three patients, including a fatal case characterized by somatic TET2-mutation, clonal expanded cytotoxic CAR-T, broadened cytokine profiles and irreversible hepatic toxicity. Together, our findings show that a latent phase with distinct immunological changes precedes manifest CRS, providing an optimal window and potential targets for CRS therapeutic intervention and that CAR-T re-expansion warrants close clinical attention and laboratory investigation to mitigate the lethal risk.
    MeSH term(s) Humans ; Cytokine Release Syndrome ; Multiple Myeloma/genetics ; Multiple Myeloma/therapy ; Neutrophil Activation ; Receptors, Chimeric Antigen/genetics ; Janus Kinases ; STAT Transcription Factors ; Signal Transduction ; Cytokines
    Chemical Substances Receptors, Chimeric Antigen ; Janus Kinases (EC 2.7.10.2) ; STAT Transcription Factors ; Cytokines
    Language English
    Publishing date 2024-01-08
    Publishing country England
    Document type Journal Article
    ZDB-ID 2553671-0
    ISSN 2041-1723 ; 2041-1723
    ISSN (online) 2041-1723
    ISSN 2041-1723
    DOI 10.1038/s41467-023-44648-3
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Long-term remission and survival in patients with relapsed or refractory multiple myeloma after treatment with LCAR-B38M CAR T cells: 5-year follow-up of the LEGEND-2 trial.

    Xu, Jie / Wang, Bai-Yan / Yu, Shan-He / Chen, Shi-Jun / Yang, Shuang-Shuang / Liu, Rui / Chen, Li-Juan / Hou, Jian / Chen, Zhu / Zhao, Wan-Hong / He, Ai-Li / Mi, Jian-Qing / Chen, Sai-Juan

    Journal of hematology & oncology

    2024  Volume 17, Issue 1, Page(s) 23

    Abstract: Background: The autologous anti-B-cell maturation antigen (BCMA) chimeric antigen receptor (CAR) T-cell therapy LCAR-B38M has been approved for the treatment of relapsed and refractory multiple myeloma in many countries across the world under the name ... ...

    Abstract Background: The autologous anti-B-cell maturation antigen (BCMA) chimeric antigen receptor (CAR) T-cell therapy LCAR-B38M has been approved for the treatment of relapsed and refractory multiple myeloma in many countries across the world under the name ciltacabtagene autoleucel. LEGEND-2 was the first-in-human trial of LCAR-B38M and yielded deep and durable therapeutic responses. Here, we reported the outcomes in LEGEND-2 after a minimal 5-year follow-up.
    Methods: Participants received an average dose of 0.5 × 10
    Results: Seventy-four participants enrolled and had a median follow-up of 65.4 months. The 5-year progression-free survival (PFS) and overall survival (OS) rates were 21.0% and 49.1%, with progressive flattening of the survival curves over time. Patients with complete response (CR) had longer PFS and OS, with 5-year rates of 28.4% and 65.7%, respectively. Twelve patients (16.2%) remained relapse-free irrespective of baseline high-risk cytogenetic abnormality and all had normal humoral immunity reconstituted. An ongoing CR closely correlated with several prognostic baseline indices including favorable performance status, immunoglobulin G subtype, and absence of extramedullary disease, as well as a combination cyclophosphamide and fludarabine preconditioning strategy. Sixty-two (83.8%) suffered progressive disease (PD) and/or death; however, 61.1% of PD patients could well respond to subsequent therapies, among which, the proteasome inhibitor-based regimens benefited the most. Concerning the safety, hematologic and hepatic function recovery were not significantly different between non-PD and PD/Death groups. A low rate of second primary malignancy (5.4%) and no severe virus infection were observed. The patients who tested positive for COVID-19 merely presented self-limiting symptoms. In addition, a sustainable CAR T population of one case with persistent remission was delineated, which was enriched with indolently proliferative and lowly cytotoxic CD4/CD8 double-negative functional T lymphocytes.
    Conclusions: These data, representing the longest follow-up of BCMA-redirected CAR T-cell therapy to date, demonstrate long-term remission and survival with LCAR-B38M for advanced myeloma.
    Trial registration: LEGEND-2 was registered under the trial numbers NCT03090659, ChiCTRONH-17012285.
    MeSH term(s) Adult ; Aged ; Female ; Humans ; Male ; Middle Aged ; B-Cell Maturation Antigen/immunology ; Follow-Up Studies ; Immunotherapy, Adoptive/methods ; Immunotherapy, Adoptive/adverse effects ; Multiple Myeloma/therapy ; Multiple Myeloma/mortality ; Receptors, Chimeric Antigen/therapeutic use ; Receptors, Chimeric Antigen/immunology ; Remission Induction ; Survival Rate
    Chemical Substances B-Cell Maturation Antigen ; Receptors, Chimeric Antigen ; TNFRSF17 protein, human
    Language English
    Publishing date 2024-04-24
    Publishing country England
    Document type Clinical Trial ; Journal Article ; Multicenter Study ; Research Support, Non-U.S. Gov't
    ZDB-ID 2429631-4
    ISSN 1756-8722 ; 1756-8722
    ISSN (online) 1756-8722
    ISSN 1756-8722
    DOI 10.1186/s13045-024-01530-z
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: National Research Center for Translational Medicine · Shanghai-National Key Scientific Infrastructure for Translational Medicine.

