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Autologous stem cell transplantation in tandem with Anti-CD30 CAR T-cell infusion in relapsed/refractory CD30(+) lymphoma

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单位: [1]Huazhong Univ Sci & Technol,Tongji Hosp,Tongji Med Coll,Dept Hematol,1095 Jiefang Ave,Wuhan 430030,Hubei,Peoples R China [2]Immunothera Py Res Ctr Hematol Dis Hubei Prov,Wuhan 430030,Hubei,Peoples R China [3]Wuhan Univ Sci & Technol,Coll Life Sci & Hlth,Wuhan 430065,Hubei,Peoples R China [4]Wuhan Bioraid Biotechnol CO LTD,Wuhan 430078,Hubei,Peoples R China
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关键词: HODGKIN LYMPHOMA SURVIVAL

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Background Long-term outcome is unfavourable for relapsed/refractory (r/r) lymphoma patients who are resistant to salvage chemotherapy, even after subsequent autologous stem-cell transplantation (ASCT). Although anti-CD30 chimeric antigen receptor (CAR30) T-cell therapy induces high response rates in these patients, the duration of response is relatively limited. Methods This open-label, single-center and single-arm pilot study investigated the safety and efficacy of ASCT in tandem with CAR30 T-cell infusion in r/r CD30(+) lymphoma. The primary endpoint was safety and key secondary endpoint was overall response rate, overall survival, progression-free survival, and duration of response. Results Five classical Hodgkin lymphoma (cHL) patients and 1 anaplastic lymphoma kinase (ALK)-negative anaplastic large cell lymphoma (ALCL) patient were enrolled. The median age was 24 years. No patient had prior ASCT. Three patients (50.0%) relapsed for >= 2 times and 3 patients (50.0%) had primary refractory diseases. All had a Deauville score of 4 or 5, and 5 patients (83.3%) had a stable or progressive disease (SD/PD) at enrollment. All patients received myeloablative chemotherapy and infused CD34-positive hematopoietic stem cells (HSCs) and CAR30 T cells in tandem, with a median dose of 3.9 x 10(6)/kg and 7.6 x 10(6)/kg, respectively. Five paitents presented with cytokine release syndrome (CRS), all of which were grade 1. No neurotoxicity was observed. All patients had successful HSCs engraftment and reached an objective response, including 5 (4 cHL and 1 ALCL, 83.3%) with a complete response (CR) and 1 with a partial response (PR). With a median follow-up of 20.4 (range, 12.1-34.4) months, all remained alive and maintained their responses. Conclusion Our work demonstrates the combined administration of ASCT and CAR30 T-cell therapy is well-tolerate and highly effective in r/r cHL and ALCL, even in PET-positive or chemorefractory patients who are expected to have inferior outcome after ASCT, although further large-scaled validation in prospective clinical trial is warranted. Trial registration The trial was registered with the Chinese Clinical Trial Registry (ChiCTR, number ChiCTR2100053662).

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出版当年[2021]版:
大类 | 3 区 医学
小类 | 3 区 肿瘤学 3 区 血液学
最新[2025]版:
大类 | 2 区 医学
小类 | 2 区 血液学 2 区 肿瘤学
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出版当年[2020]版:
Q2 HEMATOLOGY Q2 ONCOLOGY
最新[2023]版:
Q1 HEMATOLOGY Q1 ONCOLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2020版] 出版当年五年平均 出版前一年[2019版] 出版后一年[2021版]

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第一作者单位: [1]Huazhong Univ Sci & Technol,Tongji Hosp,Tongji Med Coll,Dept Hematol,1095 Jiefang Ave,Wuhan 430030,Hubei,Peoples R China [2]Immunothera Py Res Ctr Hematol Dis Hubei Prov,Wuhan 430030,Hubei,Peoples R China
通讯机构: [1]Huazhong Univ Sci & Technol,Tongji Hosp,Tongji Med Coll,Dept Hematol,1095 Jiefang Ave,Wuhan 430030,Hubei,Peoples R China [*1]Huazhong Univ Sci & Technol,Tongji Hosp,Tongji Med Coll,Dept Hematol,1095 Jiefang Ave,Wuhan 430030,Hubei,Peoples R China [2]Immunothera Py Res Ctr Hematol Dis Hubei Prov,Wuhan 430030,Hubei,Peoples R China [*2]Immunothera Py Res Ctr Hematol Dis Hubei Prov,Wuhan 430030,Hubei,Peoples R China
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