Table 1.

Demographics and preinfusion variables in patients by occurrence of PSN

VariableNo PSN (n = 122)PSN (n = 22)Overall (N = 144)P value
Sex    .11 
Female 44 (78.6%) 12 (21.4%) 56 (38.9%)  
Male 78 (88.6%) 10 (11.4%) 88 (61.1%)  
Age at CAR-Ts, y    .87 
Median (IQR) 13 (8-18) 10.5 (6.25-18.8) 12.5 (8-18)  
Race/ethnicity    .78 
Black 3 (100%) 0 (0%) 3 (2.1%)  
Hispanic 43 (84.3%) 8 (15.7%) 51 (35.4%)  
Other 13 (86.7%) 2 (13.3%) 15 (10.4%)  
White 63 (84%) 12 (16%) 75 (52.1%)  
No. of relapses before CAR-Ts    .88 
Median (IQR) 1 (1-2) 1 (1-2) 1 (1-2)  
No. of lines of therapy before CAR-Ts    .04 
Median (IQR) 3 (2-4) 3 (3-5) 3 (2-4)  
HSCT before CAR-Ts    .26 
No 97 (86.6%) 15 (13.4%) 112 (77.8%)  
Yes 25 (78.1%) 7 (21.9%) 32 (22.2%)  
Months from previous HSCT to CAR-Ts    .63 
Median (IQR) 19 (10-34.5) 16 (6.50-18.5) 16.5 (9-30.8)  
Missing 2 (100%) 0 (0%) 2 (6.2%)  
HSCT source    .47 
Cord 3 (100%) 0 (0%) 3 (9.4%)  
Haplo-identical 6 (75%) 2 (25%) 8 (25%)  
Matched related 9 (69.2%) 4 (30.8%) 13 (40.6%)  
Matched unrelated 7 (87.5%) 1 (12.5%) 8 (25.0%)  
Intensity of most recent HSCT     .51 
22 (78.6%) 6 (21.4%) 28 (87.5%)  
1 (100%) 0 (0%) 1 (3.1%)  
2 (100%) 0 (0%) 2 (6.3%)  
Missing 0 (0%) 1 (100%) 1 (3.1%)  
Bone marrow disease burden (% morphologic blasts)    <.01 
Median (IQR) 1 (0-9) 36.0 (8-84) 1.80 (0-15)  
Missing 4 (80%) 1 (20%) 5 (3.5%)  
High disease burden     <.01 
No 73 (96.1%) 3 (3.9%) 76 (52.8%)  
Yes 47 (71.2%) 19 (28.8%) 66 (45.8%)  
Missing 2 (100%) 0 (0%) 2 (1.4%)  
CAR-T dose infused (×106/kg)    .24 
Median (IQR) 1.70 (1.30-2.4) 1.77 (1.52-2.5) 1.70 (1.31-2.4)  
Missing 1 (100%) 0 (0%) 1 (0.7%)  
Chemotherapy regimen    .02 
Fludarabine (30 mg/m2 × 4 days) and cyclophosphamide (500 mg/m2 × 2 days) 120 (86.3%) 19 (13.7%) 139 (96.5%)  
Other 2 (40.0%) 3 (60.0%) 5 (3.5%)  
Ferritin (ng/mL)    .007 
Median (IQR) 998 (572-2120) 2630 (1210-5500) 1230 (578-2630)  
Missing 12 (80%) 3 (20%) 15 (10.4%)  
CRP (mg/dL)    <.01 
Median (IQR) 0.49 (0.3-1.4) 4.56 (0.93-7.3) 0.50 (0.3-1.79)  
Missing 17 (77.3%) 5 (22.7%) 22 (15.3%)  
Platelet (×109/L)    <.01 
Median (IQR) 134 (84-209) 24.5 (21-107) 122 (55.8-206)  
ANC (cells per mm3)    <.01 
Median (IQR) 590 (250-1090) 30 (0-195) 500 (180-1040)  
Absolute leukocyte count (cells per mm3)    .20 
Median (IQR) 70.0 (30-143) 40.0 (2.5-90) 60.0 (20-125)  
LDH (U/L)    .01 
Median (IQR) 214 (176-309) 283 (194-504) 217 (178-319)  
Missing 11 (84.6%) 2 (15.4%) 13 (9%)  
Creatinine (mg/dL)    .64 
Median (IQR) 0.47 (0.34-0.64) 0.6 (0.31-0.68) 0.49 (0.34-0.64)  
VariableNo PSN (n = 122)PSN (n = 22)Overall (N = 144)P value
Sex    .11 
Female 44 (78.6%) 12 (21.4%) 56 (38.9%)  
Male 78 (88.6%) 10 (11.4%) 88 (61.1%)  
Age at CAR-Ts, y    .87 
