Table 5.
Chimeric antigen receptor T cell studies
|
Drug [Ref.]
|
Target/co-stimulator
|
No. of patients
|
Study design
|
Study phase
|
Results
|
| Axicabtagene-ciloleucel[96] | CD19/CD28 | 111 | R/R DLBCL | 2 | ORR/CR: 82%/54%; DoR (FU 15.4 mo): 42%, 40% CR; 18-mos OS rate: 52% Grade ≥ 3 AEs: neutropenia 78%, CRS 13%, ICANS 28% |
| Tisagenlecleucel[97] | CD19/4-1BB | 93 | R/R DLBCL | 2 | ORR/CR: 52%/40%; DoR (FU 12 mo): 65%, 79% CR; Grade ≥ 3 AEs: CRS 22%, ICANS 12%, cytopenias 28%, infections 20% |
| Lisocabtagene-maraleucel[98] | CD19/4-1BB | 344 | R/R DLBCL | 2 | ORR/CR: 73%/53%; Grade ≥ 3 AEs: CRS 2%, ICANS 10% |
| Brexucabtagene-autoleucel (KTE-X19)[99] | CD19/CD28 | 74 | R/R MCL | 2 | ORR/CR: 93%/67%; 1-yr PFS/ OS rate: 61%/83%; Grade ≥ 3 AEs: cytopenias 94%, infections 32%, CRS 15%, ICANS 31% |
| Tisagenlecleucel[100] | CD19/4-1BB | 14 | R/R CLL | 1 | ORR/CR: 57%/28%; No relapses in CR patients (n = 4). All CR patients developed CRS |
| Lisocabtagene-maraleucel[101] | CD19/4-1BB | 23 | R/R CLL (56.5% progressed after ibrutinib and venetoclax) | 1/2 | ORR/CR: 82%/45.5%; Grade ≥ 3 AEs: anemia 96%, thrombocytopenia 70%, CRS 9%, ICANS 22% |
| Axicabtagene-ciloleucel[102] | CD19/CD28 | 94 | R/R FL, MZL | 2 | ORR/CR: FL 95%/80% MZL 86%/71%; Grade ≥ 3 AEs: neutropenia 33%, anemia 28%, CRS 11%, ICANS 19% |
AE: Adverse event; CLL: Chronic lymphocytic leukemia; CR: Complete response; CRS: Cytokine releasing syndrome; DLBCL: Diffuse large B-cell lymphoma; DoR: Duration of response; FL: Follicular lymphoma. FU: Follow-up; ICANS: Immune effector cell-associated neurotoxicity syndrome; MCL: Mantle cell lymphoma; MZL: Marginal zone lymphoma; ORR: Objective response; OS: Overall survival; PFS: Progression-free survival; R/R: Relapsed/refractory.