Patient characteristics
Patient . | Age at BRT (y) . | Length of follow-up (mo) . | Sex . | Histology . | Prior ASCT . | CNS prophylaxis . | Prior lines of CNS therapy . | HD-MTX . | Interval MTX to RT (days) . | CNS disease status at RT . | Systemic disease status at RT . | KPS at RT . | CNS site involved . | RT field . | RT dose (cGy) . | RT fractions . | Concurrent systemic therapy with RT . | Preparative regimen . | Apheresis to infusion time (d) . | CART product . | Baseline ICE . | ICANS . | ICANS duration . | CRS . | CRS duration . | Requiring biologics or steroids? . | Best CNS response post CAR T . | Best overall response post CAR T . | Status at last follow up . |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1 | 60 | 5.7 | Male | Mantle cell | No | No | 4 | No | PD | PD | 80 | Leptomeninges | Orbits | 1500 | 10 | Venetoclax | Cy/Flu | 70 | Liso-cel | Not available | 0 | 0 | 0 | 0 | None | CR | PD | Dead | |
2v | 36 | 5.7 | Female | Burkitt | Yes | Yes | 2 | Yes | 0 | PD | ND | 80 | Leptomeninges | Whole brain | 2000 | 5 | HD-MTX | Cy/Flu | 25 | Tisa-cel | Not available | 1 | Not available | 0 | 0 | None | CR | PR | Dead |
3 | 74 | 3.3 | Female | DLBCL | No | No | 2 | Yes | 21 | PD | SD | 60 | Leptomeninges | T11-L3 | 2000 | 5 | Ibrutinib | Cy/Flu | 63 | Tisa-cel | 5 | 3 | 25 | 3 | 2 | Tocilizumab | PD | PD | Dead |
4 | 70 | 10.1 | Male | Mantle cell | Yes | No | 0 | No | N/A | PD | 90 | Epidural | T8 - L1 | 2000 | 5 | None | Cy/Flu | 81 | Liso-cel | 10 | 0 | 0 | 1 | 5 | None | N/A | CR | Dead | |
5 | 66 | 33.1 | Male | DLBCL | No | No | 2 | Yes | 174 | PD | ND | 90 | Brain parenchyma | Partial brain | 3000 | 10 | None | Cy/Flu | 45 | Tisa-cel | 10 | 0 | 0 | 0 | 0 | None | CR | PD | Alive |
6 | 41 | 23.0 | Female | PCNSL | Yes | No | 4 | Yes | 62 | PD | N/A | 80 | Brain parenchyma | Whole brain | 2400 | 12 | None | Cy/Flu | 54 | Tisa-cel | 10 | 0 | 0 | 2 | 5 | None | CR | CR | Alive |
7 | 48 | 11.4 | Female | DLBCL | No | No | 2 | Yes | 179 | PD | ND | 50 | Brain parenchyma | Whole brain | 2400 | 12 | None | Cy/Flu | 69 | Liso-cel | 6 | 4 | Not available | 2 | 4 | Tocilzumab, anakinra, steroids, IVIG | PR | PR | Dead |
8 | 51 | 12.6 | Male | DLBCL | No | No | 0 | No | N/A | SD | 90 | Epidural | C5-C7, sacrum | 2000 | 5 | None | Bendamustine | 28 | Axi-cel | 10 | 0 | 0 | 2 | 7 | Tocilizumab, steroids | N/A | PR | Alive | |
9 | 30 | 11.9 | Female | DLBCL | Yes | No | 3 | Yes | 46 | PD | ND | 90 | Brain parenchyma | Partial brain | 3300 | 11 | None | Cy/Flu | 61 | Liso-cel | 10 | 4 | 7 | 1 | 3 | Tocilizumab | CR | CR | Alive |
10 | 61 | 15.6 | Male | DLBCL | Yes | Yes | 2 | Yes | 393 | PD | ND | 80 | Leptomeninges | Cauda | 2000 | 5 | Ibrutinib | Cy/Flu | 199 | Liso-cel | 10 | 0 | 0 | 1 | 1 | Tocilizumab, steroids | CR | CR | Alive |
11 | 71 | 8.3 | Male | DLBCL | No | No | 2 | Yes | 32 | PD | PD | 60 | Brain parenchyma | Partial brain | 3000 | 10 | None | Bendamustine | 68 | Liso-cel | 10 | 2 | 15 | 2 | 6 | Tocilizumab, anakinra, steroids | CR | CR | Alive |
12 | 76 | 6.9 | Female | DLBCL | No | No | 3 | Yes | 9 | PD | ND | 90 | Brain parenchyma | Partial brain | 3000 | 10 | None | Cy/Flu | 129 | Liso-cel | 10 | 0 | 0 | 0 | 0 | None | CR | CR | Alive |
