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  1. Article ; Online: Reducing and controlling metabolic active tumor volume prior to CAR T-cell infusion can improve survival outcomes in patients with large B-cell lymphoma.

    Keijzer, Kylie / de Boer, Janneke W / van Doesum, Jaap A / Noordzij, Walter / Huls, Gerwin A / van Dijk, Lisanne V / van Meerten, Tom / Niezink, Anne G H

    Blood cancer journal

    2024  Volume 14, Issue 1, Page(s) 41

    Abstract: Bridging therapy before CD19-directed chimeric antigen receptor (CAR) T-cell infusion is frequently applied in patients with relapsed or refractory Large B-cell lymphoma (r/r LBCL). This study aimed to assess the influence of quantified MATV and MATV- ... ...

    Abstract Bridging therapy before CD19-directed chimeric antigen receptor (CAR) T-cell infusion is frequently applied in patients with relapsed or refractory Large B-cell lymphoma (r/r LBCL). This study aimed to assess the influence of quantified MATV and MATV-dynamics, between pre-apheresis (baseline) and pre-lymphodepleting chemotherapy (pre-LD) MATV, on CAR T-cell outcomes and toxicities in patients with r/r LBCL. MATVs were calculated semi-automatically at baseline (n = 74) and pre-LD (n = 68) in patients with r/r LBCL who received axicabtagene ciloleucel. At baseline, patients with a low MATV (< 190 cc) had a better time to progression (TTP) and overall survival (OS) compared to high MATV patients (p < 0.001). High MATV patients who remained stable or reduced upon bridging therapy showed a significant improvement in TTP (p = 0.041) and OS (p = 0.015), compared to patients with a high pre-LD MATV (> 480 cc). Furthermore, high MATV baseline was associated with severe cytokine release syndrome (CRS, p = 0.001). In conclusion, patients with low baseline MATV had the best TTP/OS and effective reduction or controlling MATV during bridging improved survival outcomes in patients with a high baseline MATV, providing rationale for the use of more aggressive bridging regimens.
    MeSH term(s) Humans ; Tumor Burden ; Lymphoma, Large B-Cell, Diffuse/therapy ; Adaptor Proteins, Signal Transducing ; Antigens, CD19 ; T-Lymphocytes
    Chemical Substances Adaptor Proteins, Signal Transducing ; Antigens, CD19
    Language English
    Publishing date 2024-03-07
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2600560-8
    ISSN 2044-5385 ; 2044-5385
    ISSN (online) 2044-5385
    ISSN 2044-5385
    DOI 10.1038/s41408-024-01022-w
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: High frequency of hyperglycaemia observed during CAR T-cell treatment.

    Tienstra, Marieke / de Boer, Janneke W / van Doesum, Jaap A / van Meerten, Tom / van Dijk, Peter R

    Diabetic medicine : a journal of the British Diabetic Association

    2022  Volume 40, Issue 2, Page(s) e14969

    MeSH term(s) Humans ; Hyperglycemia/epidemiology ; T-Lymphocytes
    Language English
    Publishing date 2022-10-17
    Publishing country England
    Document type Letter ; Research Support, Non-U.S. Gov't
    ZDB-ID 605769-x
    ISSN 1464-5491 ; 0742-3071 ; 1466-5468
    ISSN (online) 1464-5491
    ISSN 0742-3071 ; 1466-5468
    DOI 10.1111/dme.14969
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Semi-automated

    Keijzer, Kylie / Niezink, Anne G H / de Boer, Janneke W / van Doesum, Jaap A / Noordzij, Walter / van Meerten, Tom / van Dijk, Lisanne V

    Computational and structural biotechnology journal

    2023  Volume 21, Page(s) 1102–1114

    Abstract: In the treatment of Non-Hodgkin lymphoma (NHL), multiple therapeutic options are available. Improving outcome predictions are essential to optimize treatment. The metabolic active tumor volume (MATV) has shown to be a prognostic factor in NHL. It is ... ...

    Abstract In the treatment of Non-Hodgkin lymphoma (NHL), multiple therapeutic options are available. Improving outcome predictions are essential to optimize treatment. The metabolic active tumor volume (MATV) has shown to be a prognostic factor in NHL. It is usually retrieved using semi-automated thresholding methods based on standardized uptake values (SUV), calculated from
    Language English
    Publishing date 2023-01-20
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 2694435-2
    ISSN 2001-0370
    ISSN 2001-0370
    DOI 10.1016/j.csbj.2023.01.023
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Population-Based External Validation of the EASIX Scores to Predict CAR T-Cell-Related Toxicities.

    de Boer, Janneke W / Keijzer, Kylie / Pennings, Elise R A / van Doesum, Jaap A / Spanjaart, Anne M / Jak, Margot / Mutsaers, Pim G N J / van Dorp, Suzanne / Vermaat, Joost S P / van der Poel, Marjolein W M / van Dijk, Lisanne V / Kersten, Marie José / Niezink, Anne G H / van Meerten, Tom

    Cancers

    2023  Volume 15, Issue 22

    Abstract: Cytokine release syndrome (CRS) and immune effector cell-associated neurotoxicity syndrome (ICANS) can hamper the clinical benefit of CAR T-cell therapy in patients with relapsed/refractory large B-cell lymphoma (r/r LBCL). To assess the risk of CRS and ... ...

