Table 5.
Characteristics and outcomes of 10 patients who received CD19 CAR T-cell retreatment of post–CAR T disease progression
| First CAR T-cell therapy | Second CAR T-cell therapy | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ID | Disease status at first CAR T-cell therapy | Lympho- depletion | Dose (cells per kg) | Peak expansion (vcn/mL) | CRS maximum grade | ICANS maximum grade | Response to first CAR T-cell therapy | Relapse site/burden | Time from first CAR T to second CAR T (d) | Disease status at second CAR T-cell therapy | Lympho- depletion | Dose (/kg) | Peak CAR T expansion (vcn/mL) | CRS maximum grade | ICANS maximum grade | Response to second CAR T-cell therapy | Post-second CAR T treatment | Living status last contact |
| MSK7 | Morphologic | Cy 3 g/m2 | 3×106 | 62 719 | 1 | 3 | MRD− CR | BM/gross | 166 | Morphologic | Cy 1.5 g/m2 | 3×106 | 13 353 | 1 | No | NR | No | Dead (disease) |
| MSK9 | MRD | Cy 1.5 g/m2 | 0.4×106 | 5208 | No | No | MRD− CR | BM/MRD | 204 | MRD | Cy 3 g/m2 | 3×106 | 0 | 1 | No | NR | Yes | Dead (disease) |
| MSK13 | Morphologic | Cy 3 g/m2 | 3×106 | 2 320 302 | 3 | 3 | MRD− CR | BM/gross | 1041 | Morphologic | Flu/Cy | 1×106 | 746 | No | No | NR | Yes | Dead (disease) |
| MSK16 | MRD | Cy 3 g/m2 | 3×106 | 0 | 2 | 2 | MRD− CR | EM, BM/gross | 104 | MRD | Cy 3 g/m2 | 3×106 | 0 | No | No | MRD− CR | No | Dead (disease) |
| MSK17 | Morphologic | Cy 3 g/m2 | 3×106 | 197 262 | 4 | 4 | MRD− CR | BM/gross | 104 | Morphologic | Cy 2 g/m2 | 3×106 | 200 363 | 3 | 5 | MRD− CR | No | Dead (TRM) |
| MSK24 | Morphologic | Cy 3 g/m2 | 1×106 | 34 183 | 1 | No | MRD+ CR | BM/gross | 80 | Morphologic | Cy 3 g/m2 | 1×106 | 0 | 1 | No | NR | Yes | Dead (unknown) |
| MSK29 | MRD− | Cy 3 g/m2 | 3×106 | 26 210 | 1 | 2 | MRD− CR | BM/gross | 1110 | Morphologic | Flu/Cy | 3×106 | 35 800 | 1 | 1 | NR | No | Dead (unknown) |
| MSK36 | MRD | Cy 3 g/m2 | 3×106 | 0 | No | No | MRD+ CR | BM/gross | 343 | Morphologic | Flu/Cy | 1×106 | 177 758 | 1 | No | NR | Yes | Alive |
| MSK44 | Morphologic | Flu/Cy | 1×106 | 129 980 | 1 | 3 | MRD+ CR | EM, BM/gross | 451 | Morphologic | Cy 3 g/m2 | 1×106 | 0 | 2 | No | MRD+ CR | Yes | Alive |
| MSK56 | Morphologic | Flu/Cy | 1×106 | 20 400 | 2 | 0 | MRD+ CR | BM/MRD | 164 | MRD | Flu/Cy | 1×106 | 18 900 | 2 | No | MRD− CR | Yes | Dead (unknown) |
Cy, cyclophosphamide; Flu, fludarabine; NR, no response; TRM, treatment-related mortality.