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Table 1 Clinical characteristics and post-CAR T outcomes

From: CD19 CAR-T expressing PD-1/CD28 chimeric switch receptor as a salvage therapy for DLBCL patients treated with different CD19-directed CAR T-cell therapies

Patient Number

1

2

3

4

5

6

Age (years)

51

51

53

47

56

63

Sex

Male

Male

Female

Female

Female

Male

Diagnosis/subtype

TFL

DLBCL/GCB

DLBCL/non-GCB

HGBL (Triple hit)

DLBCL/non-GCB

DLBCL/non-GCB

ECOG PS1

1

3

1

3

3

1

Prior therapy

R-CHOP; 2-HyperCVAD-A

R-CHOP; R-BEAM + ASCT

R-CHOP; R-GDP; R2-COP + mitoxantrone; BEAM + ASCT

CHOP; R- EPOCH; R-DA-EPOCH; DHAP

R- EPOCH; R-GeMox; ICE2 R-COP2; Ibrutinib2

R-CHOP; R-GDP; R2-MINE; R-DHAP

Disease Stage1

4

3

4

4

4

3

B Symptom1

A

A

B

A

A

A

PD-L11

20%

25%

Negative

Negative

Negative

Negative

Ki-671

80%

50%

80%

100%

40%

80%

IPI Score1

2

3

3

3

4

2

First CAR-T

      

Costimulatory domain

4-1BB

4-1BB

CD28

CD28

4-1BB

4-1BB

Dose (106/kg)

0.50

1.00

0.88

1.78

4.00

2.00

Response

PR

PD

PD

PD

PR

CR

DOR (Month)

4

NA

NA

NA

3

30

Second CAR-T

      

ECOG PS

2

4

1

4

3

1

Dose (106/kg)

0.32

0.63

0.50

2.90

4.00

2.00

Response

PD

ED

CR

ED

CR

CR

DOR (Month)

NA

NA

25

NA

8

14

PBMC Source

Leukapheresis

Cryopreservation

Cryopreservation

Cryopreservation

Leukapheresis

Leukapheresis

Time for CAR-T culture (Day)

15

14

14

13

14

12

Naïve T (%)

1.89

29.85

25.35

51.9

31.25

28.64

TCM T (%)

60.48

26.84

40.49

42.89

47.97

13.66

TEM T (%)

1.14

21.35

23.26

3.81

13.61

13.16

TEMRA T (%)

36.49

21.96

10.90

1.40

7.17

44.55

  1. ASCT, autologous stem cell transplant; CHOP, cyclophosphamide, adriamycin, vincristine, prednisone; COP, cyclophosphamide, vincristine, prednisone; EPOCH, etoposide, prednisone, vincristine, cyclophosphamide, doxorubicin; BEAM, carmustine, etoposide, cytarabine, melphalan; GDP, gemcitabine, dexamethasone, cisplatin; GEMOX, gemcitabine, oxaliplatin; ICE, ifosfamide, carboplatin, etoposide; HyperCVAD, cyclophosphamide, vincristine, doxorubicin, dexamethasone; DHAP, dexamethasone, high dose cytarabine, cisplatin; ICE, ifosfamide, carboplatin, etoposide; MINE, mesna, ifosfamide, mitoxantrone, etoposide; R, rituximab; R2, rituximab combined with lenalidomide; DLBCL, diffuse large B cell lymphoma; ECOG PS, Eastern Cooperative Oncology Group performance status; IPI, International Prognostic Index; GCB, germinal center B cell; TFL, transformed follicular lymphoma; DLBCL, diffuse large B-cell lymphoma; HGBL, high grade B-cell lymphoma; Triple hit, MYC, BCL2 and BCL6 rearrangements. DOR, Duration of Response; TCM, T cells with central memory; TEM, T cells with effector memory; TEMRA, terminally differentiated effector T cells
  2. 1These data were collected before first CAR-T
  3. 2The chemotherapy regimens were conducted after first CAR-T