    Abstract Cytokine release syndrome (CRS) and immune effector cell-associated neurotoxicity syndrome (ICANS) can hamper the clinical benefit of CAR T-cell therapy in patients with relapsed/refractory large B-cell lymphoma (r/r LBCL). To assess the risk of CRS and ICANS, the endothelial activation and stress index (EASIX), the modified EASIX (m-EASIX), simplified EASIX (s-EASIX), and EASIX with CRP/ferritin (EASIX-F(C)) were proposed. This study validates these scores in a consecutive population-based cohort. Patients with r/r LBCL treated with axicabtagene ciloleucel were included (
    Language English
    Publishing date 2023-11-16
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2527080-1
    ISSN 2072-6694
    ISSN 2072-6694
    DOI 10.3390/cancers15225443
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Inflammatory reactions mimic residual or recurrent lymphoma on [18F]FDG-PET/CT after CD19-directed CAR T-cell therapy.

    de Boer, Janneke W / Pennings, Elise R A / Kleinjan, Ankie / van Doesum, Jaap A / Spanjaart, Anne M / Mutsaers, Pim G N J / Jak, Margot / van der Poel, Marjolein W M / Kuipers, Maria T / Adam, Judit A / Diepstra, Arjan / Koens, Lianne / van Dorp, Suzanne / Vermaat, Joost S P / Niezink, Anne G H / Kersten, Marie José / van Meerten, Tom

    Blood advances

    2023  Volume 7, Issue 21, Page(s) 6710–6716

    MeSH term(s) Humans ; Fluorodeoxyglucose F18 ; Positron Emission Tomography Computed Tomography ; Immunotherapy, Adoptive ; Neoplasm Recurrence, Local/diagnostic imaging ; Lymphoma/therapy ; Antigens, CD19
    Chemical Substances Fluorodeoxyglucose F18 (0Z5B2CJX4D) ; Antigens, CD19
    Language English
    Publishing date 2023-08-28
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2915908-8
    ISSN 2473-9537 ; 2473-9529
    ISSN (online) 2473-9537
    ISSN 2473-9529
    DOI 10.1182/bloodadvances.2023010665
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: The Dutch CAR-T Tumorboard Experience: Population-Based Real-World Data on Patients with Relapsed or Refractory Large B-Cell Lymphoma Referred for CD19-Directed CAR T-Cell Therapy in The Netherlands.

    Spanjaart, Anne M / Pennings, Elise R A / Mutsaers, Pim G N J / van Dorp, Suzanne / Jak, Margot / van Doesum, Jaap A / de Boer, Janneke W / Niezink, Anne G H / Kos, Milan / Vermaat, Joost S P / Sijs-Szabo, Aniko / van der Poel, Marjolein W M / Nijhof, Inger S / Kuipers, Maria T / Chamuleau, Martine E D / Lugtenburg, Pieternella J / Doorduijn, Jeanette K / Serroukh, Yasmina I M / Minnema, Monique C /
    van Meerten, Tom / Kersten, Marie José

    Cancers

    2023  Volume 15, Issue 17

    Abstract: The real-world results of chimeric antigen receptor T-cell (CAR-T) therapy for patients with relapsed/refractory (R/R) large B-cell lymphoma (LBCL) substantially differ across countries. In the Netherlands, the CAR-T tumorboard facilitates a unique ... ...

    Abstract The real-world results of chimeric antigen receptor T-cell (CAR-T) therapy for patients with relapsed/refractory (R/R) large B-cell lymphoma (LBCL) substantially differ across countries. In the Netherlands, the CAR-T tumorboard facilitates a unique nationwide infrastructure for referral, eligibility assessment and data collection. The aim of this study was to evaluate real-world outcomes of axicabtagene ciloleucel (axi-cel) in the Dutch population, including the thus-far underreported effects on health-related quality of life (HR-QoL). All patients with R/R LBCL after ≥2 lines of systemic therapy referred for axi-cel treatment between May 2020-May 2022 were included (N = 250). Of the 160 apheresed patients, 145 patients received an axi-cel infusion. The main reason for ineligibility was rapidly progressive disease. The outcomes are better or at least comparable to other studies (best overall response rate: 84% (complete response: 66%); 12-month progression-free-survival rate and overall survival rate: 48% and 62%, respectively). The 12-month NRM was 5%, mainly caused by infections. Clinically meaningful improvement in several HR-QoL domains was observed from Month 9 onwards. Expert-directed patient selection can support effective and sustainable application of CAR-T treatment. Matched comparisons between cohorts will help to understand the differences in outcomes across countries and select best practices. Despite the favorable results, for a considerable proportion of patients with R/R LBCL there still is an unmet medical need.
    Language English
    Publishing date 2023-08-30
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2527080-1
    ISSN 2072-6694
    ISSN 2072-6694
    DOI 10.3390/cancers15174334
    Database MEDical Literature Analysis and Retrieval System OnLINE

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