Outcomes of CD19-Targeted Chimeric Antigen Receptor T Cell Therapy for Patients with Reduced Renal Function Including Dialysis.

Anthony C Wood, Ariel Perez Perez, Brian Arciola, Kedar N Patel, Grace Johnson, Elizabeth DiMaggio, Christina A Bachmeier, Kayla Reid, Salvatore Carallo, Melanie H Vargas, Rawan Faramand, Julio C Chavez, Bijal Shah, Sameh Gaballa, Farhad Khimani, Hany Elmariah, Taiga Nishihori, Aleksandr Lazaryan, Ciara Freeman, Marco L DavilaFrederick L Locke, Rahul Mhaskar, Claude Bassil, Michael D Jain

Research output: Contribution to journalArticlepeer-review

Abstract

Patients with renal impairment (RI) are typically excluded from trials evaluating chimeric antigen receptor (CAR) T cell therapies. We evaluated the outcomes of patients with RI receiving standard of care (SOC) CAR T cell therapy for relapsed/refractory (R/R) diffuse large B cell lymphoma (DLBCL). In this retrospective, single-center cohort study of patients with R/R DLBCL treated with SOC axicabtagene ciloleucel (axi-cel) or tisagenlecleucel (tisa-cel) after 2 or more prior lines of therapy, renal and survival outcomes were compared based on RI and fludarabine dose reduction (DR) status. RI was defined by an estimated glomerular filtration rate/min/1.73 m

Original languageAmerican English
JournalTransplant Cell Ther
Volume28
StatePublished - Dec 1 2022

Keywords

  • Acute Kidney Injury
  • Adoptive
  • Antigens
  • CD19
  • Cell- and Tissue-Based Therapy
  • Chimeric Antigen
  • Chronic
  • Cohort Studies
  • Cytokine Release Syndrome
  • Cytokines
  • Diffuse
  • Humans
  • Immunotherapy
  • Kidney
  • Kidney Failure
  • Large B-Cell
  • Lymphoma
  • Receptors
  • Renal Dialysis
  • Retrospective Studies
  • United States

Disciplines

  • Medical Education
  • Medicine and Health Sciences

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