Main toxicities and management
Toxicity . | Value . |
---|---|
Hematologic toxicity up to 1 mo after infusion, n (%) | |
Anemia | |
Any grade | 47 (97.92) |
≥Grade 3 | 30 (62.50) |
Thrombocytopenia | |
Any grade | 37 (77.08) |
≥Grade 3 | 30 (62.50) |
Neutropenia | |
Any grade | 47 (97.92) |
≥Grade 3 | 47 (97.92) |
Profound (ANC < 100 cells per μL) | 12 (25.00) |
Supportive therapy for cytopenia, n (%) | |
G-CSF | 39 (81.25) |
TPO | 4 (8.33) |
EPO | 8 (16.67) |
CD34+ boost | 1 (2.08) |
pRBC transfusion <30 d after infusion | 33 (68.75) |
pRBC transfusion >30 d after infusion | 6 (12.50) |
Platelet transfusion <30 d after infusion | 25 (52.08) |
Platelet transfusion >30 d after infusion. | 8 (16.67) |
ICANS grade, n (%) | |
0 | 38 (79.17) |
1 | 7 (14.58) |
2 | 1 (2.08) |
3 | 2 (4.17) |
4 | 0 (0.00) |
CRS grade, n (%) | |
0 | 5 (10.42) |
1 | 22 (45.83) |
2 | 15 (31.25) |
3 | 4 (8.33) |
4 | 2 (4.17) |
Treatment for ICANS/CRS, n (%) | |
Steroids | 17 (35.42) |
Tocilizumab | 34 (70.83) |
Anakinra | 3 (6.25) |
Infection, n (%) | |
Any grade | 18 (37.50) |
Grade ≥3 | 5 (10.42) |
Toxicity . | Value . |
---|---|
Hematologic toxicity up to 1 mo after infusion, n (%) | |
Anemia | |
Any grade | 47 (97.92) |
≥Grade 3 | 30 (62.50) |
Thrombocytopenia | |
Any grade | 37 (77.08) |
≥Grade 3 | 30 (62.50) |
Neutropenia | |
Any grade | 47 (97.92) |
≥Grade 3 | 47 (97.92) |
Profound (ANC < 100 cells per μL) | 12 (25.00) |
Supportive therapy for cytopenia, n (%) | |
G-CSF | 39 (81.25) |
TPO | 4 (8.33) |
EPO | 8 (16.67) |
CD34+ boost | 1 (2.08) |
pRBC transfusion <30 d after infusion | 33 (68.75) |
pRBC transfusion >30 d after infusion | 6 (12.50) |
Platelet transfusion <30 d after infusion | 25 (52.08) |
Platelet transfusion >30 d after infusion. | 8 (16.67) |
ICANS grade, n (%) | |
0 | 38 (79.17) |
1 | 7 (14.58) |
2 | 1 (2.08) |
3 | 2 (4.17) |
4 | 0 (0.00) |
CRS grade, n (%) | |
0 | 5 (10.42) |
1 | 22 (45.83) |
2 | 15 (31.25) |
3 | 4 (8.33) |
4 | 2 (4.17) |
Treatment for ICANS/CRS, n (%) | |
Steroids | 17 (35.42) |
Tocilizumab | 34 (70.83) |
Anakinra | 3 (6.25) |
Infection, n (%) | |
Any grade | 18 (37.50) |
Grade ≥3 | 5 (10.42) |
Main toxicities and management after CAR-T therapy.
ANC, absolute neutrophil count; EPO, erythropoietin; pRBC packed red blood cells; TPO, thrombopoietin analogues.