SPANJAART, Anne Mea, Per LJUNGMAN, Gloria TRIDELLO, Juana SCHWARTZ, Nuria MARTINEZ-CIBRIAN, Pere BARBA, Mi KWON, Lucia LOPEZ-CORRAL, Joaquin MARTINEZ-LOPEZ, Christelle FERRA, Di Blasi ROBERTA, Herve GHESQUIERES, Pim MUTSAERS, Friso CALKOEN, Margot JAK, van Doesum JAAP, Joost S P VERMAAT, van der Poel MARJOLEIN, Johan MAERTENS, Massimiliano GAMBELLA, Elisabetta METAFUNI, Fabio CICERI, Riccardo SACCARDI, Emma NICHOLSON, Eleni THOLOULI, Collin MATTHEW, Victoria POTTER, Adrian BLOOR, Caroline BESLEY, Claire RODDIE, Keith WILSON, Arnon NAGLER, Antonio CAMPOS, Soeren Lykke PETERSEN, František FOLBER, Peter BADER, Jurgen FINKE, Nicolaus KROGER, Nina KNELANGE, de la Camara RAFAEL, Marie Jose KERSTEN and Stephan MIELKE. Improved outcome of COVID-19 over time in patients treated with CAR T-cell therapy: Update of the European COVID-19 multicenter study on behalf of the European Society for Blood and Marrow Transplantation (EBMT) Infectious Diseases Working Party (IDWP) and the European Hematology Association (EHA) Lymphoma Group. Leukemia. London: SPRINGERNATURE, 2024, p. 1-7. ISSN 0887-6924. Available from: https://dx.doi.org/10.1038/s41375-024-02336-1.
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Original name Improved outcome of COVID-19 over time in patients treated with CAR T-cell therapy: Update of the European COVID-19 multicenter study on behalf of the European Society for Blood and Marrow Transplantation (EBMT) Infectious Diseases Working Party (IDWP) and the European Hematology Association (EHA) Lymphoma Group
Authors SPANJAART, Anne Mea, Per LJUNGMAN, Gloria TRIDELLO, Juana SCHWARTZ, Nuria MARTINEZ-CIBRIAN, Pere BARBA, Mi KWON, Lucia LOPEZ-CORRAL, Joaquin MARTINEZ-LOPEZ, Christelle FERRA, Di Blasi ROBERTA, Herve GHESQUIERES, Pim MUTSAERS, Friso CALKOEN, Margot JAK, van Doesum JAAP, Joost S P VERMAAT, van der Poel MARJOLEIN, Johan MAERTENS, Massimiliano GAMBELLA, Elisabetta METAFUNI, Fabio CICERI, Riccardo SACCARDI, Emma NICHOLSON, Eleni THOLOULI, Collin MATTHEW, Victoria POTTER, Adrian BLOOR, Caroline BESLEY, Claire RODDIE, Keith WILSON, Arnon NAGLER, Antonio CAMPOS, Soeren Lykke PETERSEN, František FOLBER, Peter BADER, Jurgen FINKE, Nicolaus KROGER, Nina KNELANGE, de la Camara RAFAEL, Marie Jose KERSTEN and Stephan MIELKE.
Edition Leukemia, London, SPRINGERNATURE, 2024, 0887-6924.
Other information
Original language English
Type of outcome Article in a journal
Country of publisher United Kingdom of Great Britain and Northern Ireland
Confidentiality degree is not subject to a state or trade secret
WWW URL
Impact factor Impact factor: 11.400 in 2022
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.1038/s41375-024-02336-1
UT WoS 001275219900001
Tags 14110212
Tags International impact, Reviewed
Changed by Changed by: Mgr. Tereza Miškechová, učo 341652. Changed: 5/8/2024 09:12.
Abstract
COVID-19 has been associated with high mortality in patients treated with Chimeric Antigen Receptor (CAR) T-cell therapy for hematologic malignancies. Here, we investigated whether the outcome has improved over time with the primary objective of assessing COVID-19-attributable mortality in the Omicron period of 2022 compared to previous years. Data for this multicenter study were collected using the MED-A and COVID-19 report forms developed by the EBMT. One-hundred-eighty patients were included in the analysis, 39 diagnosed in 2020, 35 in 2021 and 106 in 2022. The median age was 58.9 years (min-max: 5.2-78.4). There was a successive decrease in COVID-19-related mortality over time (2020: 43.6%, 2021: 22.9%, 2022: 7.5%) and in multivariate analysis year of infection was the strongest predictor of survival (p = 0.0001). Comparing 2022 with 2020-2021, significantly fewer patients had lower respiratory symptoms (21.7% vs 37.8%, p = 0.01), needed oxygen support (25.5% vs 43.2%, p = 0.01), or were admitted to ICU (5.7% vs 33.8%, p = 0.0001). Although COVID-19-related mortality has decreased over time, CAR T-cell recipients remain at higher risk for complications than the general population. Consequently, vigilant monitoring for COVID-19 in patients undergoing B-cell-targeting CAR T-cell treatment is continuously recommended ensuring optimal prevention of infection and advanced state-of-the art treatment when needed.
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