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2024 [18f]fdg pet/ct large b-cell lymphoma car t-cell therapy refractory b-cell lymphomas month download article/chapter advanced b-cell malignancies chimeric antigen receptor car-hematotox risk-stratifies patients refractory mantle-cell lymphoma t-cell therapy michael von bergwelt-baildon pre-infusion tumor burden von bergwelt-baildon ms tumor growth rate eastern cooperative oncology survival pet/ct anti-pd-1/pd-l1 full article pdf related subjects pre-bl tgr [abs] immune effector cell cytokine release syndrome cell therapy pre-infusion tgr neelapu ss total tumor burden astct consensus criteria tumour growth rates privacy choices/manage cookies anti-cd19 car cancer patients treated marion subklewe & wolfgang clin cancer res translational cancer immunology santomasso bd international prognostic index article annals recently approved car lymphoma prognostic factors pre-bl tgr [%] article winkelmann anti-pd-1 antibodies lmu ethics committee ecog performance status check access instant access tertiary care center holds exclusive rights european economic area astct consensus grading

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         headline:Predictive value of pre-infusion tumor growth rate for the occurrence and severity of CRS and ICANS in lymphoma under CAR T-cell therapy
         description:Chimeric antigen receptor T-cell therapy (CART) can be administered outpatient yet requires management of potential side effects such as cytokine release syndrome (CRS) and immune effector cell-associated neurotoxicity syndrome (ICANS). The pre-infusion tumor burden is associated with CRS, yet there is no data on the relevance of pre-infusion tumor growth rate (TGR). Our objective was to investigate TGR for the occurrence and severity of CRS and ICANS. Consecutive patients with available pre-baseline and baseline (BL) imaging before CART were included. TGR was determined as both absolute (abs) and percentage change (%) of Lugano criteria-based tumor burden in relation to days between exams. CRS and ICANS were graded according to ASTCT consensus criteria. Clinical metadata was collected including the international prognostic index (IPI), patient age, ECOG performance status, and LDH. Sixty-two patients were included (median age: 62 years, 40% female). The median pre-BL TGR [abs] and pre-BL TGR [%] was 7.5 mm2/d and 30.9%/d. Pre-BL TGR [abs] and pre-BL TGR [%] displayed a very weak positive correlation with the grade of CRS (r[abs] = 0.14 and r[%] = 0.13) and no correlation with ICANS (r[abs] =  − 0.06 and r[%] =  − 0.07). There was a weak positive correlation between grade of CRS and grade of ICANS (r = 0.35; p = 0.005) whereas there was no significant correlation of CRS or ICANS to any other of the examined parameters. The pre-infusion TGR before CART was weakly associated with the occurrence of CRS, but not the severity, whereas there were no significant differences in the prediction of ICANS. There was no added information when compared to pre-infusion tumor burden alone. Outpatient planning and toxicity management should not be influenced by the pre-infusion TGR.
         datePublished:2023-10-20T00:00:00Z
         dateModified:2023-10-20T00:00:00Z
         pageStart:259
         pageEnd:268
         sameAs:https://doi.org/10.1007/s00277-023-05507-9
         keywords:
            Lymphoma
            Immunotherapy, Adoptive
            Receptors, Chimeric antigen
             18F-FDG PET/CT
            Lugano criteria
            Tumor growth rate
            Hematology
            Oncology
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                        name:Department of Medicine III, University Hospital, LMU Munich, Munich, Germany
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      headline:Predictive value of pre-infusion tumor growth rate for the occurrence and severity of CRS and ICANS in lymphoma under CAR T-cell therapy
      description:Chimeric antigen receptor T-cell therapy (CART) can be administered outpatient yet requires management of potential side effects such as cytokine release syndrome (CRS) and immune effector cell-associated neurotoxicity syndrome (ICANS). The pre-infusion tumor burden is associated with CRS, yet there is no data on the relevance of pre-infusion tumor growth rate (TGR). Our objective was to investigate TGR for the occurrence and severity of CRS and ICANS. Consecutive patients with available pre-baseline and baseline (BL) imaging before CART were included. TGR was determined as both absolute (abs) and percentage change (%) of Lugano criteria-based tumor burden in relation to days between exams. CRS and ICANS were graded according to ASTCT consensus criteria. Clinical metadata was collected including the international prognostic index (IPI), patient age, ECOG performance status, and LDH. Sixty-two patients were included (median age: 62 years, 40% female). The median pre-BL TGR [abs] and pre-BL TGR [%] was 7.5 mm2/d and 30.9%/d. Pre-BL TGR [abs] and pre-BL TGR [%] displayed a very weak positive correlation with the grade of CRS (r[abs] = 0.14 and r[%] = 0.13) and no correlation with ICANS (r[abs] =  − 0.06 and r[%] =  − 0.07). There was a weak positive correlation between grade of CRS and grade of ICANS (r = 0.35; p = 0.005) whereas there was no significant correlation of CRS or ICANS to any other of the examined parameters. The pre-infusion TGR before CART was weakly associated with the occurrence of CRS, but not the severity, whereas there were no significant differences in the prediction of ICANS. There was no added information when compared to pre-infusion tumor burden alone. Outpatient planning and toxicity management should not be influenced by the pre-infusion TGR.
