PMID- 33904895 OWN - NLM STAT- MEDLINE DCOM- 20210531 LR - 20220531 IS - 2473-9537 (Electronic) IS - 2473-9529 (Print) IS - 2473-9529 (Linking) VI - 5 IP - 8 DP - 2021 Apr 27 TI - Effect of lisocabtagene maraleucel on HRQoL and symptom severity in relapsed/refractory large B-cell lymphoma. PG - 2245-2255 LID - 10.1182/bloodadvances.2020003503 [doi] AB - CD19-directed chimeric antigen receptor (CAR) T-cell therapy has shown efficacy as a third-line or later treatment in patients with relapsed/refractory large B-cell lymphoma (LBCL). Using the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) and the EuroQol 5-Dimension 5-Level (EQ-5D-5L) questionnaire, we evaluated the impact of CAR T-cell treatment with lisocabtagene maraleucel (liso-cel) on health-related quality of life (HRQoL) and symptoms in patients with relapsed/refractory LBCL in the ongoing, open-label, nonrandomized TRANSCEND NHL 001 trial. Clinically meaningful improvement was observed in EORTC QLQ-C30 scores for global health status/QoL, based on a minimally important difference of 10 points at 2 to 18 months after liso-cel infusion. There were no clinically meaningful changes in physical functioning and pain, whereas clinically meaningful improvements were observed in fatigue at 2, 12, and 18 months. The proportion of patients with clinically meaningful improvement in global health status/QoL was generally higher for treatment responders than for nonresponders. A trend toward decreased mean EQ-5D-5L index scores was observed at 1 month after liso-cel infusion, followed by subsequent increases through 18 months. Mean EQ-5D-5L visual analog scale scores increased from 2 through 18 months. In summary, patients with relapsed/refractory LBCL treated with liso-cel had early, sustained, and clinically meaningful improvements in HRQoL and symptoms that correlated with antitumor activity. This study was registered at www.clinicaltrials.gov as #NCT02631044. CI - (c) 2021 by The American Society of Hematology. FAU - Patrick, Donald L AU - Patrick DL AD - Department of Health Services, University of Washington, Seattle, WA. AD - Fred Hutchinson Cancer Research Center, Seattle, WA. FAU - Powers, Annette AU - Powers A AD - Bristol Myers Squibb, Princeton, NJ; and. FAU - Jun, Monika Parisi AU - Jun MP AD - Bristol Myers Squibb, Princeton, NJ; and. FAU - Kim, Yeonhee AU - Kim Y AD - Bristol Myers Squibb, Seattle, WA. FAU - Garcia, Jacob AU - Garcia J AD - Bristol Myers Squibb, Seattle, WA. FAU - Dehner, Christine AU - Dehner C AD - Bristol Myers Squibb, Seattle, WA. FAU - Maloney, David G AU - Maloney DG AD - Fred Hutchinson Cancer Research Center, Seattle, WA. LA - eng SI - ClinicalTrials.gov/NCT02631044 PT - Clinical Trial PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Blood Adv JT - Blood advances JID - 101698425 RN - 0 (Antigens, CD19) SB - IM MH - Antigens, CD19 MH - Humans MH - Immunotherapy, Adoptive MH - *Lymphoma, Large B-Cell, Diffuse/drug therapy MH - *Quality of Life MH - Surveys and Questionnaires PMC - PMC8095132 COIS- Conflict-of-interest disclosure: D.L.P. has received honoraria from Juno Therapeutics, Celgene, Allakos, and Bristol Myers Squibb, and research funding through the University of Washington and Fred Hutchinson Cancer Center. C.D., Y.K., M.P.J., and A.P. are employees of Bristol Myers Squibb and hold stock in the company. J.G. was an employee of Bristol Myers Squibb when the work reported in this article was done and holds stock in the company; his current affiliation is Umoja Biopharma, Seattle, WA. D.G.M. has received honoraria for consulting from A2 Biotherapeutics, Amgen, BioLineRx, Bristol Myers Squibb, Celgene, Genentech, Gilead, Juno Therapeutics, Kite Pharma, MorphoSys, Novartis, and Pharmacyclics and research funding (paid to his institution, Fred Hutchinson Cancer Research Center) from Bristol Myers Squibb, Celgene, Juno Therapeutics, and Kite Pharma; holds stock options in A2 Biotherapeutics and has patents pending (not issued or licenses, no royalties or licenses) from Juno Therapeutics. EDAT- 2021/04/28 06:00 MHDA- 2021/06/01 06:00 PMCR- 2021/04/27 CRDT- 2021/04/27 12:16 PHST- 2020/09/28 00:00 [received] PHST- 2021/03/02 00:00 [accepted] PHST- 2021/04/27 12:16 [entrez] PHST- 2021/04/28 06:00 [pubmed] PHST- 2021/06/01 06:00 [medline] PHST- 2021/04/27 00:00 [pmc-release] AID - S2473-9529(21)00285-8 [pii] AID - 2020/ADV2020003503 [pii] AID - 10.1182/bloodadvances.2020003503 [doi] PST - ppublish SO - Blood Adv. 2021 Apr 27;5(8):2245-2255. doi: 10.1182/bloodadvances.2020003503.