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Table 1 CAR T cell therapy in lymphoma

From: Novel and emerging therapies for B cell lymphoma

CAR T cell product

Axicabtagene ciloleucel (Yescarta)

Tisagenlecleucel (Kymriah)

Lisocabtagene maraleucel

Costimulation domain

CD-28

4-1BB

4-1BB

Vector

Retrovirus

Lentivirus

Lentivirus

Conditioning regimen

Fludarabine, cyclophosphamide

Fludarabine, cyclophosphamide, or bendamustine

Fludarabine, cyclophosphamide

Pivotal trial

ZUMA-1 (N = 108)

JULIET (N = 111)

TRANSCEND-NHL-001 (N = 102)

Histology

DLBCL, tFL, PMBCL

DLBCL, tFL

DLBCL,PMBCL, FL, tFL

CAR T cell dosage

2 × 106 cells/kg

3 × 108 cells/kg

1 × 108 cells/kg

ORR

83%

52%

75%

CR

58%

40%

55%

Median DOR (months)

11.1 (95% CI, 4.2—NE)

NR (95% CI, 10—NR)

NA

Overall survival

24-month survival, 50.5% (95% CI 40.2–59.7)

11.7 months (95% CI, 6.6—NE)

NA

Any grade CRS/NT

93%/64 %

58%/21%

37%/25 %

Grade ≥ 3 CRS

13%

22%

1%

Grade ≥ 3 NT

28%

12%

15%

Tocilizumab/steroid usage

43%/27%

15%/10%

17%/21%

Grade 5 AEs

4%

None

None

Reference

[11, 13]

[9, 14]

[12, 15]

  1. Abbreviations: N number of patients, ORR overall response rate, CR complete response rate, CRS cytokine release syndrome, NT neurotoxicity, DOR duration of response, CAR chimeric antigen receptor, AE adverse event, DLBCL diffuse large B cell lymphoma, tFL transformed follicular lymphoma, FL follicular lymphoma, PMBCL primary mediastinal B cell lymphoma, NE not estimated, NR not reached, NA data unavailable