      datePublished:2023-10-20T00:00:00Z
      dateModified:2023-10-20T00:00:00Z
      pageStart:259
      pageEnd:268
      sameAs:https://doi.org/10.1007/s00277-023-05507-9
      keywords:
         Lymphoma
         Immunotherapy, Adoptive
         Receptors, Chimeric antigen
          18F-FDG PET/CT
         Lugano criteria
         Tumor growth rate
         Hematology
         Oncology
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         name:Springer Berlin Heidelberg
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      author:
            name:Michael Winkelmann
            affiliation:
                  name:University Hospital, LMU Munich
                  address:
                     name:Department of Radiology, University Hospital, LMU Munich, Munich, Germany
                     type:PostalAddress
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            name:Viktoria Blumenberg
            affiliation:
                  name:Gene Center of the LMU Munich
                  address:
                     name:Laboratory for Translational Cancer Immunology, Gene Center of the LMU Munich, Munich, Germany
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                  name:German Cancer Consortium (DKTK) and Bavarian Center for Cancer Research (BZKF)
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            name:Franziska J. Dekorsy
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                  address:
                     name:Department of Nuclear Medicine, University Hospital, LMU Munich, Munich, Germany
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            name:Peter Bartenstein
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                     name:Department of Nuclear Medicine, University Hospital, LMU Munich, Munich, Germany
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                  name:Comprehensive Cancer Center München-LMU (CCCM LMU), LMU Munich
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            name:Jens Ricke
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                     name:Department of Radiology, University Hospital, LMU Munich, Munich, Germany
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                     name:Comprehensive Cancer Center München-LMU (CCCM LMU), LMU Munich, Munich, Germany
                     type:PostalAddress
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            name:Michael von Bergwelt-Baildon
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                  name:German Cancer Consortium (DKTK) and Bavarian Center for Cancer Research (BZKF)
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                     name:German Cancer Consortium (DKTK) and Bavarian Center for Cancer Research (BZKF), Munich, Germany
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                  name:University Hospital, LMU Munich
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                     name:Comprehensive Cancer Center München-LMU (CCCM LMU), LMU Munich, Munich, Germany
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            name:Marion Subklewe
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                  name:Gene Center of the LMU Munich
                  address:
                     name:Laboratory for Translational Cancer Immunology, Gene Center of the LMU Munich, Munich, Germany
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                  name:German Cancer Consortium (DKTK) and Bavarian Center for Cancer Research (BZKF)
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                     name:German Cancer Consortium (DKTK) and Bavarian Center for Cancer Research (BZKF), Munich, Germany
                     type:PostalAddress
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                  name:University Hospital, LMU Munich
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                     name:Department of Medicine III, University Hospital, LMU Munich, Munich, Germany
                     type:PostalAddress
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                  name:Comprehensive Cancer Center München-LMU (CCCM LMU), LMU Munich
                  address:
                     name:Comprehensive Cancer Center München-LMU (CCCM LMU), LMU Munich, Munich, Germany
                     type:PostalAddress
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            name:Wolfgang G. Kunz
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                  name:University Hospital, LMU Munich
                  address:
                     name:Department of Radiology, University Hospital, LMU Munich, Munich, Germany
                     type:PostalAddress
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                  name:German Cancer Consortium (DKTK) and Bavarian Center for Cancer Research (BZKF)
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                     name:Comprehensive Cancer Center München-LMU (CCCM LMU), LMU Munich, Munich, Germany
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