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Peer-Reviewed Publication
J Med Internet Res2025;27e71956.December 11, 2025Journal Article

Digital Biomarkers of Cytokine Release Syndrome: Scoping Review and Ontology Development of the Role and Relevance of Digital Measures Using a Mixed Methods Approach.

Christopher J Medberry1, Charlotte Zoe Angel2, Ashita S Batavia1, Sarah Bradley3, Nunzio Camerlingo4, Melinda Chen5, Mohamed Datoo1, Premal Kamdar6, Erik Koenig5, Lieke Kusters7, Celine Marquez8, Ujwani Nukala9, Michael Pettinati10, Ruth Phillips3, Daniel P Sanchez1, Nazila Shafagati11, Jenifer Siegelman5, Mark Stewart12, Cindy Varga13, Benjamin Vandendriessche14,15, Matt Wilkes16, Dana L Wolff-Hughes17, David Zahavi17, Sylvain Zorman10, Samantha J McClenahan14
1Johnson and Johnson Innovative Medicine, New Brunswick, NJ, United States.
2Fosanis GmbH, Berlin, Germany.
3Blue Spark Technologies, Inc, Westlake, OH, United States.
4Pfizer, Inc, Cambridge, MA, United States.
5Takeda (United States), Cambridge, MA, United States.
6Bristol Myers Squibb, Princeton, NJ, United States.
7Roche (Switzerland), Basel, Switzerland.
8Genentech, San Francisco, CA, United States.
9Center for Biologics Evaluation and Research, US Food and Drug Administration, Silver Spring, MD, United States.
10ActiGraph, Pensacola, FL, United States.
11The Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins Medicine, Baltimore, MD, United States.
12Friends of Cancer Research, Washington, DC, United States.
13Department of Hematologic Oncology and Blood Disorders, Levine Cancer Institute, Charlotte, NC, United States.
14Digital Medicine Society, 90 Canal Street, 4th Floor, Boston, MA, 02114, United States, 1 765-234-3463.
15Department of Electrical, Computer, and Systems Engineering, Case Western Reserve University, Cleveland, OH, United States.
16Current Health Inc, Dover, DE, United States.
17National Cancer Institute, Bethesda, MD, United States.

Abstract

BACKGROUND: Advancements in cancer-targeted immunotherapies have transformed care, yet these therapies present a high likelihood of cytokine release syndrome (CRS), a potentially severe immune-related adverse event. The ability to identify CRS earlier could improve care by mitigating risks, widening patient access, and reducing the burden on patients, caregivers, and health care providers. Digital…

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