PMID- 32808566 OWN - NLM STAT- MEDLINE DCOM- 20211129 LR - 20211129 IS - 1750-7448 (Electronic) IS - 1750-743X (Linking) VI - 12 IP - 14 DP - 2020 Oct TI - Neurological adverse events following CAR T-cell therapy: a real-world analysis. PG - 1077-1082 LID - 10.2217/imt-2020-0161 [doi] AB - Aim: To characterize real-world neurological adverse events (AEs) associated with chimeric antigen receptor T-cell therapies in patients with refractory/relapsed large B-cell lymphomas. Materials & methods: Postmarketing case reports from the US FDA AEs reporting system involving axicabtagene ciloleucel (axi-cel) and tisagenlecleucel (tisa-cel) for large B-cell lymphomas were analyzed. Results: Of 804 AE cases identified (637 axi-cel, 167 tisa-cel), 428 (67%) of axi-cel cases and 43 (26%) of tisa-cel cases reported neurological AEs. Compared with cases without neurological AEs, significant associations were observed between neurological AEs and use of axi-cel, age >/=65 years, and the outcome of hospitalization. Conclusion: Neurological AEs were common with chimeric antigen receptor T-cell therapy in the real world and largely reflected those reported in clinical trials. FAU - Gajra, Ajeet AU - Gajra A AUID- ORCID: 0000-0002-5929-0466 AD - Cardinal Health Specialty Solutions, Cardinal Health, Dublin, OH 43017, USA. FAU - Zettler, Marjorie E AU - Zettler ME AD - Cardinal Health Specialty Solutions, Cardinal Health, Dublin, OH 43017, USA. FAU - Phillips, Eli G Jr AU - Phillips EG Jr AD - Cardinal Health Specialty Solutions, Cardinal Health, Dublin, OH 43017, USA. FAU - Klink, Andrew J AU - Klink AJ AD - Cardinal Health Specialty Solutions, Cardinal Health, Dublin, OH 43017, USA. FAU - Jonathan K Kish AU - Jonathan K Kish AD - Cardinal Health Specialty Solutions, Cardinal Health, Dublin, OH 43017, USA. FAU - Fortier, Stephanie AU - Fortier S AD - Cardinal Health Specialty Solutions, Cardinal Health, Dublin, OH 43017, USA. FAU - Mehta, Sonam AU - Mehta S AD - Cardinal Health Specialty Solutions, Cardinal Health, Dublin, OH 43017, USA. FAU - Feinberg, Bruce A AU - Feinberg BA AD - Cardinal Health Specialty Solutions, Cardinal Health, Dublin, OH 43017, USA. LA - eng PT - Journal Article DEP - 20200818 PL - England TA - Immunotherapy JT - Immunotherapy JID - 101485158 RN - 0 (Antineoplastic Agents, Immunological) RN - 0 (Biological Products) RN - 0 (Receptors, Antigen, T-Cell) RN - 0 (Receptors, Chimeric Antigen) RN - Q6C9WHR03O (tisagenlecleucel) RN - U2I8T43Y7R (axicabtagene ciloleucel) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Antineoplastic Agents, Immunological/*adverse effects/therapeutic use MH - Biological Products/*adverse effects/therapeutic use MH - Female MH - Humans MH - Lymphoma, Large B-Cell, Diffuse/*drug therapy/immunology MH - Male MH - Middle Aged MH - Nervous System Diseases/*chemically induced MH - Receptors, Antigen, T-Cell/*therapeutic use MH - Receptors, Chimeric Antigen/*therapeutic use MH - T-Lymphocytes/drug effects MH - Treatment Outcome MH - Young Adult OTO - NOTNLM OT - CAR T-cell therapy OT - adverse events OT - neurotoxicity EDAT- 2020/08/19 06:00 MHDA- 2021/11/30 06:00 CRDT- 2020/08/19 06:00 PHST- 2020/08/19 06:00 [pubmed] PHST- 2021/11/30 06:00 [medline] PHST- 2020/08/19 06:00 [entrez] AID - 10.2217/imt-2020-0161 [doi] PST - ppublish SO - Immunotherapy. 2020 Oct;12(14):1077-1082. doi: 10.2217/imt-2020-0161. Epub 2020 Aug 18.