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Table 3 Cellular therapies and clinical trials for BTKi-resistant MCL

From: Beyond Bruton’s tyrosine kinase inhibitors in mantle cell lymphoma: bispecific antibodies, antibody–drug conjugates, CAR T-cells, and novel agents

CAR therapy (Company)

Trial Name

Target

Study (N)

Outcomes

Adverse events

CT identifier (Ref)

Brexucabtagene autoleucel; KTE-X19 (Kite Pharma)

ZUMA-2

CD19

R/R MCL Phase 2 (74)

ORR 91% CR 68%

CRS 15%, cytopenias 94%, infection 36%

NCT02601313 [169, 170]

Brexucabtagene autoleucel; KTE-X19 (Kite Pharma)

US Lymphoma CAR T

Consortium

CD19

R/R MCL

Phase 2 (93)

ORR 86%

CR 64%

CRS 88%

ICANS 58%

NCT02601313 [172]

Lisocabtagene maraleucel; JCAR017 (Juno Therapeutics)

TRANSCEND NHL001

CD19

R/R MCL Phase 2 (32)

ORR 84% CR 59%

CRS 50%

ICANS 28%

NCT02631044 [174]

Tisagenlecleucel (Novartis)

TARMAC

CD19

R/R MCL Phase 2 (20)

ORR 90% CR 80%

CRS 73%

NCT04234061 [180]

CD19 CAR T cells (Wuhan Union Hospital, China)

CD19

R/R MCL

Phase 3 (24)

Recruiting

Recruiting

NCT05020392

CD19 CAR-CD28-CD3zeta-EGFRt-expressing Tn/mem-enriched T-lymphocytes (City of Hope Medical Center)

CD19

R/R MCL Phase 2 (36)

Recruiting

Recruiting

NCT04484012

WZTL-002 (Malaghan Institute of Medical Research)

ENABLE

CD19 with TLR2

MCL and other B-NHL

Phase 1 (30)

Recruiting

Recruiting

NCT04049513 [177]

BAFFR-targeting CAR T (PeproMene Bio, Inc.)

BAFFR

MCL and other B-NHL

Phase 1 (18)

Recruiting

Recruiting

NCT05370430

SYNCAR-001 (Synthekine)

CD19, co-expressing IL-2 beta receptor

MCL and other B-NHL

Phase 1 (36)

Recruiting

Recruiting

NCT05665062

PRGN-3007 UltraCAR-T (Precigen, Inc Moffitt Cancer Center)

ROR-1

MCL and other B-NHL Phase 1/1b (88)

Recruiting

Recruiting

NCT05694364 [178]

RD14-01 (He Huang)

ROR-1

MCL and other B-NHL Phase 1 (18)

Recruiting

Recruiting

NCT05444322

LV20.19 (Medical College of Wisconsin)

CD19/20

Phase 1 (10)

ORR 100%

CD 60%

Grade 1–2 CRS 10%

NCT03019055 [181]

MB-106 (Mustang Bio)

CD20

R/R MCL

Phase 1 (3)

PR

No CRS or

ICANS ≥ Grade 3

NCT03277729

NCT05360238

NKX019 (Nkarta Inc)

CD19

MCL and other B-NHL Phase 1 (150)

Recruiting

Recruiting

NCT05020678

  1. CAR chimeric antigen receptor, ORR overall response rate, NE neurological events, CRS cytokine release syndrome, CR complete response, ICANS immune effector cell-associated neurotoxicity syndrome, TLR2 Toll-like receptor 2, B-NHL B cell non-Hodgkin’s lymphoma