Impact of tumor microenvironment on efficacy of anti-CD19 CAR T cell therapy or chemotherapy and transplant in large B cell lymphoma
The phase 3 ZUMA-7 trial in second-line large B cell lymphoma demonstrated superiority of anti-CD19 CAR T cell therapy (axicabtagene ciloleucel (axi-cel)) over standard of care (SOC; salvage chemotherapy followed by hematopoietic transplantation) (NCT03391466). Here, we present a prespecified explor...
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| Hauptverfasser: | , , , , , , , , , , , , , , , , , , , , , , , , |
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| Dokumenttyp: | Article (Journal) |
| Sprache: | Englisch |
| Veröffentlicht: |
February 2024
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| In: |
Nature medicine
Year: 2024, Jahrgang: 30, Heft: 2, Pages: 507-518 |
| ISSN: | 1546-170X |
| DOI: | 10.1038/s41591-023-02754-1 |
| Online-Zugang: | Verlag, kostenfrei, Volltext: https://doi.org/10.1038/s41591-023-02754-1 Verlag, kostenfrei, Volltext: https://www.nature.com/articles/s41591-023-02754-1 |
| Verfasserangaben: | Frederick L. Locke, Simone Filosto, Justin Chou, Saran Vardhanabhuti, Regis Perbost, Peter Dreger, Brian T. Hill, Catherine Lee, Pier L. Zinzani, Nicolaus Kröger, Armando López-Guillermo, Hildegard Greinix, Wangshu Zhang, Gayatri Tiwari, Justin Budka, Francesco M. Marincola, Christina To, Mike Mattie, Marco Schupp, Paul Cheng, Adrian Bot, Rhine Shen, Davide Bedognetti, Harry Miao & Jérôme Galon |
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| 245 | 1 | 0 | |a Impact of tumor microenvironment on efficacy of anti-CD19 CAR T cell therapy or chemotherapy and transplant in large B cell lymphoma |c Frederick L. Locke, Simone Filosto, Justin Chou, Saran Vardhanabhuti, Regis Perbost, Peter Dreger, Brian T. Hill, Catherine Lee, Pier L. Zinzani, Nicolaus Kröger, Armando López-Guillermo, Hildegard Greinix, Wangshu Zhang, Gayatri Tiwari, Justin Budka, Francesco M. Marincola, Christina To, Mike Mattie, Marco Schupp, Paul Cheng, Adrian Bot, Rhine Shen, Davide Bedognetti, Harry Miao & Jérôme Galon |
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| 520 | |a The phase 3 ZUMA-7 trial in second-line large B cell lymphoma demonstrated superiority of anti-CD19 CAR T cell therapy (axicabtagene ciloleucel (axi-cel)) over standard of care (SOC; salvage chemotherapy followed by hematopoietic transplantation) (NCT03391466). Here, we present a prespecified exploratory analysis examining the association between pretreatment tumor characteristics and the efficacy of axi-cel versus SOC. B cell gene expression signature (GES) and CD19 expression associated significantly with improved event-free survival for axi-cel (P = 0.0002 for B cell GES; P = 0.0165 for CD19 expression) but not SOC (P = 0.9374 for B cell GES; P = 0.5526 for CD19 expression). Axi-cel showed superior event-free survival over SOC irrespective of B cell GES and CD19 expression (P = 8.56 × 10-9 for B cell GES high; P = 0.0019 for B cell GES low; P = 3.85 × 10-9 for CD19 gene high; P = 0.0017 for CD19 gene low). Low CD19 expression in malignant cells correlated with a tumor GES consisting of immune-suppressive stromal and myeloid genes, highlighting the inter-relation between malignant cell features and immune contexture substantially impacting axi-cel outcomes. Tumor burden, lactate dehydrogenase and cell-of-origin impacted SOC more than axi-cel outcomes. T cell activation and B cell GES, which are associated with improved axi-cel outcome, decreased with increasing lines of therapy. These data highlight differences in resistance mechanisms to axi-cel and SOC and support earlier intervention with axi-cel. | ||
| 650 | 4 | |a B-cell lymphoma | |
| 650 | 4 | |a Cancer immunotherapy | |
| 650 | 4 | |a Chemotherapy | |
| 650 | 4 | |a Predictive markers | |
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| 700 | 1 | |a Chou, Justin |e VerfasserIn |4 aut | |
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| 700 | 1 | |a Perbost, Regis |e VerfasserIn |4 aut | |
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| 700 | 1 | |a Zhang, Wangshu |e VerfasserIn |4 aut | |
| 700 | 1 | |a Tiwari, Gayatri |e VerfasserIn |4 aut | |
| 700 | 1 | |a Budka, Justin |e VerfasserIn |4 aut | |
| 700 | 1 | |a Marincola, Francesco M. |e VerfasserIn |4 aut | |
| 700 | 1 | |a To, Christina |e VerfasserIn |4 aut | |
| 700 | 1 | |a Mattie, Mike |e VerfasserIn |4 aut | |
| 700 | 1 | |a Schupp, Marco |e VerfasserIn |4 aut | |
| 700 | 1 | |a Cheng, Paul |e VerfasserIn |4 aut | |
| 700 | 1 | |a Bot, Adrian |e VerfasserIn |4 aut | |
| 700 | 1 | |a Shen, Rhine |e VerfasserIn |4 aut | |
| 700 | 1 | |a Bedognetti, Davide |e VerfasserIn |4 aut | |
| 700 | 1 | |a Miao, Harry |e VerfasserIn |4 aut | |
| 700 | 1 | |a Galon, Jérôme |e VerfasserIn |4 aut | |
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