虚弱不是失败:CAR-T治疗的LBCL患者的合并症对非复发死亡率和安全性的影响有限。

IF 3.8 2区 医学 Q1 HEMATOLOGY
Eugenio Galli, Roberta Di Blasi, Ilaria Pansini, Caterina Cristinelli, Come Bommier, Ilenia De Bernardis, Alessandro Corrente, Marcello Viscovo, Luca Montini, Patrizia Chiusolo, Stefan Hohaus, Federica Sorà, Catherine Thieblemont, Simona Sica
{"title":"虚弱不是失败:CAR-T治疗的LBCL患者的合并症对非复发死亡率和安全性的影响有限。","authors":"Eugenio Galli,&nbsp;Roberta Di Blasi,&nbsp;Ilaria Pansini,&nbsp;Caterina Cristinelli,&nbsp;Come Bommier,&nbsp;Ilenia De Bernardis,&nbsp;Alessandro Corrente,&nbsp;Marcello Viscovo,&nbsp;Luca Montini,&nbsp;Patrizia Chiusolo,&nbsp;Stefan Hohaus,&nbsp;Federica Sorà,&nbsp;Catherine Thieblemont,&nbsp;Simona Sica","doi":"10.1111/bjh.20222","DOIUrl":null,"url":null,"abstract":"<p>We applied three major comorbidity scoring systems—CIRS, HCT-CI, and Severe4—to a cohort of 379 patients with LBCL treated with CAR-T therapy. A high comorbidity burden was identified in 7% to 34% of patients, depending on the score used. However, a high comorbidity burden did not negatively impact the tolerability of CAR-T treatment, including the incidence of CRS, or hematologic toxicity. The use of tocilizumab and corticosteroids was comparable between patients with low and high comorbidity burden, as was the cumulative incidence of non-relapse mortality.\n <figure>\n <div><picture>\n <source></source></picture><p></p>\n </div>\n </figure></p>","PeriodicalId":135,"journal":{"name":"British Journal of Haematology","volume":"207 2","pages":"642-647"},"PeriodicalIF":3.8000,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/bjh.20222","citationCount":"0","resultStr":"{\"title\":\"Frail is not fail: Limited impact of comorbidities on non-relapse mortality and safety in patients with LBCL treated with CAR-T\",\"authors\":\"Eugenio Galli,&nbsp;Roberta Di Blasi,&nbsp;Ilaria Pansini,&nbsp;Caterina Cristinelli,&nbsp;Come Bommier,&nbsp;Ilenia De Bernardis,&nbsp;Alessandro Corrente,&nbsp;Marcello Viscovo,&nbsp;Luca Montini,&nbsp;Patrizia Chiusolo,&nbsp;Stefan Hohaus,&nbsp;Federica Sorà,&nbsp;Catherine Thieblemont,&nbsp;Simona Sica\",\"doi\":\"10.1111/bjh.20222\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p>We applied three major comorbidity scoring systems—CIRS, HCT-CI, and Severe4—to a cohort of 379 patients with LBCL treated with CAR-T therapy. A high comorbidity burden was identified in 7% to 34% of patients, depending on the score used. However, a high comorbidity burden did not negatively impact the tolerability of CAR-T treatment, including the incidence of CRS, or hematologic toxicity. The use of tocilizumab and corticosteroids was comparable between patients with low and high comorbidity burden, as was the cumulative incidence of non-relapse mortality.\\n <figure>\\n <div><picture>\\n <source></source></picture><p></p>\\n </div>\\n </figure></p>\",\"PeriodicalId\":135,\"journal\":{\"name\":\"British Journal of Haematology\",\"volume\":\"207 2\",\"pages\":\"642-647\"},\"PeriodicalIF\":3.8000,\"publicationDate\":\"2025-06-23\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://onlinelibrary.wiley.com/doi/epdf/10.1111/bjh.20222\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"British Journal of Haematology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1111/bjh.20222\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"HEMATOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"British Journal of Haematology","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/bjh.20222","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"HEMATOLOGY","Score":null,"Total":0}
引用次数: 0

摘要

我们将三种主要的合并症评分系统——cirs、HCT-CI和severe4应用于379名接受CAR-T治疗的LBCL患者。根据使用的评分,在7%至34%的患者中发现了高合并症负担。然而,高合并症负担并未对CAR-T治疗的耐受性产生负面影响,包括CRS的发生率或血液毒性。托珠单抗和皮质类固醇的使用在低和高合并症负担患者之间具有可比性,非复发死亡率的累积发生率也具有可比性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Frail is not fail: Limited impact of comorbidities on non-relapse mortality and safety in patients with LBCL treated with CAR-T

Frail is not fail: Limited impact of comorbidities on non-relapse mortality and safety in patients with LBCL treated with CAR-T

We applied three major comorbidity scoring systems—CIRS, HCT-CI, and Severe4—to a cohort of 379 patients with LBCL treated with CAR-T therapy. A high comorbidity burden was identified in 7% to 34% of patients, depending on the score used. However, a high comorbidity burden did not negatively impact the tolerability of CAR-T treatment, including the incidence of CRS, or hematologic toxicity. The use of tocilizumab and corticosteroids was comparable between patients with low and high comorbidity burden, as was the cumulative incidence of non-relapse mortality.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
CiteScore
8.60
自引率
4.60%
发文量
565
审稿时长
1 months
期刊介绍: The British Journal of Haematology publishes original research papers in clinical, laboratory and experimental haematology. The Journal also features annotations, reviews, short reports, images in haematology and Letters to the Editor.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信