Table 2.
AEa | Grade 1 | Grade 2 | Grade 3 | Grade 4 |
---|---|---|---|---|
Hematologic AEs | ||||
Anaemia | 4 (19%) | 8 (38%) | 6 (29%) | 0 (0%) |
Lymphocyte count decreased | 0 (0%) | 2 (10%) | 3 (14%) | 16 (76%) |
Lymphocyte count increased | 1 (5%) | 1 (5%) | 0 (0%) | 0 (0%) |
Neutrophil count decreased | 0 (0%) | 4 (19%) | 14 (67%) | 3 (14%) |
Platelet count decreased | 2 (10%) | 8 (38%) | 2 (10%) | 0 (0%) |
Immune system disorders | ||||
CRS | 11 (52%) | 3 (14%) | 0 (0%) | 0 (0%) |
ICANS | 3 (14%) | 1 (5%) | 0 (0%) | 0 (0%) |
Nervous system disorders | ||||
Dizziness | 1 (5%) | 0 (0%) | 0 (0%) | 0 (0%) |
Headache | 1 (5%) | 0 (0%) | 0 (0%) | 0 (0%) |
Paraesthesia | 1 (5%) | 0 (0%) | 0 (0%) | 0 (0%) |
Muscle weakness lower limb | 0 (0%) | 1 (5%) | 0 (0%) | 0 (0%) |
Psychiatric disorders | ||||
Insomnia | 1 (5%) | 1 (5%) | 0 (0%) | 0 (0%) |
Metabolism and nutrition disorders | ||||
Anorexia | 2 (10%) | 0 (0%) | 0 (0%) | 0 (0%) |
Hypercalcemia | 0 (0%) | 0 (0%) | 0 (0%) | 0 (0%) |
Hypertriglyceridemia | 2 (10%) | 3 (14%) | 2 (10%) | 3 (14%) |
Hyperuricemia | 0 (0%) | 1 (5%) | 0 (0%) | 1 (5%) |
Hyponatremia | 1 (5%) | 0 (0%) | 1 (5%) | 0 (0%) |
Hypoalbuminemia | 3 (14%) | 3 (14%) | 3 (14%) | 3 (14%) |
Hypocalcaemia | 2 (10%) | 6 (29%) | 2 (10%) | 6 (29%) |
Hypokalaemia | 4 (19%) | 2 (10%) | 4 (19%) | 2 (10%) |
Hypomagnesemia | 2 (10%) | 0 (0%) | 2 (10%) | 0 (0%) |
Musculoskeletal and connective tissue disorders | ||||
Arthralgia | 1 (5%) | 0 (0%) | 0 (0%) | 0 (0%) |
Back pain | 1 (5%) | 0 (0%) | 0 (0%) | 0 (0%) |
Bone pain | 1 (5%) | 0 (0%) | 0 (0%) | 0 (0%) |
Flank pain | 1 (5%) | 0 (0%) | 0 (0%) | 0 (0%) |
Pain in extremity | 4 (19%) | 0 (0%) | 0 (0%) | 0 (0%) |
Respiratory, thoracic and mediastinal disorders | ||||
Cough | 7 (33%) | 0 (0%) | 0 (0%) | 0 (0%) |
Productive cough | 2 (10%) | 0 (0%) | 0 (0%) | 0 (0%) |
Neoplasms benign, malignant and unspecified (incl cysts and polyps) | ||||
Tumour pain | 0 (0%) | 1 (5%) | 1 (5%) | 0 (0%) |
Skin and subcutaneous tissue disorders | ||||
Pruritus | 1 (5%) | 0 (0%) | 0 (0%) | 0 (0%) |
General disorders and administration site conditions | ||||
Chills | 2 (10%) | 0 (0%) | 0 (0%) | 0 (0%) |
Oedema limbs | 1 (5%) | 0 (0%) | 0 (0%) | 0 (0%) |
Fatigue | 7 (33%) | 1 (5%) | 0 (0%) | 0 (0%) |
Fever | 13 (62%) | 1 (5%) | 0 (0%) | 0 (0%) |
Localised oedema | 0 (0%) | 1 (5%) | 0 (0%) | 0 (0%) |
Non-cardiac chest pain | 1 (5%) | 0 (0%) | 0 (0%) | 0 (0%) |
Gastrointestinal disorders | ||||
Nausea | 4 (19%) | 0 (0%) | 0 (0%) | 0 (0%) |
Abdominal distension | 3 (14%) | 0 (0%) | 0 (0%) | 0 (0%) |
Abdominal pain | 1 (5%) | 0 (0%) | 0 (0%) | 0 (0%) |
Constipation | 3 (14%) | 0 (0%) | 0 (0%) | 0 (0%) |
Diarrhoea | 4 (19%) | 0 (0%) | 0 (0%) | 0 (0%) |
Dysphagia | 1 (5%) | 0 (0%) | 0 (0%) | 0 (0%) |
Mucositis oral | 2 (10%) | 0 (0%) | 0 (0%) | 0 (0%) |
Paraesthesia | 5 (24%) | 0 (0%) | 0 (0%) | 0 (0%) |
Vomiting | 0 (0%) | 1 (5%) | 0 (0%) | 0 (0%) |
Investigations | ||||
Activated partial thromboplastin time prolonged | 1 (5%) | 0 (0%) | 0 (0%) | 0 (0%) |
Blood lactate dehydrogenase increased | 8 (38%) | 2 (10%) | 0 (0%) | 0 (0%) |
Fibrinogen decreased | 0 (0%) | 1 (5%) | 0 (0%) | 0 (0%) |
Proteinuria | 1 (5%) | 0 (0%) | 0 (0%) | 0 (0%) |
Urine output decreased | 1 (5%) | 0 (0%) | 0 (0%) | 0 (0%) |
White blood cell decreased | 1 (5%) | 11 (52%) | 4 (19%) | 5 (24%) |
Note: Data are No. (%); All AEs except for CRS were graded according to NCI CTCAE 5.0; CRS was graded according to the criteria of Lee et al.22 and American Society for Transplantation and Cellular Therapy consensus grading.23.
Abbreviations: SOC, System Organ Class; WBC, white blood cell; CRS, cytokine release syndrome; ICANS, immune effector cell-associated neurotoxicity syndrome.
Listed are adverse events, which occurred within 30 days post-infusion in the 21 patients, regardless of whether the investigators attributed the events to the CAR-T cell treatment. This table did not report late-onset (with onset more than 30 days post-infusion) adverse events, including a Pneumocystis jirovecii pneumonia nine months after infusion in one patient.