Demographics and responses of patients who received ibrutinib before CAR T-cell therapy
Subject UPN . | Age, y/sex . | Previous therapies . | CLL tumor characteristics . | Ibrutinib status during T-cell collection . | CLL involvement at CTL019 infusion . | Response to CTL019 . |
---|---|---|---|---|---|---|
18 | 61/male | Fludarabine/cyclophosphamide/rituximab × 6 cycles Bendamustine/rituximab × 1 cycle Oxaliplatin/fludarabine/cytarabine/rituximab × 2 cycles Selinexor × 1 cycle Ibrutinib × 12 mo | trisomy 12; del12q14; del11q; del17p | Discontinued 2 mo before T-cell collection | Cytopenias; BM 20% involved with CLL; bulky diffuse adenopathy | Marked PR; cytopenias resolved at 2 mo; BM minimally involved; >50% decrease in adenopathy; relapsed with CD19-negative disease |
29 | 68/male | Rituximab/fludarabine × 6 cycles Ofatumumab × 2 cycles Bendamustine/ofatumumab × 1 cycle Ibrutinib × 15 mo | 13qdel; trisomy 21; 17pdel | Discontinued 11 d before T-cell collection | Blood involved; BM 25% involved with CLL; diffuse adenopathy | PR: cleared blood and BM at day 28; persistent adenopathy |
47 | 57/male | Fludarabine/cyclophosphamide/rituximab × 3 cycles Bendamustine × 1 cycle Ibrutinib × 16 mo | p53del | Ongoing at T-cell collection*; discontinued 7 d before CTL019 treatment, per protocol | Normal ALC; BM 70% involved with CLL; diffuse adenopathy | CR: cleared blood and BM at day 28; no adenopathy |
Subject UPN . | Age, y/sex . | Previous therapies . | CLL tumor characteristics . | Ibrutinib status during T-cell collection . | CLL involvement at CTL019 infusion . | Response to CTL019 . |
---|---|---|---|---|---|---|
18 | 61/male | Fludarabine/cyclophosphamide/rituximab × 6 cycles Bendamustine/rituximab × 1 cycle Oxaliplatin/fludarabine/cytarabine/rituximab × 2 cycles Selinexor × 1 cycle Ibrutinib × 12 mo | trisomy 12; del12q14; del11q; del17p | Discontinued 2 mo before T-cell collection | Cytopenias; BM 20% involved with CLL; bulky diffuse adenopathy | Marked PR; cytopenias resolved at 2 mo; BM minimally involved; >50% decrease in adenopathy; relapsed with CD19-negative disease |
29 | 68/male | Rituximab/fludarabine × 6 cycles Ofatumumab × 2 cycles Bendamustine/ofatumumab × 1 cycle Ibrutinib × 15 mo | 13qdel; trisomy 21; 17pdel | Discontinued 11 d before T-cell collection | Blood involved; BM 25% involved with CLL; diffuse adenopathy | PR: cleared blood and BM at day 28; persistent adenopathy |
47 | 57/male | Fludarabine/cyclophosphamide/rituximab × 3 cycles Bendamustine × 1 cycle Ibrutinib × 16 mo | p53del | Ongoing at T-cell collection*; discontinued 7 d before CTL019 treatment, per protocol | Normal ALC; BM 70% involved with CLL; diffuse adenopathy | CR: cleared blood and BM at day 28; no adenopathy |