Summary of all currently reported trials of CAR-T cell therapy in T-cell malignancies
Cell source . | Target . | Fratricide prevention . | Patients enrolled . | Patients who received infusion . | CR rate at day 30 . | Toxicity . | Median follow-up . | Survival . | Reference . | |||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
CRS . | ICANS . | ICAHT . | Infection . | GVHD . | PFS . | OS . | ||||||||
Auto | CD7 | Natural selection | 65 (35 T-ALL, 25 T-LBL) | 60 | 94% | Gd 1-2 (80.0%), Gd 3-4 (11.7%) | Gd 1 (3.3%), Gd 4 (1.7%) | Gd ≥3 (61.7%) | 36.7% (any Gd), Gd 3 (16%) | 3/11 (27%) mild | 368.5 d | 2 y 53.7% | 2 y 63.5% | 21 |
CD7 | PEBL | 30 | 27 | 85% | Gd 1-2 (71%), Gd 3-4 (8%) | Gd 1 (7%) | Gd ≥3 (100%) | Gd 2 (8%) | Gd 2 (4%) | 12 mo | 1 y 22% | 1 y 79% | 22 | |
CD7 | PEBL | 8 (1 T-ALL, 1 MPL, 6 T-LBL) | 8 | 75% | Gd 1-2 (87.5%), Gd 4 (12.5%) | Nil | Any Gd (100%) | Gd 5 (12.5%) | Nil | N/A | N/A | N/A | 23 | |
CD7 | PEBL | 20∗ | 17 | 94% | Gd 1-2 (77%) | Gd 1 (12%) | Gd ≥2 (100%) | Gd 1-2 (18%), Gd 3 (29%) | N/A | 15 mo | N/A | N/A | 24 | |
Allo | CD7 | PEBL | 20 | 20 | 85% | Gd 1-2 (90%), Gd ≥3 (10%) | Gd 1-2 (15%) | Gd ≥3 (100%) | Gd 3-4 (5%), Gd 5 (20%) | Gd 1-2 (60%) | 27 mo | 2 y 36.8% | 2 y 42.3% | 26 |
CD7 | CRISPR/Cas9 CD7 KO | 28 | 26 | 52% | 88.5% (any Gd), Gd ≥3 (19%) | Gd 1 (7.7%) | Neutropenia (19.2%) | Gd 3-4 (19.2%) | Gd 2 (3.8%) | N/A | N/A | N/A | 27 | |
CD7 | CRISPR/Cas9 CD7 KO | 12 (7 T-ALL, 4 T-LBL, 1 AML) | 12 | 64% | Gd 1-2 (83%) | Nil | Gd 4 neutropenia (100%) | Gd 5 (8%) | Nil | 10.5 mo | N/A | N/A | 30 | |
CD7 | CRISPR/Cas9 CD7 KO | 12 (11 T-ALL, 1 T-LBL) | 12 | 92% | 83% (any Gd), Gd 3 (67%) | Nil | N/A | Gd 5 (8%) | N/A | N/A | N/A | N/A | 29 | |
CD7 | Base-editing CD7 | 3† | 3 | 67% | Gd 2 (66%) | Gd 1 (33%) | Gd ≥4 (66%) | Gd 5 (33%) | Gd 2 (33%) | N/A | N/A | N/A | 31 | |
Auto | CD5 | None | 17 (TCL) | 9 | 22% | Gd 1-2 (44%) | Gd 2 (11%) | Any Gd (56%) | Gd ≥3 (11%) | N/A | N/A | N/A | N/A | 32 |
Allo | CD5 | CRISPR/Cas9 CD5 KO | 19 (T-ALL) | 16 | 94% | Gd 1-2 (75%) | Gd 1-2 (25%) | Gd ≥3 (100%) | Gd 3 (12%), Gd 5 (25%) | Gd 1 (69%) | 14.3 mo | N/A | NR (cohort B), 4.6 mo (cohort A) | 33 |
Auto | TRBC1 | None | 12 (TCL) | 12 | 50% | Any Gd (50%) | Nil | Gd 3-4 neutropenia (80%) | None Gd ≥3 | N/A | N/A | N/A | N/A | 34 |
Allo | CD70 | CRISPR/Cas9 CD70 KO | 18 (TCL) | 18 | 22% | Gd 1-2 (56%) | Gd 1-2 (17%) | N/A | Gd 1-2 (28%), Gd ≥3 (22%) | Nil | N/A | N/A | N/A | 35 |
