Characteristics of patients bridging into allo-HSCT vs those not bridging into allo-HSCT after CAR T-cell therapy
Characteristic . | CAR T-cell therapy followed by allo-HSCT . | P . | |||
---|---|---|---|---|---|
Yes . | No . | ||||
No. . | % . | No. . | % . | ||
Sex | .47 | ||||
Male | 47 | 63 | 19 | 76 | |
Female | 28 | 37 | 8 | 24 | |
Age, y | .04* | ||||
2-14 | 53 | 71 | 13 | 48 | |
15-61 | 22 | 29 | 14 | 52 | |
Disease status | <.001† | ||||
Relapsed after HSCT | 2 | 3 | 13 | 48 | |
Relapsed after chemotherapy | 66 | 88 | 11 | 41 | |
Primary refractory | 7 | 9 | 3 | 11 | |
Complex karyotypes | .69 | ||||
Yes | 36 | 48 | 9 | 33 | |
No | 36 | 48 | 14 | 52 | |
Unknown | 3 | 4 | 2 | 5 | |
Fusion gene | .14 | ||||
BCR-ABL1+ | 8 | 11 | 6 | 22 | |
BCR-ABL1– | 67 | 89 | 21 | 78 | |
TP53 mutation | .43 | ||||
TP53+ | 7 | 9 | 4 | 15 | |
TP53– | 68 | 91 | 23 | 85 | |
BM blasts, % | .025* | ||||
≤20 | 43 | 57 | 22 | 81 | |
>20 | 32 | 43 | 5 | 19 | |
Response after CAR T-cell therapy | .7 | ||||
CR | 32 | 43 | 10 | 37 | |
CRi | 43 | 57 | 17 | 63 | |
CRS grade | |||||
0-2 | 67 | 89 | 23 | 85 | .985 |
3-4 | 8 | 11 | 4 | 15 | |
MRD status before allo-HSCT | |||||
MRD-negative | 69 | 92 | |||
MRD-positive | 6 | 8 | |||
Disease status before allo-HSCT | |||||
CR1 | 7 | 9 | |||
CR2 | 68 | 91 | |||
Donor type | |||||
Matched unrelated | 9 | 12 | |||
HLA-identical sibling | 16 | 21 | |||
Haploidentical | 50 | 67 | |||
HSCT conditioning regimen | |||||
Total body irradiation-based | 69 | 92 | |||
Busulfan-based | 6 | 8 | |||
Median days to bridge into allo-HSCT (range) | 63 (36-120) |
Characteristic . | CAR T-cell therapy followed by allo-HSCT . | P . | |||
---|---|---|---|---|---|
Yes . | No . | ||||
No. . | % . | No. . | % . | ||
Sex | .47 | ||||
Male | 47 | 63 | 19 | 76 | |
Female | 28 | 37 | 8 | 24 | |
Age, y | .04* | ||||
2-14 | 53 | 71 | 13 | 48 | |
15-61 | 22 | 29 | 14 | 52 | |
Disease status | <.001† | ||||
Relapsed after HSCT | 2 | 3 | 13 | 48 | |
Relapsed after chemotherapy | 66 | 88 | 11 | 41 | |
Primary refractory | 7 | 9 | 3 | 11 | |
Complex karyotypes | .69 | ||||
Yes | 36 | 48 | 9 | 33 | |
No | 36 | 48 | 14 | 52 | |
Unknown | 3 | 4 | 2 | 5 | |
Fusion gene | .14 | ||||
BCR-ABL1+ | 8 | 11 | 6 | 22 | |
BCR-ABL1– | 67 | 89 | 21 | 78 | |
TP53 mutation | .43 | ||||
TP53+ | 7 | 9 | 4 | 15 | |
TP53– | 68 | 91 | 23 | 85 | |
BM blasts, % | .025* | ||||
≤20 | 43 | 57 | 22 | 81 | |
>20 | 32 | 43 | 5 | 19 | |
Response after CAR T-cell therapy | .7 | ||||
CR | 32 | 43 | 10 | 37 | |
CRi | 43 | 57 | 17 | 63 | |
CRS grade | |||||
0-2 | 67 | 89 | 23 | 85 | .985 |
3-4 | 8 | 11 | 4 | 15 | |
MRD status before allo-HSCT | |||||
MRD-negative | 69 | 92 | |||
MRD-positive | 6 | 8 | |||
Disease status before allo-HSCT | |||||
CR1 | 7 | 9 | |||
CR2 | 68 | 91 | |||
Donor type | |||||
Matched unrelated | 9 | 12 | |||
HLA-identical sibling | 16 | 21 | |||
Haploidentical | 50 | 67 | |||
HSCT conditioning regimen | |||||
Total body irradiation-based | 69 | 92 | |||
Busulfan-based | 6 | 8 | |||
Median days to bridge into allo-HSCT (range) | 63 (36-120) |