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Survival outcomes and efficacy of autologous CD19 chimeric antigen receptor-T cell therapy in the patient with diagnosed hematological malignancies: a systematic review and meta-analysis.

作者信息

Drokow Emmanuel Kwateng, Ahmed Hafiz Abdul Waqas, Amponsem-Boateng Cecilia, Akpabla Gloria Selorm, Song Juanjuan, Shi Mingyue, Sun Kai

机构信息

Department of Hematology, Zhengzhou University People's Hospital & Henan Provincial People's Hospital Henan, Zhengzhou, People's Republic of China.

Department of Epidemiology and Biostatistics, College of Public Health, Zhengzhou University, Zhengzhou, People's Republic of China.

出版信息

Ther Clin Risk Manag. 2019 May 6;15:637-646. doi: 10.2147/TCRM.S203822. eCollection 2019.


DOI:10.2147/TCRM.S203822
PMID:31190844
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6511615/
Abstract

Chimeric Antigen Receptor T(CAR-T) cell therapy is an immunotherapy approach used in treating cancer which has seen rapid development over the decades. It becomes the preferred treatment choice after patients have failed conventional chemotherapy. We conducted a meta-analysis in 320 patients from 14 studies to estimate the survival outcome, response rate and toxicity of autologous CD19 CAR-T cell therapy and predict other factors associated with a better prognosis. The overall response rate was 71.88% (95% CI: 61.34-80.46%, <0.01) and CRS toxicity was 60.15% (95% CI: 42.87-75.22%, <0.01). Patients who received lymphodepletion was associated with a better response rate (77%, 95%CI: 67-83%; -value =0.001) in comparison to the other patients who did not (66%, 95%CI: 41-83%). Lymphodepletion regimen may play a crucial role in predicting the prognosis of patients with hematological malignancies. Lymphodepletion patients had better progression-free survival than those who did not.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e9b/6511615/f25e478bc6e3/TCRM-15-637-g0006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e9b/6511615/ab0bef4cd919/TCRM-15-637-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e9b/6511615/affac114370a/TCRM-15-637-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e9b/6511615/769b83ce4345/TCRM-15-637-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e9b/6511615/d74d747d8c90/TCRM-15-637-g0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e9b/6511615/2b629900bd78/TCRM-15-637-g0005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e9b/6511615/f25e478bc6e3/TCRM-15-637-g0006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e9b/6511615/ab0bef4cd919/TCRM-15-637-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e9b/6511615/affac114370a/TCRM-15-637-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e9b/6511615/769b83ce4345/TCRM-15-637-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e9b/6511615/d74d747d8c90/TCRM-15-637-g0004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e9b/6511615/2b629900bd78/TCRM-15-637-g0005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e9b/6511615/f25e478bc6e3/TCRM-15-637-g0006.jpg

相似文献

[1]
Survival outcomes and efficacy of autologous CD19 chimeric antigen receptor-T cell therapy in the patient with diagnosed hematological malignancies: a systematic review and meta-analysis.

Ther Clin Risk Manag. 2019-5-6

[2]
Efficiency of CD19 chimeric antigen receptor-modified T cells for treatment of B cell malignancies in phase I clinical trials: a meta-analysis.

Oncotarget. 2015-10-20

[3]
Immunotherapy of non-Hodgkin's lymphoma with a defined ratio of CD8+ and CD4+ CD19-specific chimeric antigen receptor-modified T cells.

Sci Transl Med. 2016-9-7

[4]
Anti-CD19 chimeric antigen receptor-modified T cells for B-cell malignancies: a systematic review of efficacy and safety in clinical trials.

Eur J Haematol. 2016-4

[5]
Risks and Benefits of Chimeric Antigen Receptor T-Cell (CAR-T) Therapy in Cancer: A Systematic Review and Meta-Analysis.

Transfus Med Rev. 2019-2-14

[6]
Adoptive Immunotherapy for B-cell Malignancies Using CD19- Targeted Chimeric Antigen Receptor T-Cells: A Systematic Review of Efficacy and Safety.

Curr Med Chem. 2019

[7]
Sequential anti-CD19, 22, and 20 autologous chimeric antigen receptor T-cell (CAR-T) treatments of a child with relapsed refractory Burkitt lymphoma: a case report and literature review.

J Cancer Res Clin Oncol. 2020-3-28

[8]
The efficacy of anti-CD19 chimeric antigen receptor T cells for B-cell malignancies.

Cytotherapy. 2019-5-31

[9]
Potent anti-leukemia activities of humanized CD19-targeted Chimeric antigen receptor T (CAR-T) cells in patients with relapsed/refractory acute lymphoblastic leukemia.

Am J Hematol. 2018-4-28

[10]
[Safety and efficacy of CD19-targeted CAR-T cells in 14 patients with refractory/relapsed Philadelphia chromosome-positive acute B-precursor lymphoblastic leukemia].

Zhonghua Xue Ye Xue Za Zhi. 2020-6-14

引用本文的文献

[1]
Assessment of anti-CD20 antibody pre-treatment for augmentation of CAR-T cell therapy in SIV-infected rhesus macaques.

Front Immunol. 2023

[2]
Efficacy and Safety of CAR-T Cell Products Axicabtagene Ciloleucel, Tisagenlecleucel, and Lisocabtagene Maraleucel for the Treatment of Hematologic Malignancies: A Systematic Review and Meta-Analysis.

Front Oncol. 2021-7-26

[3]
The role of small molecules in cell and gene therapy.

RSC Med Chem. 2020-12-24

[4]
The Influence of Chimeric Antigen Receptor Structural Domains on Clinical Outcomes and Associated Toxicities.

Cancers (Basel). 2020-12-25

[5]
T Cell Activation Machinery: Form and Function in Natural and Engineered Immune Receptors.

Int J Mol Sci. 2020-10-8

[6]
Biomarkers in individualized management of chimeric antigen receptor T cell therapy.

Biomark Res. 2020-5-11

本文引用的文献

[1]
The efficacy and safety of anti-CD19/CD20 chimeric antigen receptor- T cells immunotherapy in relapsed or refractory B-cell malignancies:a meta-analysis.

BMC Cancer. 2018-9-26

[2]
Chimeric antigen receptor T cells: a novel therapy for solid tumors.

J Hematol Oncol. 2017-3-29

[3]
Donor origin CAR T cells: graft versus malignancy effect without GVHD, a systematic review.

Immunotherapy. 2017-1

[4]
The growing world of CAR T cell trials: a systematic review.

Cancer Immunol Immunother. 2016-12

[5]
Efficiency of CD19 chimeric antigen receptor-modified T cells for treatment of B cell malignancies in phase I clinical trials: a meta-analysis.

Oncotarget. 2015-10-20

[6]
Chimeric antigen receptor T cells persist and induce sustained remissions in relapsed refractory chronic lymphocytic leukemia.

Sci Transl Med. 2015-9-2

[7]
Anti-CD19 chimeric antigen receptor-modified T cells for B-cell malignancies: a systematic review of efficacy and safety in clinical trials.

Eur J Haematol. 2016-4

[8]
Effective response and delayed toxicities of refractory advanced diffuse large B-cell lymphoma treated by CD20-directed chimeric antigen receptor-modified T cells.

Clin Immunol. 2014-12

[9]
The inducible caspase-9 suicide gene system as a "safety switch" to limit on-target, off-tumor toxicities of chimeric antigen receptor T cells.

Front Pharmacol. 2014-10-28

[10]
T cells expressing CD19 chimeric antigen receptors for acute lymphoblastic leukaemia in children and young adults: a phase 1 dose-escalation trial.

Lancet. 2015-2-7

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