Cell source . | Target . | Fratricide prevention . | Patients enrolled . | Patients who received infusion . | CR rate at day 30 . | Toxicity . | Median follow-up . | Survival . | Reference . | |||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
CRS . | ICANS . | ICAHT . | Infection . | GVHD . | PFS . | OS . | ||||||||
Auto | CD7 | Natural selection | 65 (35 T-ALL, 25 T-LBL) | 60 | 94% | Gd 1-2 (80.0%), Gd 3-4 (11.7%) | Gd 1 (3.3%), Gd 4 (1.7%) | Gd ≥3 (61.7%) | 36.7% (any Gd), Gd 3 (16%) | 3/11 (27%) mild | 368.5 d | 2 y 53.7% | 2 y 63.5% | 21 |
CD7 | PEBL | 30 | 27 | 85% | Gd 1-2 (71%), Gd 3-4 (8%) | Gd 1 (7%) | Gd ≥3 (100%) | Gd 2 (8%) | Gd 2 (4%) | 12 mo | 1 y 22% | 1 y 79% | 22 | |
CD7 | PEBL | 8 (1 T-ALL, 1 MPL, 6 T-LBL) | 8 | 75% | Gd 1-2 (87.5%), Gd 4 (12.5%) | Nil | Any Gd (100%) | Gd 5 (12.5%) | Nil | N/A | N/A | N/A | 23 | |
CD7 | PEBL | 20∗ | 17 | 94% | Gd 1-2 (77%) | Gd 1 (12%) | Gd ≥2 (100%) | Gd 1-2 (18%), Gd 3 (29%) | N/A | 15 mo | N/A | N/A | 24 | |
Allo | CD7 | PEBL | 20 | 20 | 85% | Gd 1-2 (90%), Gd ≥3 (10%) | Gd 1-2 (15%) | Gd ≥3 (100%) | Gd 3-4 (5%), Gd 5 (20%) | Gd 1-2 (60%) | 27 mo | 2 y 36.8% | 2 y 42.3% | 26 |
CD7 | CRISPR/Cas9 CD7 KO | 28 | 26 | 52% | 88.5% (any Gd), Gd ≥3 (19%) | Gd 1 (7.7%) | Neutropenia (19.2%) | Gd 3-4 (19.2%) | Gd 2 (3.8%) | N/A | N/A | N/A | 27 | |
CD7 | CRISPR/Cas9 CD7 KO | 12 (7 T-ALL, 4 T-LBL, 1 AML) | 12 | 64% | Gd 1-2 (83%) | Nil | Gd 4 neutropenia (100%) | Gd 5 (8%) | Nil | 10.5 mo | N/A | N/A | 30 | |
CD7 | CRISPR/Cas9 CD7 KO | 12 (11 T-ALL, 1 T-LBL) | 12 | 92% | 83% (any Gd), Gd 3 (67%) | Nil | N/A | Gd 5 (8%) | N/A | N/A | N/A | N/A | 29 | |
CD7 | Base-editing CD7 | 3† | 3 | 67% | Gd 2 (66%) | Gd 1 (33%) | Gd ≥4 (66%) | Gd 5 (33%) | Gd 2 (33%) | N/A | N/A | N/A | 31 | |
Auto | CD5 | None | 17 (TCL) | 9 | 22% | Gd 1-2 (44%) | Gd 2 (11%) | Any Gd (56%) | Gd ≥3 (11%) | N/A | N/A | N/A | N/A | 32 |
Allo | CD5 | CRISPR/Cas9 CD5 KO | 19 (T-ALL) | 16 | 94% | Gd 1-2 (75%) | Gd 1-2 (25%) | Gd ≥3 (100%) | Gd 3 (12%), Gd 5 (25%) | Gd 1 (69%) | 14.3 mo | N/A | NR (cohort B), 4.6 mo (cohort A) | 33 |
Auto | TRBC1 | None | 12 (TCL) | 12 | 50% | Any Gd (50%) | Nil | Gd 3-4 neutropenia (80%) | None Gd ≥3 | N/A | N/A | N/A | N/A | 34 |
Allo | CD70 | CRISPR/Cas9 CD70 KO | 18 (TCL) | 18 | 22% | Gd 1-2 (56%) | Gd 1-2 (17%) | N/A | Gd 1-2 (28%), Gd ≥3 (22%) | Nil | N/A | N/A | N/A | 35 |