Impact of SARS-CoV-2 vaccination and monoclonal antibodies on outcome post-CD19-directed CAR T-cell therapy: an EPICOVIDEHA survey
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Impact of SARS-CoV-2 vaccination and monoclonal antibodies on outcome post-CD19-directed CAR T-cell therapy: an EPICOVIDEHA survey. / van Doesum, Jaap A; Salmanton-García, Jon; Marchesi, Francesco; Di Blasi, Roberta; Falces-Romero, Iker; Cabirta, Alba; Farina, Francesca; Besson, Caroline; Weinbergerová, Barbora; Van Praet, Jens; Schönlein, Martin; Lopez-Garcia, Alberto; Lamure, Sylvain; Guidetti, Anna; De Ramón-Sánchez, Cristina; Batinic, Josip; Gavriilaki, Eleni; Tragiannidis, Athanasios; Tisi, Maria Chiara; Plantefeve, Gaëtan; Petzer, Verena; Ormazabal-Velez, Irati; Marques de Almeida, Joyce; Marchetti, Monia; Maertens, Johan A; Machado, Marina; Kulasekararaj, Austin G; Hernández-Rivas, José Ángel; Gomes da Silva, Maria; Fernández, Noemí; Espigado, Ildefonso; Drgona, Lubos; Dragonetti, Giulia; Metafuni, Elisabetta; Calbacho, Maria; Blennow, Ola; Wolf, Dominik; van Anrooij, Bjorn; Nunes Rodrigues, Raquel; Nordlander, Anna; Martín-González, Juan-Alberto; Lievin, Raphaël; Jiménez, Moraima; Grafe, Stefanie K; Garcia-Sanz, Ramon; Córdoba, Raúl; Rahimli, Laman; van Meerten, Tom; Cornely, Oliver A; Pagano, Livio.
in: BLOOD ADV, Jahrgang 7, Nr. 11, 13.06.2023, S. 2645-2655.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Impact of SARS-CoV-2 vaccination and monoclonal antibodies on outcome post-CD19-directed CAR T-cell therapy: an EPICOVIDEHA survey
AU - van Doesum, Jaap A
AU - Salmanton-García, Jon
AU - Marchesi, Francesco
AU - Di Blasi, Roberta
AU - Falces-Romero, Iker
AU - Cabirta, Alba
AU - Farina, Francesca
AU - Besson, Caroline
AU - Weinbergerová, Barbora
AU - Van Praet, Jens
AU - Schönlein, Martin
AU - Lopez-Garcia, Alberto
AU - Lamure, Sylvain
AU - Guidetti, Anna
AU - De Ramón-Sánchez, Cristina
AU - Batinic, Josip
AU - Gavriilaki, Eleni
AU - Tragiannidis, Athanasios
AU - Tisi, Maria Chiara
AU - Plantefeve, Gaëtan
AU - Petzer, Verena
AU - Ormazabal-Velez, Irati
AU - Marques de Almeida, Joyce
AU - Marchetti, Monia
AU - Maertens, Johan A
AU - Machado, Marina
AU - Kulasekararaj, Austin G
AU - Hernández-Rivas, José Ángel
AU - Gomes da Silva, Maria
AU - Fernández, Noemí
AU - Espigado, Ildefonso
AU - Drgona, Lubos
AU - Dragonetti, Giulia
AU - Metafuni, Elisabetta
AU - Calbacho, Maria
AU - Blennow, Ola
AU - Wolf, Dominik
AU - van Anrooij, Bjorn
AU - Nunes Rodrigues, Raquel
AU - Nordlander, Anna
AU - Martín-González, Juan-Alberto
AU - Lievin, Raphaël
AU - Jiménez, Moraima
AU - Grafe, Stefanie K
AU - Garcia-Sanz, Ramon
AU - Córdoba, Raúl
AU - Rahimli, Laman
AU - van Meerten, Tom
AU - Cornely, Oliver A
AU - Pagano, Livio
N1 - Copyright © 2023 American Society of Hematology.
PY - 2023/6/13
Y1 - 2023/6/13
N2 - Patients with previous CD19-directed chimeric antigen receptor (CAR) T-cell therapy have a prolonged vulnerability to viral infections. Coronavirus disease 2019 (COVID-19) has a great impact and has previously been shown to cause high mortality in this population. Until now, real-world data on the impact of vaccination and treatment on patients with COVID-19 after CD19-directed CAR T-cell therapy are lacking. Therefore, this multicenter, retrospective study was conducted with data from the EPICOVIDEHA survey. Sixty-four patients were identified. The overall mortality caused by COVID-19 was 31%. Patients infected with the Omicron variant had a significantly lower risk of death due to COVID-19 compared with patients infected with previous variants (7% vs 58% [P = .012]). Twenty-six patients were vaccinated at the time of the COVID-19 diagnosis. Two vaccinations showed a marked but unsignificant reduction in the risk of COVID-19-caused mortality (33.3% vs 14.2% [P = .379]). In addition, the course of the disease appears milder with less frequent intensive care unit admissions (39% vs 14% [P = .054]) and a shorter duration of hospitalization (7 vs 27.5 days [P = .022]). Of the available treatment options, only monoclonal antibodies seemed to be effective at reducing mortality from 32% to 0% (P = .036). We conclude that survival rates of CAR T-cell recipients with COVID-19 improved over time and that the combination of prior vaccination and monoclonal antibody treatment significantly reduces their risk of death. This trial was registered at www.clinicaltrials.gov as #NCT04733729.
AB - Patients with previous CD19-directed chimeric antigen receptor (CAR) T-cell therapy have a prolonged vulnerability to viral infections. Coronavirus disease 2019 (COVID-19) has a great impact and has previously been shown to cause high mortality in this population. Until now, real-world data on the impact of vaccination and treatment on patients with COVID-19 after CD19-directed CAR T-cell therapy are lacking. Therefore, this multicenter, retrospective study was conducted with data from the EPICOVIDEHA survey. Sixty-four patients were identified. The overall mortality caused by COVID-19 was 31%. Patients infected with the Omicron variant had a significantly lower risk of death due to COVID-19 compared with patients infected with previous variants (7% vs 58% [P = .012]). Twenty-six patients were vaccinated at the time of the COVID-19 diagnosis. Two vaccinations showed a marked but unsignificant reduction in the risk of COVID-19-caused mortality (33.3% vs 14.2% [P = .379]). In addition, the course of the disease appears milder with less frequent intensive care unit admissions (39% vs 14% [P = .054]) and a shorter duration of hospitalization (7 vs 27.5 days [P = .022]). Of the available treatment options, only monoclonal antibodies seemed to be effective at reducing mortality from 32% to 0% (P = .036). We conclude that survival rates of CAR T-cell recipients with COVID-19 improved over time and that the combination of prior vaccination and monoclonal antibody treatment significantly reduces their risk of death. This trial was registered at www.clinicaltrials.gov as #NCT04733729.
U2 - 10.1182/bloodadvances.2022009578
DO - 10.1182/bloodadvances.2022009578
M3 - SCORING: Journal article
C2 - 37058479
VL - 7
SP - 2645
EP - 2655
JO - BLOOD ADV
JF - BLOOD ADV
SN - 2473-9529
IS - 11
ER -