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Table 1.

Safety-related eligibility criteria for adult CAR T-cell clinical trials at the NCI

Clinical category Eligibility criteria
Patient characteristics ECOG performance status 0-1; and
Not pregnant or breastfeeding
Pulmonary No active obstructive or restrictive pulmonary disease
Hematologic* Hemoglobin ≥8.0 g/dL;
Platelets ≥45 000/mm3 without transfusion support;
ANC ≥1000/mm3 without growth factor support;
No active hemolytic anemia; and
No active coagulopathy
Other end organ function Serum creatinine ≤1.4 mg/dL;
Total bilirubin ≤2.0 mg/dL;
Serum AST and ALT ≤3 times the institutional upper limit of normal unless liver involvement by malignancy is demonstrated;
No active seizure disorder; and
No current CNS involvement with malignancy
Infectious disease No history or serologic evidence of HIV, hepatitis B, or hepatitis C; and
No active uncontrolled systemic infection
Immunologic No active autoimmune disease; and
No history of primary immunodeficiency

ALT, alanine aminotransferase; ANC, absolute neutrophil count; AST, aspartate aminotransferase; ECOG, Eastern Cooperative Oncology Group.

*

Hematologic criteria must be met for enrollment regardless of bone marrow involvement with malignancy.