Patient . | Age at BRT (y) . | Length of follow-up (mo) . | Sex . | Histology . | Prior ASCT . | CNS prophylaxis . | Prior lines of CNS therapy . | HD-MTX . | Interval MTX to RT (days) . | CNS disease status at RT . | Systemic disease status at RT . | KPS at RT . | CNS site involved . | RT field . | RT dose (cGy) . | RT fractions . | Concurrent systemic therapy with RT . | Preparative regimen . | Apheresis to infusion time (d) . | CART product . | Baseline ICE . | ICANS . | ICANS duration . | CRS . | CRS duration . | Requiring biologics or steroids? . | Best CNS response post CAR T . | Best overall response post CAR T . | Status at last follow up . |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1 | 60 | 5.7 | Male | Mantle cell | No | No | 4 | No | PD | PD | 80 | Leptomeninges | Orbits | 1500 | 10 | Venetoclax | Cy/Flu | 70 | Liso-cel | Not available | 0 | 0 | 0 | 0 | None | CR | PD | Dead | |
2v | 36 | 5.7 | Female | Burkitt | Yes | Yes | 2 | Yes | 0 | PD | ND | 80 | Leptomeninges | Whole brain | 2000 | 5 | HD-MTX | Cy/Flu | 25 | Tisa-cel | Not available | 1 | Not available | 0 | 0 | None | CR | PR | Dead |
3 | 74 | 3.3 | Female | DLBCL | No | No | 2 | Yes | 21 | PD | SD | 60 | Leptomeninges | T11-L3 | 2000 | 5 | Ibrutinib | Cy/Flu | 63 | Tisa-cel | 5 | 3 | 25 | 3 | 2 | Tocilizumab | PD | PD | Dead |
4 | 70 | 10.1 | Male | Mantle cell | Yes | No | 0 | No | N/A | PD | 90 | Epidural | T8 - L1 | 2000 | 5 | None | Cy/Flu | 81 | Liso-cel | 10 | 0 | 0 | 1 | 5 | None | N/A | CR | Dead | |
5 | 66 | 33.1 | Male | DLBCL | No | No | 2 | Yes | 174 | PD | ND | 90 | Brain parenchyma | Partial brain | 3000 | 10 | None | Cy/Flu | 45 | Tisa-cel | 10 | 0 | 0 | 0 | 0 | None | CR | PD | Alive |
6 | 41 | 23.0 | Female | PCNSL | Yes | No | 4 | Yes | 62 | PD | N/A | 80 | Brain parenchyma | Whole brain | 2400 | 12 | None | Cy/Flu | 54 | Tisa-cel | 10 | 0 | 0 | 2 | 5 | None | CR | CR | Alive |
7 | 48 | 11.4 | Female | DLBCL | No | No | 2 | Yes | 179 | PD | ND | 50 | Brain parenchyma | Whole brain | 2400 | 12 | None | Cy/Flu | 69 | Liso-cel | 6 | 4 | Not available | 2 | 4 | Tocilzumab, anakinra, steroids, IVIG | PR | PR | Dead |
8 | 51 | 12.6 | Male | DLBCL | No | No | 0 | No | N/A | SD | 90 | Epidural | C5-C7, sacrum | 2000 | 5 | None | Bendamustine | 28 | Axi-cel | 10 | 0 | 0 | 2 | 7 | Tocilizumab, steroids | N/A | PR | Alive | |
9 | 30 | 11.9 | Female | DLBCL | Yes | No | 3 | Yes | 46 | PD | ND | 90 | Brain parenchyma | Partial brain | 3300 | 11 | None | Cy/Flu | 61 | Liso-cel | 10 | 4 | 7 | 1 | 3 | Tocilizumab | CR | CR | Alive |
10 | 61 | 15.6 | Male | DLBCL | Yes | Yes | 2 | Yes | 393 | PD | ND | 80 | Leptomeninges | Cauda | 2000 | 5 | Ibrutinib | Cy/Flu | 199 | Liso-cel | 10 | 0 | 0 | 1 | 1 | Tocilizumab, steroids | CR | CR | Alive |
11 | 71 | 8.3 | Male | DLBCL | No | No | 2 | Yes | 32 | PD | PD | 60 | Brain parenchyma | Partial brain | 3000 | 10 | None | Bendamustine | 68 | Liso-cel | 10 | 2 | 15 | 2 | 6 | Tocilizumab, anakinra, steroids | CR | CR | Alive |
12 | 76 | 6.9 | Female | DLBCL | No | No | 3 | Yes | 9 | PD | ND | 90 | Brain parenchyma | Partial brain | 3000 | 10 | None | Cy/Flu | 129 | Liso-cel | 10 | 0 | 0 | 0 | 0 | None | CR | CR | Alive |
Summary of demographic, clinical, treatment, and toxicity characteristics for 12 patients.
ASCT, autologous stem cell transplant; Axi-cel, axicabtagene ciloleucel; cGy, centigray; Cy, cyclophosphamide; DLBCL, diffuse large B-cell lymphoma; Flu, fludarabine; IVIG, IV immunoglobulin; KPS, Karnofsky Perfomance Status; Liso-cel, Lisocabtagene maraleucel; N/A, not applicable; ND, no disease; PCNSL, primary central nervous sytem lymphoma; RT, radiotherapy; SD, stable disease; Tisa-cel, tisagenlecleucel.