Patient characteristics and outcome
Variable . | Patients (n = 23) . |
---|---|
Sex: male/female (ratio) | 12/11 (1.1) |
WM characteristics | |
Age at WM diagnosis, median (range), y | 58 (35-72) |
MYD88L265P mutation | 12/14 (86) |
CXCR4 mutation | 2/8 (25) |
Number of lines for WM, median (range) | 1 (0-4) |
HT characteristics | |
Age at HT, median (range), y | 65 (41-81) |
Histology | |
DLBCL, not otherwise specified | 22 (96) |
HGBL (MYC and BCL6 translocations) | 1 (4) |
Hans algorithm | |
Non-GC | 18 (86) |
GC | 3 (14) |
Extranodal involvement | 19 (83) |
CNS involvement | 3 (13) |
Serum IgM level, median (range), g/L | 6.1 (0-31.1) |
Ann Arbor stage III-IV | 22 (96) |
IPI ≥3 | 10/20 (50) |
Number of lines for HT, median (range) | 2 (1-4) |
Characteristics at lymphodepletion | |
Age at lymphodepletion, median (range), y | 66 (41-82) |
>70 y | 8 (35) |
Refractory to last therapy | 11 (48) |
ECOG performance status ≥2 | 5/22 (23) |
Elevated LDH | 11 (48) |
Ann Arbor stage III-IV | 12/15 (80) |
CNS involvement | 2/23 (9) |
Bridging therapy | 17 (74) |
Response to bridging therapy (n = 17) | |
CR | 3 (18) |
PR | 3 (18) |
SD | 5 (29) |
PD | 6 (35) |
Lymphodepleting chemotherapy | |
Flu/Cy | 20 (87) |
Bendamustine | 3 (13) |
CAR T-cell product | |
Axicabtagene-ciloleucel | 14 (61) |
Tisagenlecleucel | 9 (39) |
Outcome after CAR-T infusion | |
Best OR | 22 (96) |
Best CR | 20 (87) |
1-y PFS (95% CI), % | 73.4 (50.2-87.1) |
1-y OS (95% CI), % | 80.5 (50.6-89.2) |
Grade ≥3 CRS | 2 (9) |
Grade ≥3 ICANS | 2 (9) |
Variable . | Patients (n = 23) . |
---|---|
Sex: male/female (ratio) | 12/11 (1.1) |
WM characteristics | |
Age at WM diagnosis, median (range), y | 58 (35-72) |
MYD88L265P mutation | 12/14 (86) |
CXCR4 mutation | 2/8 (25) |
Number of lines for WM, median (range) | 1 (0-4) |
HT characteristics | |
Age at HT, median (range), y | 65 (41-81) |
Histology | |
DLBCL, not otherwise specified | 22 (96) |
HGBL (MYC and BCL6 translocations) | 1 (4) |
Hans algorithm | |
Non-GC | 18 (86) |
GC | 3 (14) |
Extranodal involvement | 19 (83) |
CNS involvement | 3 (13) |
Serum IgM level, median (range), g/L | 6.1 (0-31.1) |
Ann Arbor stage III-IV | 22 (96) |
IPI ≥3 | 10/20 (50) |
Number of lines for HT, median (range) | 2 (1-4) |
Characteristics at lymphodepletion | |
Age at lymphodepletion, median (range), y | 66 (41-82) |
>70 y | 8 (35) |
Refractory to last therapy | 11 (48) |
ECOG performance status ≥2 | 5/22 (23) |
Elevated LDH | 11 (48) |
Ann Arbor stage III-IV | 12/15 (80) |
CNS involvement | 2/23 (9) |
Bridging therapy | 17 (74) |
Response to bridging therapy (n = 17) | |
CR | 3 (18) |
PR | 3 (18) |
SD | 5 (29) |
PD | 6 (35) |
Lymphodepleting chemotherapy | |
Flu/Cy | 20 (87) |
Bendamustine | 3 (13) |
CAR T-cell product | |
Axicabtagene-ciloleucel | 14 (61) |
Tisagenlecleucel | 9 (39) |
Outcome after CAR-T infusion | |
Best OR | 22 (96) |
Best CR | 20 (87) |
1-y PFS (95% CI), % | 73.4 (50.2-87.1) |
1-y OS (95% CI), % | 80.5 (50.6-89.2) |
Grade ≥3 CRS | 2 (9) |
Grade ≥3 ICANS | 2 (9) |
Data are given as number/total (percentage) or number (percentage) unless otherwise indicated.
CI, confidence interval; DLBCL, diffuse large B-cell lymphoma; ECOG, Eastern Cooperative Oncology Group; Fly/Cy, fludarabine cyclophosphamide; GC, germinal center; HGBL, high-grade B-cell lymphoma; IPI, International Prognostic Index; LDH, lactate dehydrogenase; OR, overall response; PD, progressive disease; SD, stable disease.