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September 10, 2025European Journal of NeurologyOpen Access

Severity‐Dependent Neuroaxonal Damage Assessed by Serum Neurofilaments in ICANS Patients Undergoing CD19‐Targeted CAR T‐Cell Therapy

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Authors

AVAndreu VilasecaHAHelena AriñoGIGloria Iacoboni

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Overview

Case-control study reveals significant elevation of biomarkers in patients with moderate–severe ICANS, highlighting diagnostic potential.

Key Points

  • Moderate–severe ICANS correlates with elevated serum neurofilament levels post-infusion, indicating neuroaxonal damage.
  • Among 54 patients developing ICANS, those with grade ≥ 2 had significant z-scores of 2.33 compared to 1.72 in mild or absent ICANS cases.
  • This case-control analysis utilized z-score calculations of sNfL concentrations to assess neurotoxicity in NHL patients receiving CAR T-cell therapy.
  • Elevated sNfL levels may serve as important biomarkers for the early assessment of ICANS severity, necessitating further validation.

Cite This Study

Vilaseca et al. (2025) studied this question.

synapsesocial.com/papers/68c1b81254b1d3bfb60ebe8ahttps://doi.org/10.1111/ene.70305
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