PMID- 35156195 OWN - NLM STAT- MEDLINE DCOM- 20220621 LR - 20220912 IS - 1532-6535 (Electronic) IS - 0009-9236 (Print) IS - 0009-9236 (Linking) VI - 112 IP - 1 DP - 2022 Jul TI - In Vivo Cellular Expansion of Lisocabtagene Maraleucel and Association With Efficacy and Safety in Relapsed/Refractory Large B-Cell Lymphoma. PG - 81-89 LID - 10.1002/cpt.2561 [doi] AB - Lisocabtagene maraleucel (liso-cel) is an autologous, CD19-directed, chimeric antigen receptor T-cell product for the treatment of adult patients with relapsed or refractory large B-cell lymphoma (LBCL) after 2 or more lines of systemic therapy. In vivo cellular expansion after single-dose administration of liso-cel has been characterized. In this article, in vivo liso-cel expansion in the pivotal study TRANSCEND NHL 001 (ClinicalTrials.gov identifier, NCT02631044) was further characterized to assess the relationship between in vivo cellular expansion after single-dose administration of liso-cel and efficacy or safety after adjusting for key baseline characteristics. Two bioanalytical methods, quantitative polymerase chain reaction and flow cytometry, were used for the assessment of cellular kinetics of liso-cel, which showed high concordance for in vivo cellular expansion. Multivariable logistic regression analyses demonstrated that higher in vivo cellular expansion of liso-cel was associated with a higher overall response and complete response rate, and a higher incidence of cytokine release syndrome and neurological events in patients with relapsed or refractory LBCL. Age and tumor burden (by sum of the product of perpendicular diameters) were likely to confound the relationship between in vivo cellular expansion and efficacy, where the association became stronger after controlling for these factors. Repeat dosing of liso-cel was tested in the study; however, in vivo cellular expansion of liso-cel was lower after repeat dosing than after the initial dose. These findings should enable a comprehensive understanding of the in vivo cellular kinetics of liso-cel and the association with outcomes in relapsed/refractory LBCL. CI - (c) 2022 Bristol Myers Squibb. Clinical Pharmacology & Therapeutics published by Wiley Periodicals LLC on behalf of American Society for Clinical Pharmacology and Therapeutics. FAU - Ogasawara, Ken AU - Ogasawara K AUID- ORCID: 0000-0002-4264-8927 AD - Bristol Myers Squibb, Princeton, New Jersey, USA. FAU - Lymp, James AU - Lymp J AD - Bristol Myers Squibb, Seattle, Washington, USA. FAU - Mack, Timothy AU - Mack T AD - Bristol Myers Squibb, Princeton, New Jersey, USA. FAU - Dell'Aringa, Justine AU - Dell'Aringa J AD - Bristol Myers Squibb, Seattle, Washington, USA. FAU - Huang, Chang-Pin AU - Huang CP AD - Bristol Myers Squibb, Seattle, Washington, USA. FAU - Smith, Jeff AU - Smith J AD - Bristol Myers Squibb, Seattle, Washington, USA. FAU - Peiser, Leanne AU - Peiser L AD - Bristol Myers Squibb, Seattle, Washington, USA. FAU - Kostic, Ana AU - Kostic A AD - Bristol Myers Squibb, Seattle, Washington, USA. LA - eng SI - ClinicalTrials.gov/NCT02631044 PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20220320 PL - United States TA - Clin Pharmacol Ther JT - Clinical pharmacology and therapeutics JID - 0372741 RN - 0 (Antigens, CD19) RN - 0 (Receptors, Chimeric Antigen) SB - IM CIN - Clin Pharmacol Ther. 2022 Jul;112(1):11-15. PMID: 35716389 MH - Adult MH - Antigens, CD19 MH - Humans MH - Immunotherapy, Adoptive/adverse effects/methods MH - *Lymphoma, Large B-Cell, Diffuse/drug therapy MH - *Receptors, Chimeric Antigen MH - T-Lymphocytes PMC - PMC9311712 COIS- K.O., J.L., T.M., J.D., C.H., J.S., L.P., and A.K. are employees of Bristol Myers Squibb and hold stock in Bristol Myers Squibb. EDAT- 2022/02/15 06:00 MHDA- 2022/06/22 06:00 PMCR- 2022/03/20 CRDT- 2022/02/14 05:38 PHST- 2021/11/02 00:00 [received] PHST- 2022/02/07 00:00 [accepted] PHST- 2022/02/15 06:00 [pubmed] PHST- 2022/06/22 06:00 [medline] PHST- 2022/02/14 05:38 [entrez] PHST- 2022/03/20 00:00 [pmc-release] AID - CPT2561 [pii] AID - 10.1002/cpt.2561 [doi] PST - ppublish SO - Clin Pharmacol Ther. 2022 Jul;112(1):81-89. doi: 10.1002/cpt.2561. Epub 2022 Mar 20.