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Table 1 Baseline clinical characteristics and post-anti-PD-1 outcomes

From: Anti-PD-1 antibodies as a salvage therapy for patients with diffuse large B cell lymphoma who progressed/relapsed after CART19/20 therapy

Patient no.

1

2

3

4

5

Age (years)

54

40

41

38

35

Sex

M

F

F

M

F

ECOG performance status

0

2

1

0

2

Diagnosis/stage

DLBCL/IV

DLBCL/IV

DLBCL/III

DLBCL/IV

DLBCL/III

Disease status1

Relapsed

Primary refractory

Primary refractory

Relapsed

Primary refractory

Target lesion

Bilateral parotid nodule

Bone marrow, spleen, lymph nodes (9 regions)

Lymph nodes (2 regions)

Bone, lymph node

Lymph node

Prior system regimens

RCHOP × 5, RDICE × 3, RGEMOX × 9, RMTX × 2, RAD × 6, BEACOPP × 2

RCHOP × 8, DHAP × 4, CART19

CHOPE × 4, RDICE × 6, RDHAP × 4, IR × 2

RCHOPE × 2, ABVD × 3, DICE × 4, ESHAP × 7, BEAM × 2, R2 × 6

REPOCH × 8, GEMOX × 2

Prior RT

Yes

No

No

No

No

Prior ASCT

Yes

No

No

No

No

Prior CD19/CD20 CAR-T

Yes

Yes

Yes

Yes

Yes

 Best response

CR

CR

PR

CR

PD

 Final response

PD

PD

PD

PD

PD

 PFS (months)

6

6

5

3

3

Percentage of PD-L1+ expression2

0

0

30%

70%

0

Percentage of PD-L1+ expression3

30%

0

40%

80%

0

Percentage of PD-1+ expression2

0

0

20%

0

0

Percentage of PD-1+ expression3

80%

5%

60%

60%

0

Anti-PD-1 therapy

     

 Antibody type (treatment cycle)

Sintilimab (12)

Camrelizumab (1)

Sintilimab (5)

Camrelizumab (24)

Sintilimab

(2)

 Best response

CR

PD

PR

CR

PD

 Final response

PD

PD

PD

CR

PD

 PFS (months)

10.1

0.63

3.3

21.8

1

 OS (months)

NE

16.2

NE

NE

15.6

 TrAE (grade)

Increased transaminase (1)

None

Fever (2), leukocytopenia (2)

Fever (1), rash (1)

None

  1. ASCT, autologous stem-cell transplantation; ABVD, doxorubicin, bleomycin, vindesine, dacarbazine; BEACOPP, bleomycin, etoposide, doxorubicin, cyclophosphamide, vindesine, procarbazine, prednisone; BEAM, carmustine, etoposide, cytarabine, melphalan; CHOPE, cyclophosphamide, vindesine, doxorubicin, etoposide, prednisone; DHAP, cisplatin, cytarabine, dexamethasone; ESHAP, rituximab, etoposide, vindesine, doxorubicin, cyclophosphamide, prednisone; GEMOX, gemcitabine, oxaliplatin; RCHOP, rituximab, cyclophosphamide, vindesine, doxorubicin, prednisone; RMTX, rituximab, methotrexate; RAD, rituximab, cytosine arabinoside, dexamethasone; RDHAP, rituximab, cisplatin, cytarabine, dexamethasone; RDICE, rituximab, ifosfamide, cisplatin, etoposide, dexamethasone; REPOCH, rituximab, etoposide, vindesine, doxorubicin, cyclophosphamide, prednisone; RGEMOX, rituximab, gemcitabine, oxaliplatin; RFC, rituximab, fludarabine, cyclophosphamide; R2, rituximab combined with lenalidomide; DLBCL, diffuse large B cell lymphoma; ECOG, Eastern Cooperative Oncology Group; GCB, germinal center B cell; PFS, progression-free survival; TrAE, treatment-related adverse events
  2. 1Primary refractory, non-response or relapse within 3 months of frontline therapy
  3. 2These data were collected prior to CART19/20 therapy
  4. 3These data were collected after failure of CART19/20 therapy