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. 2023 May 11;15(10):2713. doi: 10.3390/cancers15102713

Table 1.

CAR T cell clinical trials and case reports on AML (ALT: alanine aminotransferase; AST: aspartate aminotransferase; CLL-1: C-type lectin-like molecule-1; CR: complete response; CRS: cytokine release syndrome; Cy: cyclophosphamide; Flu: fludarabine; ICANS: immune effector cell-associated neurotoxicity syndrome; MRD: minimal residual disease; PR: partial response; SD: stable disease).

Study Target CAR T Cell/Lymphodepletion Number of Patients Response Safety Reference
Phase I/II CLL-1 0.35−1 × 106 kg/anti-CLL-1-CD8-41BB/Cy+Flu 8 4/8 morphological leukemia-free, MRD (−)
1 morphological leukemia-free, MRD+,
1 CR with incomplete hematologic recovery MRD(+), 1 PR, 1 SD
CRS: 5 grade 1, 3 grade 2 [7]
Phase I CD123 Dose escalation 50 × 106−200 × 106/anti-CD123-IgG4-CD28/Cy+Flu 6 4/6 CR
2 reduced blasts
CRS: 4 grade 1, 1 grade 2; 1 adenoviral pneumonia requiring intubation; and 1 grade 3 rash due to drug hypersensitivity [8]
Phase I CD33 CD33-4-1BB/0.3 × 106/kg 3 0/3 response 2 CRS; 1 ICANS. A grade 3 tumor lysis syndrome-acute kidney injury, grade 2 mucositis, grade 1 tachycardia for 1 patient; and a second patient experienced grade 2 intermittent orthostatic hypotension, grade 2 increased bilirubin and grade 3 increased ALT and AST [9]
Case report CD33 CD33-4-1BB/1.12 × 109 1 Disease progression at week 9 Grade 4 chills and a high fever, pancytopenia [10]
Phase I CD38 NA 6 66.7% of patients (4/6) CR (including 1 with CR and 3 with CR with incomplete count recovery (CRi)) and full donor chimerism) Five patients presented mild CRS (Grade I–II), and only one experienced grade III hepatotoxicity with elevated serum transaminase and bilirubin levels [11]
Phase I LeY Anti-LeY-CD28/Flu-Cy 4 In the patient with active leukemia, a temporary reduction in peripheral blood blast cells was observed. One other patient achieved a cytogenetic remission, while the other two patients had SD One patient (patient 2) had a transient grade 2 neutropenia [12]