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Table 4 Summary of primary CD19 CAR-T products in R/R DLBCLs

From: The progress of novel strategies on immune-based therapy in relapsed or refractory diffuse large B-cell lymphoma

Lines

Study

CAR-T cells

Patients

Outcomes

Toxicities of CAR T

 ≥ 3

ZUMA-1

NCT02348216

Axi-cel

DLBCL, PMBCL, tFL, HGBCL

ORR/CRR, 83%/58%

Median DOR, 11.1 mo

Median OS, 25.8 mo

Median PFS, 5.9 mo

≥ Grade 3 CRS 11%

≥ Grade 3 NEs 32%

 ≥ 3

JULIET

NCT02445248

Tisa-cel

DLBCL, tFL, HGBCL

ORR/CRR, 53·0%/39%

Median DOR, NR

Median OS, 11.1 mo

Median PFS, 2.9 mo

≥ Grade 3 CRS 11%

≥ Grade 3 NEs 32%

 ≥ 3

TRANSCEND NHL 001

NCT02631044

Liso-cel

DLBCL, FL3B, PMBCL, tFL; DLBCL transformed from iNHL, HGBCL

ORR/CRR, 73%/53%

Median DOR, NR

Median OS: 21.1 mo

Median PFS: 6.8 mo

≥ Grade 3 CRS 2%

≥ Grade 3 NEs 10%

 ≥ 2

ZUMA-7

NCT03391466

Axi-cel vs. SOC

DLBCL, tFL, HGBCL with or without MYC and BCL2 and/or BCL6 rearrangement, THRBCL

ORR, 83% vs. 50%

CRR, 65% vs. 32%

Median EFS, 8.3 vs. 2 mo

Median PFS, 14.7 vs. 3.7 mo

Median OS, NR vs. 35.1 mo

≥ Grade 3 CRS 6%

≥ Grade 3 NEs 21%

 ≥ 2

TRANSFORM

NCT03575351

Liso-cel vs. SOC

DLBCL, DLBCL transformed from iNHL, FL3B, HGBCL with MYC and BCL2 and/or BCL6

Rearrangement, DHL, THL, PMBCL, THRBCL

ORR, 86% vs. 48%

CRR, 61% vs. 36%

Median DOR, NR vs. 14.5 mo

Median EFS, 10.1 vs. 2.3 mo

Median PFS, 14.8 vs. 5.7 mo

Median OS, NR vs. 16.4 mo

≥ Grade 3 CRS 1%

≥ Grade 3 NEs 4%

 ≥ 2

BELINDA

NCT03570892

Tisa-cel vs. SOC

DLBCL, HGBCL, FL3B, transformed from previous lymphoma

ORR, 46.3% vs. 42.5%

CRR, 28.4 vs. 27.5%

Median EFS, 3 mo for both

Median OS, 16.9 vs. 15.3 mo

≥ Grade 3 CRS 5.2%

≥ Grade 3 NEs 1.9%

 ≥ 2

PILOT-017006 NCT03483103

Liso-cel (JCAR017))

R/R DLBCL ineligible of auto-SCT

ORR/CRR, 80%/54%

Median DOR, 12.09 mo

Median PFS, 9.3 mo

Median EFS, 7.23 mo

Median OS, NR

≥ Grade 3 CRS 1.6%

≥ Grade 3 NEs 4.9%

  1. Axi-cel axicabtagene ciloleucel, Tisa-cel tisagenlecleucel, Liso-cel lisocabtagene maraleucel, SOC standard of care, CAR-T chimeric antigen receptor T cell therapy, R/R relapsed/refractory, DLBCL diffuse large B-cell lymphoma, PMBCL primary mediastinal large B-cell lymphoma, tFL large-cell transformation from follicular lymphoma, HGBCL high-grade B-cell lymphoma, THRBCL T-cell– or histiocyte–rich large B-cell lymphoma, FL3B follicular lymphoma grade 3B, iNHL indolent non-Hodgkin lymphoma, DHL/THL double-or triple-hit lymphoma, R/R relapsed/refractory, auto-SCT autologous hematopoietic stem cell transplant, ORR overall response rate, CRR complete response rate, mDOR median duration of response, mOS median overall survival, mPFS median progression-free survival, EFS median event free survival, CRS cytokine release syndrome, NR not reached, NEs neurotoxicity events, mo months