Graft-versus-host disease after anti-CD19 chimeric antigen receptor T-cell therapy following allogeneic hematopoietic cell transplantation: a transplant complications and paediatric diseases working parties joint EBMT study.

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Tác giả: Persis Amrolia, Peter Bader, Adriana Balduzzi, Caroline Besley, Didier Blaise, William Boreland, Friso Calkoen, Yves Chalandon, Charlotte Graham, Tayfun Güngör, Krzysztof Kalwak, Christian Koenecke, Nicolaus Kröger, Mi Kwon, Stephan Mielke, Ivan Moiseev, Maeve O'Reilly, Guillermo Ortí, Christophe Peczynski, Olaf Penack, Zinaida Peric, Herbert Pichler, Victoria Potter, Samppa Ryhänen, Helene Schoemans, Maria-Luisa Schubert, Henrik Sengeloev, Anna Torrent, Gwendolyn van Gorkom, Malte von Bonin, Robert F Wynn, Ibrahim Yakoub-Agha

Ngôn ngữ: eng

Ký hiệu phân loại:

Thông tin xuất bản: England : Leukemia , 2025

Mô tả vật lý:

Bộ sưu tập: NCBI

ID: 720069

In patients diagnosed with B-acute lymphoblastic leukemia (B-ALL) or B-non-Hodgkin's lymphoma (B-NHL) relapsing after allogeneic stem cell transplantation (allo-HCT), it is a standard practice to perform anti-CD19 chimeric antigen receptor (CAR) T-cell therapy. When collected from the patient after allo-HCT, the produced CAR-T cells are likely to be donor T-cell-derived, creating unknown safety risks due to their potential allo-reactivity. We therefore performed an EBMT registry-based study on the incidence of graft-versus-host disease (GvHD) in this setting. We included 257 allo-HCT patients (n = 172 ≥ 18 years) with B-ALL or B-NHL, treated with anti-CD19 CAR T-cells (tisagenlecleucel n = 184, brexucabtagene autoleucel n = 43 and axicabtagene ciloleucel n = 30), between 2018 and 2022. Three patients developed aGvHD, whereas 6 patients developed cGvHD after CAR T-cell. The 100-day cumulative incidence (CI) of new aGvHD was 1.6% and the 12-month CI of new cGvHD was 2.8%. The 1-year GvHD relapse-free survival and non-relapse mortality were 52.1% and 4.7%, respectively. Last, with a median follow up of 18.8 months, the 1-year overall survival was 76.8%. In summary, the GvHD rate in allo-HCT patients treated with CAR T-cell therapy is relatively low. Our data support the view that GvHD is not a major safety issue in this setting.
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