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-cel . | SOC . | Tisa-cel . | SOC . | Liso-cel . | SOC . | . |
Phase | 1/2 | 2 | Seamless | 3 | 3 | 3 | 2 | |||
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 | 7 | 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-cel . | SOC . | Tisa-cel . | SOC . | Liso-cel . | SOC . | . |
Phase | 1/2 | 2 | Seamless | 3 | 3 | 3 | 2 | |||
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 | 7 | 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.