Review Article

CAR-T Cell Therapy in Cancer: Tribulations and Road Ahead

Table 2

CD19 CAR-T of clinical trial.

Study (reference)Patient numberscFvCostimulatory domainMedian age (range) (y)CAR-T cell dosesDisease-related outcomes

Maude et al. (2014) [28]30 ALL (25 children, 5 adults)FMC634-1BBPediatric ALL: 11 (5–22)
Adult ALL: 57 (36–60)
6-month EFS: 67%
6-month OS: 78%
CR: 90% (MRD-negative in 88% of those who achieved CR)
Brentjens et al. (2011) [81]8 CLL adultsSJ25C1CD28Adults CLL: 58 (67-48)Cohort receiving no LDC:
Cy cohort:
ORR: 1/8 (PR); two others with ≥2 months of SD, all in Cy cohort
Brudno et al. (2016) [80]5 ALLFMC63CD28Adults ALL: 25 (20-68)CR: 80% (4/5, all MRD-negative)
Kochenderfer et al. (2015) [82]5 CLL adultsFMC63CD28Adults CLL: 61(48-68)CR: 60%
Lee et al. (2014) [76]20 B-ALLFMC63CD28Children and young adults: 15 (1-30) CAR-transduced T cells per kg (dose 1)
CAR-transduced T cells per kg (dose 2)
CR: 70% (MRD-negative in 86% of those who achieved CR)
PD: 20% & SD: 10% (day 28)
Schuster et al. (2017) [18]28 lymphomasFMC634-1BBAdult patientsMedian total CTL019-cell: (range, to )
Median CTL019-cell: cells/kg (range, to cells/kg)
CR at 6 months: (57%; 95% CI, 37 to 76)
CR: 57% median of 28.6 months (range, 3.5 to 37.9)

EFS: event-free survival; CLL: chronic lymphocytic leukemia; CR: complete response; PR: partial response; SD: stable disease; PD: progressive disease.