PMID- 34362494 OWN - NLM STAT- MEDLINE DCOM- 20210810 LR - 20210810 IS - 1009-2137 (Print) IS - 1009-2137 (Linking) VI - 29 IP - 4 DP - 2021 Aug TI - [Anti-CD19 CART (C-CAR011) Therapy for Relapsed or Refractory B-Cell Non-Hodgkin Lymphoma]. PG - 1141-1147 LID - 10.19746/j.cnki.issn.1009-2137.2021.04.019 [doi] AB - OBJECTIVE: To evaluate the safety and efficacy of C-CAR011 in the treatment of relapsed or refractory B-cell non-Hodgkin lymphoma (R/R B-NHL) patients. METHODS: B-NHL patients treated with C-CAR011 infusion following lympho-depletion were enrolled. All the patients were followed up for 1 year after C-CAR011 treatment(5.0x10(6) /kg). The primary endpoint of this research was safety; and the secondary endpoints included objective response rate (ORR), progression-free survival (PFS), duration of overall response (DOR), overall survival (OS) at Week 4, 12 and Month 6 and 12. RESULTS: The ratio of the male and female of 6 patients was 1ratio1, and the patients were treated with C-CAR011 at a dose of 5.0x10(6) /kg. The median age was 46.5 years old (37-62 years); 5 patients were diagnosed as diffuse large b-cell lymphoma (DLBCL) and 1 patient was diagnosed as follicular lymphoma (FL). The most common adverse events (AEs) were hematological toxicities (100%, Grade 3-4), cytokine release syndrome (CRS) (66.7%, Grade 1-3), neurotoxicity (16.7%, Grade 3). All these AEs were reversible and could be conversed. The ORR at Week 4, 12 and Month 6, 12 were 50%(3/6), 50%(3/6), 16.7%(1/6) and 16.7%(1/6), respectively. Three patients (50%) achieved complete response (CR) and one of them stayed evaluated as CR until Month 12. The median PFS was 178 days (91->365 days). For 3 patients with response, the DOR were 150 days, 154 days and >12 months, respectively. The OS rates of the patients at Week 12, Month 6, 12 were 100%, 100%, 83.3%, respectively, while the median OS was not reached. CONCLUSION: C-CAR011 is a safe treatment option for R/R B-NHL; some patients could achieve long-term sustained responses after C-CAR011 infusion(ClinicalTiral.gov number, NCT03483688). FAU - Zhang, Lu AU - Zhang L AD - Department of Hematology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100730, China. FAU - Zhang, Yan AU - Zhang Y AD - Department of Hematology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100730, China. FAU - Zhou, Dao-Bin AU - Zhou DB AD - Department of Hematology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100730, China,E-mail: zhoudb@pumch.cn. LA - chi SI - ClinicalTrials.gov/NCT03483688 PT - Journal Article PL - China TA - Zhongguo Shi Yan Xue Ye Xue Za Zhi JT - Zhongguo shi yan xue ye xue za zhi JID - 101084424 RN - 0 (Antigens, CD19) SB - IM MH - Antigens, CD19/therapeutic use MH - Antineoplastic Combined Chemotherapy Protocols MH - B-Lymphocytes MH - Female MH - Humans MH - *Lymphoma, Follicular MH - *Lymphoma, Large B-Cell, Diffuse MH - Male MH - Middle Aged MH - Neoplasm Recurrence, Local/drug therapy MH - Treatment Outcome EDAT- 2021/08/08 06:00 MHDA- 2021/08/11 06:00 CRDT- 2021/08/07 05:32 PHST- 2021/08/07 05:32 [entrez] PHST- 2021/08/08 06:00 [pubmed] PHST- 2021/08/11 06:00 [medline] AID - 1009-2137(2021)04-1141-07 [pii] AID - 10.19746/j.cnki.issn.1009-2137.2021.04.019 [doi] PST - ppublish SO - Zhongguo Shi Yan Xue Ye Xue Za Zhi. 2021 Aug;29(4):1141-1147. doi: 10.19746/j.cnki.issn.1009-2137.2021.04.019.