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tisagenlecleucel 在复发/难治性滤泡性淋巴瘤日本成人患者中的疗效和安全性:II 期 ELARA 试验结果

英文原题:Efficacy and safety of tisagenlecleucel in adult Japanese patients with relapsed or refractory follicular lymphoma: results from the phase 2 ELARA trial.

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Efficacy and safety of tisagenlecleucel in adult Japanese patients with relapsed or refractory follicular lymphoma: results from the phase 2 ELARA trial.

PubMed 2022/11/21(内容时间) Int J Hematol Q3 · IF 1.9(JCR 2025)

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研究概要

tisagenlecleucel 在 r/r FL 成人日本患者中显示出高疗效和可控的安全性。

中文摘要

在全球Ⅱ期ELARA试验中,替沙仑赛使复发/难治性(r/r)滤泡性淋巴瘤(FL)患者获得较高且持久的缓解率。本文报告ELARA试验中日本r/r FL患者亚组接受替沙仑赛治疗的疗效、安全性和细胞动力学结果。

ELARA(NCT03568461)是一项全球性单臂试验,纳入既往接受过两线治疗的r/r FL患者。主要终点为完全缓解率(CRR);次要终点包括总缓解率、缓解持续时间、无进展生存期、总生存期、安全性和细胞动力学。

截至2021年3月29日,共有9名日本患者入组并接受替沙仑赛治疗,中位随访时间为13.6个月(范围10.5–19.3个月)。独立评审委员会评估的CRR为100%(95%置信区间:63.1%–100%)。输注后8周内,6例患者(66.7%)出现任何级别的细胞因子释放综合征(CRS);未观察到3级CRS、任何级别的严重神经系统事件或治疗相关死亡。

替沙仑赛在日本成年r/r FL患者中显示出较高疗效,且安全性可控。临床结局与全球人群相近,支持替沙仑赛用于日本r/r FL患者。

展开英文摘要原文

Tisagenlecleucel yielded a high durable response rate in patients with relapsed/refractory (r/r) follicular lymphoma (FL) in the global phase 2 ELARA trial. Here, we report the efficacy, safety, and cellular kinetics of tisagenlecleucel in a subgroup of Japanese patients with r/r FL from ELARA.

ELARA (NCT03568461) is a global single-arm trial of tisagenlecleucel in patients with r/r FL who received 2 prior lines of therapy. The primary endpoint was the complete response rate (CRR), and the secondary endpoints were the overall response rate, duration of response, progression-free survival, overall survival, safety, and cellular kinetics.

As of March 29, 2021, nine Japanese patients were enrolled and received tisagenlecleucel with a median follow-up of 13.6 months (range, 10.5 19.3). Per independent review committee, CRR was 100% (95% CI 63.1 100). Within 8 weeks of infusion, cytokine release syndrome (CRS) of any grade was reported in 6 patients (66.7%); however, no grade 3 CRS or any grade serious neurological events or treatment-related deaths were observed.

Tisagenlecleucel showed high efficacy and manageable safety in adult Japanese patients with r/r FL. Moreover, the clinical outcomes were similar to the global population, which supports the potential of tisagenlecleucel in Japanese patients with r/r FL.

论文信息

作者
Fukuhara N、Kato K、Goto H、Takeshi T、Kawaguchi M、Tokushige K、Akashi K、Teshima T
单位
Department of Hematology, Tohoku University Hospital, 1-1 Seiryo-cho, Sendai, 980-8574, Japan. nfukuhara@med.tohoku.ac.jp.Japan
文献类型
II 期临床试验
期刊
International journal of hematology2023 Feb
原文标识
PubMed 36404384 · DOI 10.1007/s12185-022-03481-y