Table 1.

HGBL outcomes in pivotal CAR T-cell studies

ZUMA-1 Locke et al54 JULIET Schuster et al83 TRANSCEND Abramson et al84 ZUMA-7 Locke et al59 BELINDA Bishop et al60,*TRANSFORM Kamdar et al61,*ZUMA-12 Neelapu et al63,
Axi-celSOCTisa-celSOCLiso-celSOC
Phase 1/2 Seamless 
 Axicabtagene ciloleucel Tisagenlecleucel Lisocabtagene maraleucel Axicabtagene ciloleucel Tisagenlecleucel Lisocabtagene maraleucel Axicabtagene ciloleucel 
Primary endpoint ORR ORR ORR EFS EFS after wk 12 EFS CR 
Patient characteristics           
 No. of patients 101 111 256 180 179 162 160 92 92 40 
 No. of HGBL 19 36 31 26 32 19 21 22 10 
Clinical outcomes           
Total cohort           
 ORR, % 82 52 (3 mo) 72.7 83 50 46.3 42.5 86 48 90 
 CR, % 54 40 53.1 65 32 28.4 (3 mo) 27.5 66 39 80 
 EFS (HR)    0.40  1.07  0.349  Not reached 
HGBL           
 ORR, % 100 50 75.8 81 42 NR NR NR NR  
 CR, % 67 25 60.6   
 EFS (HR)    0.47§  
 Median follow-up, mo 27.1 28.6 18.8 24.9 10 6.2 15.9 
ZUMA-1 Locke et al54 JULIET Schuster et al83 TRANSCEND Abramson et al84 ZUMA-7 Locke et al59 BELINDA Bishop et al60,*TRANSFORM Kamdar et al61,*ZUMA-12 Neelapu et al63,
Axi-celSOCTisa-celSOCLiso-celSOC
Phase 1/2 Seamless 
 Axicabtagene ciloleucel Tisagenlecleucel Lisocabtagene maraleucel Axicabtagene ciloleucel Tisagenlecleucel Lisocabtagene maraleucel Axicabtagene ciloleucel 
Primary endpoint ORR ORR ORR EFS EFS after wk 12 EFS CR 
Patient characteristics           
 No. of patients 101 111 256 180 179 162 160 92 92 40 
 No. of HGBL 19 36 31 26 32 19 21 22 10 
Clinical outcomes           
Total cohort           
 ORR, % 82 52 (3 mo) 72.7 83 50 46.3 42.5 86 48 90 
 CR, % 54 40 53.1 65 32 28.4 (3 mo) 27.5 66 39 80 
 EFS (HR)    0.40  1.07  0.349  Not reached 
HGBL           
 ORR, % 100 50 75.8 81 42 NR NR NR NR  
 CR, % 67 25 60.6   
 EFS (HR)    0.47§  
 Median follow-up, mo 27.1 28.6 18.8 24.9 10 6.2 15.9 

HR, hazard ratio; NR, not reported.

*

Subset analyses of endpoints in HGBL subtype were not provided in BELINDA and TRANFORM trials.

Patients were considered high risk if they had DH or TH lymphoma or an IPI score ≥3 plus a positive interim positron emission tomography scan (Deauville score 4 or 5) after 2 cycles of anti-CD20 monoclonal antibody and anthracycline-containing regimen. Of the 40 patients who were treated, 25% patients had DH or TH lymphoma.

5-year follow-up is available: Schuster et al.53 ORR: 38.3% (CI, 29.4-47.8) in all patients and 20% (CI, 5.7-43.7) in HGBL.

§

Disease type according to the investigator. HR for EFS when disease type according to central laboratory was: 0.28.

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