Table 3. CD19-targeted trials for the treatment of chronic lymphocytic leukemia.
Institution/CAR | Conditioning and dosing | Patient population | Clinical responses | CAR T-cell persistence | Ref. |
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MSKCC SJ25-28z | None, n = 3 1 dose Cy, n = 4 1 dose bendamustine, n = 2 0.4-3.0 × 107 CAR T cells/kg | n = 9, R/R CLL 44–66 y/o | No preTx: 3/3 PD Cy preTx: – D bendamustine preTx: 1 MRD CR and 1 PR no Scrs | Persistence out to 30 days detected by qPCR | [19, 20] |
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UPenn CHOP FMC63-BBz | Pre Tx 3-5 days pre 5 × 107-5 × 108 CAR T cells/kg | n = 26, R/R CLL Median 62 y/o | 22% CR, 17% PR 43% NR 3 relapse (incl. CD19) 14/26 CRS, n = 3 sCRS (intervention) | Persistence by flow cytometry Time unknown | [15–18] |
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NCI FM63-28z | 2 doses Cy 60 mg/kg, 5 doses Flu 25 mg/m2 0.3–2.8 × 107 CAR T cells/kg +IL-2 (720000 IU/kg/8 h) | n = 4 R/R CLL, aged 54 – 61 y/o | n = 1 CR, n = 2 PR, n = 1 SD IL-2 toxicity and CRs | Persistence up to 181 days by qPCR | [21] |
1 dose Cy 60 –120 mg/kg, 5 doses Flu 25 mg/m2 1–5 × 106 CAR T cells/kg | n = 4, R/R CLL Aged 48 = 68 y/o | 3/4 classically defined CR, CR > grade 3, n = 4 | Persistence up to 65 days by qPCR | [22] | |
0.4-2.4 × 106 CAR T cells/kg Post allo-SCT, no preTx | n = 4, R/R CLL Aged 44–66 y/o | n = 1 CR (9 mo), n = 1 PR, n = 2 PD No GVHD exacerbation Tumor lysis syndrome | Peristence to 30 days detected by qPCR | [23] |
Allo-SCT: Allogeneic stem cell transplant; CLL: Chronic lymphocytic leukemia; CAR: Chimeric antigen receptor; CR: Complete response; CRS: Cytokine release syndrome; Cy: Cyclophosphamide; Flu: Fludarabine; GVHD: Graft versus host disease; incl.: Including; Mo: Months; MRD: Minimal residual disease; MSKCC: Memorial Sloan Kettering Cancer Center; NCI: National Cancer Center; NR: No response; PR: Partial response; qPCR: Quantitative PCR; R/R: Relapsed refractory; sCRS: Severe cytokine release syndrome; SD: Stable disease; Tx: Treatment; UPenn: The University of Pennsylvania; y/o: Years old.