Median (IQR) 13 (8-18) 10.5 (6.25-18.8) 12.5 (8-18)  
Race/ethnicity    .78 
Black 3 (100%) 0 (0%) 3 (2.1%)  
Hispanic 43 (84.3%) 8 (15.7%) 51 (35.4%)  
Other 13 (86.7%) 2 (13.3%) 15 (10.4%)  
White 63 (84%) 12 (16%) 75 (52.1%)  
No. of relapses before CAR-Ts    .88 
Median (IQR) 1 (1-2) 1 (1-2) 1 (1-2)  
No. of lines of therapy before CAR-Ts    .04 
Median (IQR) 3 (2-4) 3 (3-5) 3 (2-4)  
HSCT before CAR-Ts    .26 
No 97 (86.6%) 15 (13.4%) 112 (77.8%)  
Yes 25 (78.1%) 7 (21.9%) 32 (22.2%)  
Months from previous HSCT to CAR-Ts    .63 
Median (IQR) 19 (10-34.5) 16 (6.50-18.5) 16.5 (9-30.8)  
Missing 2 (100%) 0 (0%) 2 (6.2%)  
HSCT source    .47 
Cord 3 (100%) 0 (0%) 3 (9.4%)  
Haplo-identical 6 (75%) 2 (25%) 8 (25%)  
Matched related 9 (69.2%) 4 (30.8%) 13 (40.6%)  
Matched unrelated 7 (87.5%) 1 (12.5%) 8 (25.0%)  
Intensity of most recent HSCT     .51 
22 (78.6%) 6 (21.4%) 28 (87.5%)  
1 (100%) 0 (0%) 1 (3.1%)  
2 (100%) 0 (0%) 2 (6.3%)  
Missing 0 (0%) 1 (100%) 1 (3.1%)  
Bone marrow disease burden (% morphologic blasts)    <.01 
Median (IQR) 1 (0-9) 36.0 (8-84) 1.80 (0-15)  
Missing 4 (80%) 1 (20%) 5 (3.5%)  
High disease burden     <.01 
No 73 (96.1%) 3 (3.9%) 76 (52.8%)  
Yes 47 (71.2%) 19 (28.8%) 66 (45.8%)  
Missing 2 (100%) 0 (0%) 2 (1.4%)  
CAR-T dose infused (×106/kg)    .24 
Median (IQR) 1.70 (1.30-2.4) 1.77 (1.52-2.5) 1.70 (1.31-2.4)  
Missing 1 (100%) 0 (0%) 1 (0.7%)  
Chemotherapy regimen    .02 
Fludarabine (30 mg/m2 × 4 days) and cyclophosphamide (500 mg/m2 × 2 days) 120 (86.3%) 19 (13.7%) 139 (96.5%)  
Other 2 (40.0%) 3 (60.0%) 5 (3.5%)  
Ferritin (ng/mL)    .007 
Median (IQR) 998 (572-2120) 2630 (1210-5500) 1230 (578-2630)  
Missing 12 (80%) 3 (20%) 15 (10.4%)  
CRP (mg/dL)    <.01 
Median (IQR) 0.49 (0.3-1.4) 4.56 (0.93-7.3) 0.50 (0.3-1.79)  
Missing 17 (77.3%) 5 (22.7%) 22 (15.3%)  
Platelet (×109/L)    <.01 
Median (IQR) 134 (84-209) 24.5 (21-107) 122 (55.8-206)  
ANC (cells per mm3)    <.01 
Median (IQR) 590 (250-1090) 30 (0-195) 500 (180-1040)  
Absolute leukocyte count (cells per mm3)    .20 
Median (IQR) 70.0 (30-143) 40.0 (2.5-90) 60.0 (20-125)  
LDH (U/L)    .01 
Median (IQR) 214 (176-309) 283 (194-504) 217 (178-319)  
Missing 11 (84.6%) 2 (15.4%) 13 (9%)  
Creatinine (mg/dL)    .64 
Median (IQR) 0.47 (0.34-0.64) 0.6 (0.31-0.68) 0.49 (0.34-0.64)  

CNS, central nervous system; IQR, interquartile range; LDH, lactate dehydrogenase.

Intensity of HSCT defined as: (1) myeloablative HSCT with radiation, (2) myeloablative SCT with chemotherapy, and (3) nonmyeloablative.

High disease burden defined as: >5% bone marrow blasts, having CNS3 disease, having peripheral blasts, odds ratio having non-CNS extramedullary disease.

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