<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Archiving and Interchange DTD with MathML3 v1.3 20210610//EN" "JATS-archivearticle1-3-mathml3.dtd"><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink"
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  <front>
    <journal-meta>
      <journal-id journal-id-type="iso-abbrev">Arch Pharm Pract</journal-id>
      <journal-id journal-id-type="publisher-id">archivepp.com</journal-id>
      <journal-id journal-id-type="publisher-id">Arch Pharm Pract</journal-id>
      <journal-title-group>
        <journal-title>Archives of Pharmacy Practice</journal-title>
      </journal-title-group>
      <issn pub-type="epub">2320-5210</issn>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="publisher-id">archivepp.com-1211</article-id>
      <article-id pub-id-type="doi">10.51847/hTLlikhnRn</article-id>
      <article-categories>
        <subj-group subj-group-type="heading">
          <subject>Original research</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title>Late Lymphocytopenia, Neutropenia, and Thrombocytopenia Following Axicabtagene Ciloleucel and Tisagenlecleucel CAR-T Cell Therapy: A Retrospective Study</article-title>
      </title-group>
                    <contrib-group>
                      <contrib contrib-type="author">
              <name>
                <surname>Bona</surname>
                <given-names>Carina</given-names>
              </name>
                              <xref rid="aff1" ref-type="aff">1</xref>
                                                            <xref rid="cor1" ref-type="corresp" />
                          </contrib>
                      <contrib contrib-type="author">
              <name>
                <surname>Lozano</surname>
                <given-names>Roberto</given-names>
              </name>
                              <xref rid="aff2" ref-type="aff">2</xref>
                                        </contrib>
                  </contrib-group>
                  <aff id="aff1">
            <label>1</label>Unit for the Rational Useof Medicines, Aragon Health Service, Zaragoza, Spain.
          </aff>
                  <aff id="aff2">
            <label>2</label>Departament of Pharmacy, University clinical hospital “Lozano Blesa”, Zaragoza, Spain.
          </aff>
                          <author-notes>
            <corresp id="cor1">
              <bold>Address for correspondence:</bold> Prof. Wael Abu Dayyih, Department of
              Pharmaceutical Chemistry, Faculty of Pharmacy, Mutah University, Al-Karak 61710, Jordan.
                              E-mail: <email xlink:href="carinabona150@gmail.com">carinabona150@gmail.com</email>
                          </corresp>
          </author-notes>
                    <pub-date pub-type="epub">
        <day>14</day>
        <month>10</month>
        <year>2024</year>
      </pub-date>
      <volume>15</volume>
      <issue>4</issue>
      <fpage>1</fpage>
      <lpage>4</lpage>
      <permissions>
        <copyright-statement>
          Copyright: &#x000a9; 2026 Archives of Pharmacy Practice
        </copyright-statement>
        <copyright-year>2026</copyright-year>
        <license>
          <ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/"
            specific-use="textmining" content-type="ccbyncsalicense">
            https://creativecommons.org/licenses/by-nc-sa/4.0/</ali:license_ref>
          <license-p>This is an open access journal, and articles are distributed under the terms of
            the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows
            others to remix, tweak, and build upon the work non-commercially, as long as appropriate
            credit is given and the new creations are licensed under the identical terms.</license-p>
        </license>
      </permissions>
      <abstract>
        <title>A<sc>BSTRACT</sc></title>
        <p>This study aimed to provide a 2024 update on cumulative survival (CS) and the incidence of lymphocytopenia, neutropenia, and thrombocytopenia, following axicabtagene ciloleucel (axi-cel) and tisagenlecleucel (tisa-cel) CAR-T cell therapies. It reviewed 56 consecutive patients who received adoptive CAR-T cell therapy for diffuse large B cell lymphoma, from 2019 to March 2024. Group A included 34 patients treated with axi-cel (Yescarta®), and Group B included 22 patients treated with tisa-cel (Kymriah®). It was estimated the cumulative survival (CS), by the Kaplan-Meyer method, and the occurrence of late cytopenias beyond day 60 (“late”), according to the most recent blood samples collected following the established protocol, the grading is done based on the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events.

The cohort (n=56) was composed of 49% female, 55 (9) years old, weight of 75 (23) kg, and height of 161(18) cm. 50.7% patients on axi-cel (Group A), and 32.8% on tisa-cel (Group B). The CS for axi-cel treated 65.5% and for 56.5% for tisa-cel and toxicity showed that overall lymphopenia, neutropenia, and thrombocytopenia were 21.4%, 5.3%, and 12.5%, respectively. The average disease-free period until the end of data collection (March 2024) was 19 (14) months, and the average time to death from any cause was 10 (9) months. The findings from our study suggest that the development of late cytopenia after CAR T-cell therapy is uncommon and may occur through various mechanisms in susceptible patients. </p>
      </abstract>
      <kwd-group>
                <kwd>Axicabtagene ciloleucel</kwd>
                <kwd>Chimeric antigen receptor T-cell</kwd>
                <kwd>Cytopenia</kwd>
                <kwd>Tisagenlecleucel</kwd>
              </kwd-group>
    </article-meta>
  </front>
</article>