Characteristics and outcomes of 10 patients who received CD19 CAR T-cell retreatment of post–CAR T disease progression
. | . | First CAR T-cell therapy . | . | . | . | . | Second CAR T-cell therapy . | . | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
ID . | Disease status at first CAR T-cell therapy . | Lympho- depletion . | Dose (cells per kg) . | Peak expansion (vcn/mL) . | CRS maximum grade . | ICANS maximum grade . | Response to first CAR T-cell therapy . | Relapse site/burden . | Time from first CAR T to second CAR T (d) . | Disease status at second CAR T-cell therapy . | Lympho- depletion . | Dose (/kg) . | Peak CAR T expansion (vcn/mL) . | CRS maximum grade . | ICANS maximum grade . | Response to second CAR T-cell therapy . | Post-second CAR T treatment . | Living status last contact . |
MSK7 | Morphologic | Cy 3 g/m2 | 3×106 | 62 719 | 1 | 3 | MRD− CR | BM/gross | 166 | Morphologic | Cy 1.5 g/m2 | 3×106 | 13 353 | 1 | No | NR | No | Dead (disease) |
MSK9 | MRD | Cy 1.5 g/m2 | 0.4×106 | 5208 | No | No | MRD− CR | BM/MRD | 204 | MRD | Cy 3 g/m2 | 3×106 | 0 | 1 | No | NR | Yes | Dead (disease) |
MSK13 | Morphologic | Cy 3 g/m2 | 3×106 | 2 320 302 | 3 | 3 | MRD− CR | BM/gross | 1041 | Morphologic | Flu/Cy | 1×106 | 746 | No | No | NR | Yes | Dead (disease) |
MSK16 | MRD | Cy 3 g/m2 | 3×106 | 0 | 2 | 2 | MRD− CR | EM, BM/gross | 104 | MRD | Cy 3 g/m2 | 3×106 | 0 | No | No | MRD− CR | No | Dead (disease) |
MSK17 | Morphologic | Cy 3 g/m2 | 3×106 | 197 262 | 4 | 4 | MRD− CR | BM/gross | 104 | Morphologic | Cy 2 g/m2 | 3×106 | 200 363 | 3 | 5 | MRD− CR | No | Dead (TRM) |
MSK24 | Morphologic | Cy 3 g/m2 | 1×106 | 34 183 | 1 | No | MRD+ CR | BM/gross | 80 | Morphologic | Cy 3 g/m2 | 1×106 | 0 | 1 | No | NR | Yes | Dead (unknown) |
MSK29 | MRD− | Cy 3 g/m2 | 3×106 | 26 210 | 1 | 2 | MRD− CR | BM/gross | 1110 | Morphologic | Flu/Cy | 3×106 | 35 800 | 1 | 1 | NR | No | Dead (unknown) |
MSK36 | MRD | Cy 3 g/m2 | 3×106 | 0 | No | No | MRD+ CR | BM/gross | 343 | Morphologic | Flu/Cy | 1×106 | 177 758 | 1 | No | NR | Yes | Alive |
MSK44 | Morphologic | Flu/Cy | 1×106 | 129 980 | 1 | 3 | MRD+ CR | EM, BM/gross | 451 | Morphologic | Cy 3 g/m2 | 1×106 | 0 | 2 | No | MRD+ CR | Yes | Alive |
MSK56 | Morphologic | Flu/Cy | 1×106 | 20 400 | 2 | 0 | MRD+ CR | BM/MRD | 164 | MRD | Flu/Cy | 1×106 | 18 900 | 2 | No | MRD− CR | Yes | Dead (unknown) |
. | . | First CAR T-cell therapy . | . | . | . | . | Second CAR T-cell therapy . | . | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
ID . | Disease status at first CAR T-cell therapy . | Lympho- depletion . | Dose (cells per kg) . | Peak expansion (vcn/mL) . | CRS maximum grade . | ICANS maximum grade . | Response to first CAR T-cell therapy . | Relapse site/burden . | Time from first CAR T to second CAR T (d) . | Disease status at second CAR T-cell therapy . | Lympho- depletion . | Dose (/kg) . | Peak CAR T expansion (vcn/mL) . | CRS maximum grade . | ICANS maximum grade . | Response to second CAR T-cell therapy . | Post-second CAR T treatment . | Living status last contact . |
MSK7 | Morphologic | Cy 3 g/m2 | 3×106 | 62 719 | 1 | 3 | MRD− CR | BM/gross | 166 | Morphologic | Cy 1.5 g/m2 | 3×106 | 13 353 | 1 | No | NR | No | Dead (disease) |
MSK9 | MRD | Cy 1.5 g/m2 | 0.4×106 | 5208 | No | No | MRD− CR | BM/MRD | 204 | MRD | Cy 3 g/m2 | 3×106 | 0 | 1 | No | NR | Yes | Dead (disease) |
MSK13 | Morphologic | Cy 3 g/m2 | 3×106 | 2 320 302 | 3 | 3 | MRD− CR | BM/gross | 1041 | Morphologic | Flu/Cy | 1×106 | 746 | No | No | NR | Yes | Dead (disease) |
MSK16 | MRD | Cy 3 g/m2 | 3×106 | 0 | 2 | 2 | MRD− CR | EM, BM/gross | 104 | MRD | Cy 3 g/m2 | 3×106 | 0 | No | No | MRD− CR | No | Dead (disease) |
MSK17 | Morphologic | Cy 3 g/m2 | 3×106 | 197 262 | 4 | 4 | MRD− CR | BM/gross | 104 | Morphologic | Cy 2 g/m2 | 3×106 | 200 363 | 3 | 5 | MRD− CR | No | Dead (TRM) |
MSK24 | Morphologic | Cy 3 g/m2 | 1×106 | 34 183 | 1 | No | MRD+ CR | BM/gross | 80 | Morphologic | Cy 3 g/m2 | 1×106 | 0 | 1 | No | NR | Yes | Dead (unknown) |
MSK29 | MRD− | Cy 3 g/m2 | 3×106 | 26 210 | 1 | 2 | MRD− CR | BM/gross | 1110 | Morphologic | Flu/Cy | 3×106 | 35 800 | 1 | 1 | NR | No | Dead (unknown) |
MSK36 | MRD | Cy 3 g/m2 | 3×106 | 0 | No | No | MRD+ CR | BM/gross | 343 | Morphologic | Flu/Cy | 1×106 | 177 758 | 1 | No | NR | Yes | Alive |
MSK44 | Morphologic | Flu/Cy | 1×106 | 129 980 | 1 | 3 | MRD+ CR | EM, BM/gross | 451 | Morphologic | Cy 3 g/m2 | 1×106 | 0 | 2 | No | MRD+ CR | Yes | Alive |
MSK56 | Morphologic | Flu/Cy | 1×106 | 20 400 | 2 | 0 | MRD+ CR | BM/MRD | 164 | MRD | Flu/Cy | 1×106 | 18 900 | 2 | No | MRD− CR | Yes | Dead (unknown) |
Cy, cyclophosphamide; Flu, fludarabine; NR, no response; TRM, treatment-related mortality.