    Wen, Chao-Jun / Chen, Sai-Juan

    Science China. Life sciences

    2016  Volume 59, Issue 10, Page(s) 1051–1054

    MeSH term(s) China ; Hospitals/standards ; Hospitals/trends ; Humans ; Models, Organizational ; Organizational Innovation ; Organizational Objectives ; Patient Care/standards ; Patient Care/trends ; Public Health/standards ; Public Health/trends ; Research Personnel/standards ; Research Personnel/trends ; Translational Medical Research/organization & administration ; Translational Medical Research/standards ; Translational Medical Research/trends ; Universities/standards ; Universities/trends
    Language English
    Publishing date 2016-10
    Publishing country China
    Document type News
    ISSN 1869-1889
    ISSN (online) 1869-1889
    DOI 10.1007/s11427-016-5099-1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Author Correction: Engineering-enhanced CAR T cells for improved cancer therapy.

    Milone, Michael C / Xu, Jie / Chen, Sai-Juan / Collins, McKensie A / Zhou, Jianfeng / Powell, Daniel J / Melenhorst, J Joseph

    Nature cancer

    2022  Volume 2, Issue 10, Page(s) 1113

    Language English
    Publishing date 2022-01-28
    Publishing country England
    Document type Journal Article ; Published Erratum
    ISSN 2662-1347
    ISSN (online) 2662-1347
    DOI 10.1038/s43018-021-00277-7
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Positron emission tomography-adapted therapy in low-risk diffuse large B-cell lymphoma: results of a randomized, phase III, non-inferiority trial.

    Shi, Qing / He, Yang / Yi, Hong-Mei / Mu, Rong-Ji / Jiang, Xu-Feng / Fu, Di / Dong, Lei / Qin, Wei / Xu, Peng-Peng / Cheng, Shu / Song, Qi / Chen, Sai-Juan / Wang, Li / Zhao, Wei-Li

    Cancer communications (London, England)

    2023  Volume 43, Issue 8, Page(s) 896–908

    Abstract: Background: The current standard of care for non-bulky diffuse large B-cell lymphoma (DLBCL) patients with an International Prognostic Index (IPI) of 0 is four cycles of rituximab plus cyclophosphamide, doxorubicin, vincristine and prednisone (R-CHOP) ... ...

    Abstract Background: The current standard of care for non-bulky diffuse large B-cell lymphoma (DLBCL) patients with an International Prognostic Index (IPI) of 0 is four cycles of rituximab plus cyclophosphamide, doxorubicin, vincristine and prednisone (R-CHOP) but whether the same efficacy can be achieved with reduced chemotherapy regimen of four cycles for non-bulky DLBCL patients with an IPI of 1 remains unclear. This study compared four cycles versus six cycles of chemotherapy in non-bulky low-risk DLBCL patients with negative interim positron emission tomography with computed tomography (PET-CT, Deauville 1-3), irrespective of age and other IPI risk factors (IPI 0-1).
    Methods: This was an open-label, randomized, phase III, non-inferiority trial. Patients aged 14-75 years with newly diagnosed low-risk DLBCL, according to IPI, achieving PET-CT confirmed complete response (CR) after four cycles of R-CHOP were randomized (1:1) between four cycles of rituximab (4R-CHOP+4R arm) or two cycles of R-CHOP plus two cycles of rituximab (6R-CHOP+2R arm). The primary endpoint was 2-year progression-free survival (PFS), conducted in the intention-to-treat population. Safety was assessed in patients with at least one cycle of assigned treatment. The non-inferiority margin was -8%.
    Results: A total of 287 patients were included in the intention-to-treat analysis, the median follow-up was 47.3 months, and the 2-year PFS rate was 95% (95% confidence interval [CI], 92% to 99%) and 94% (95% CI, 91% to 98%) for the 4R-CHOP+4R and 6R-CHOP+2R arm. The absolute difference in 2-year PFS between the two arms was 1% (95% CI, -5% to 7%), supporting the non-inferiority of 4R-CHOP+4R. Grade 3-4 neutropenia was lower in the last four cycles of rituximab alone in the 4R-CHOP+4R arm (16.7% versus 76.9%), with decreased risk of febrile neutropenia (0.0% versus 8.4%) and infection (2.1% versus 14.0%).
    Conclusions: For newly diagnosed low-risk DLBCL patients, interim PET-CT after four cycles of R-CHOP was effective in identifying patients with Deauville 1-3 who would have a good response and Deauville 4-5 patients who might have high-risk biological features or develop resistance. Reducing the standard six cycles to four cycles of chemotherapy had comparable clinical efficacy and fewer adverse events in low-risk, non-bulky DLBCL with interim PET-CT confirmed CR.
    MeSH term(s) Humans ; Rituximab ; Positron Emission Tomography Computed Tomography ; Antibodies, Monoclonal, Murine-Derived/therapeutic use ; Disease-Free Survival ; Lymphoma, Large B-Cell, Diffuse/diagnostic imaging ; Lymphoma, Large B-Cell, Diffuse/drug therapy ; Vincristine/adverse effects ; Cyclophosphamide/adverse effects ; Doxorubicin/adverse effects ; Prednisone/adverse effects ; Positron-Emission Tomography/methods ; Antineoplastic Combined Chemotherapy Protocols/therapeutic use
    Chemical Substances Rituximab (4F4X42SYQ6) ; Antibodies, Monoclonal, Murine-Derived ; Vincristine (5J49Q6B70F) ; Cyclophosphamide (8N3DW7272P) ; Doxorubicin (80168379AG) ; Prednisone (VB0R961HZT)
    Language English
    Publishing date 2023-07-04
    Publishing country United States
    Document type Randomized Controlled Trial ; Journal Article ; Research Support, Non-U.S. Gov't
    ISSN 2523-3548
    ISSN (online) 2523-3548
    DOI 10.1002/cac2.12462
    Database MEDical Literature Analysis and Retrieval System OnLINE

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