| Literature DB >> 32135029 |
M Lia Palomba1,2, Joachim Yahalom3, Brandon S Imber3, Michel Sadelain4, Carl DeSelm5, Connie Batlevi1,2, Renier J Brentjens2, Parastoo B Dahi6, Sergio Giralt6, Jae H Park2, Craig Sauter6, Michael Scordo6, Gunjan Shah6, Miguel-Angel Perales6.
Abstract
Radiotherapy is potentially an important salvage strategy post-chimeric antigen receptor T cell therapy (CART), but limited data exist. We reviewed 14 patients treated with salvage radiation post-CART progression (SRT). Most received SRT for first post-CART relapse (71%) to sites previously PET-avid pre-CART (79%). Median overall survival (OS) post-SRT was 10 months. Post-SRT, six localized relapses achieved 100% response (3 = complete, 3 = partial), with improved freedom from subsequent relapse (P = 0·001) and OS (P = 0·004) compared to advanced stage relapses. Three were bridged to allogeneic transplantation; at analysis, all were alive/NED. SRT has diverse utility and can integrate with novel agents or transplantation to attempt durable remissions.Entities:
Keywords: CAR T cells; chimeric antigen receptor T cells; diffuse large B cell lymphoma; radiotherapy; relapsed/refractory; salvage therapy
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Year: 2020 PMID: 32135029 PMCID: PMC7329607 DOI: 10.1111/bjh.16541
Source DB: PubMed Journal: Br J Haematol ISSN: 0007-1048 Impact factor: 6.998