Case report: CD19-directed CAR-T cell therapy combined with BTK inhibitor and PD-1 antibody against secondary central nervous system lymphoma

被引:3
作者
Zhang, Wenqi [1 ]
Huang, Chen [1 ,2 ]
Liu, Ruixia [1 ]
Zhang, Huichao [3 ]
Li, Weijing [1 ]
Yin, Shaoning [1 ]
Wang, Lianjing [1 ]
Liu, Wei [1 ]
Liu, Lihong [1 ,2 ]
机构
[1] Hebei Med Univ, Hosp 4, Dept Hematol, Shijiazhuang, Peoples R China
[2] Hebei Prov Key Lab Tumor Microenvironm & Drug Resi, Shijiazhuang, Peoples R China
[3] Hebei Med Univ, Hosp 4, Clin Lab, Shijiazhuang, Peoples R China
来源
FRONTIERS IN IMMUNOLOGY | 2022年 / 13卷
关键词
scnsl; CD19 CAR-T cell therapy; BTK inhibitor; PD-1; antibody; zanubrutinib; tislelizumab; EFFICACY;
D O I
10.3389/fimmu.2022.983934
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Current therapeutic strategies for central nervous system (CNS) relapse of diffuse large B-cell lymphoma (DLBCL) are extremely limited. Secondary central nervous system lymphoma (SCNSL) also shows a grave prognosis and high mortality. This report describes a young female patient with DLBCL and CNS relapse who received low-dose CD19-directed chimeric antigen receptor T (CAR-T) cell therapy followed with Bruton's tyrosine kinase inhibitor and programmed cell death protein 1 antibody after several lines of chemotherapy. However, limited reports on CAR-T cell therapy are applied for SCNSL, particularly those in combination with targeted agents. The current treatment combination for this case provides a new regimen for CNS relapse from DLBCL.
引用
收藏
页数:8
相关论文
共 33 条
  • [1] Anti-CD19 CAR T Cells in CNS Diffuse Large-B-Cell Lymphoma
    Abramson, Jeremy S.
    McGree, Brianne
    Noyes, Sarah
    Plummer, Sean
    Wong, Curtis
    Chen, Yi-Bin
    Palmer, Edwin
    Albertson, Tina
    Ferry, Judith A.
    Arrillaga-Romany, Isabel C.
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 2017, 377 (08) : 783 - 784
  • [2] CAR T-cell therapy for secondary CNS DLBCL
    Ahmed, Gulrayz
    Hamadani, Mehdi
    Shah, Nirav N.
    [J]. BLOOD ADVANCES, 2021, 5 (24) : 5626 - 5630
  • [3] CNS relapse in patients with DLBCL treated with lenalidomide plus R-CHOP (R2CHOP): analysis from two phase 2 studies
    Ayed, Ayed O.
    Chiappella, Annalisa
    Pederson, Levi
    Laplant, Betsy R.
    Congiu, Angela Giovanna
    Gaidano, Gianluca
    Spina, Michele
    Re, Alessandro
    Cavallo, Federica
    Musuraca, Gerardo
    Macon, William R.
    Witzig, Thomas
    Vitolo, Umberto
    Nowakowski, Grzegorz S.
    [J]. BLOOD CANCER JOURNAL, 2018, 8
  • [4] Implications ofTP53allelic state for genome stability, clinical presentation and outcomes in myelodysplastic syndromes
    Bernard, Elsa
    Nannya, Yasuhito
    Hasserjian, Robert P.
    Devlin, Sean M.
    Tuechler, Heinz
    Medina-Martinez, Juan S.
    Yoshizato, Tetsuichi
    Shiozawa, Yusuke
    Saiki, Ryunosuke
    Malcovati, Luca
    Levine, Max F.
    Arango, Juan E.
    Zhou, Yangyu
    Sole, Francesc
    Cargo, Catherine A.
    Haase, Detlef
    Creignou, Maria
    Germing, Ulrich
    Zhang, Yanming
    Gundem, Gunes
    Sarian, Araxe
    van de Loosdrecht, Arjan A.
    Jadersten, Martin
    Tobiasson, Magnus
    Kosmider, Olivier
    Follo, Matilde Y.
    Thol, Felicitas
    Pinheiro, Ronald F.
    Santini, Valeria
    Kotsianidis, Ioannis
    Boultwood, Jacqueline
    Santos, Fabio P. S.
    Schanz, Julie
    Kasahara, Senji
    Ishikawa, Takayuki
    Tsurumi, Hisashi
    Takaori-Kondo, Akifumi
    Kiguchi, Toru
    Polprasert, Chantana
    Bennett, John M.
    Klimek, Virginia M.
    Savona, Michael R.
    Belickova, Monika
    Ganster, Christina
    Palomo, Laura
    Sanz, Guillermo
    Ades, Lionel
    Della Porta, Matteo Giovanni
    Smith, Alexandra G.
    Werner, Yesenia
    [J]. NATURE MEDICINE, 2020, 26 (10) : 1549 - +
  • [5] A Phase I clinical trial of chimeric antigen receptor-modified T cells in patients with relapsed and refractory lymphoma
    Chen, Xinfeng
    Li, Xin
    Liu, Yanfen
    Zhang, Zhen
    Zhang, Xudong
    Huang, Jianmin
    Li, Hong
    Li, Feng
    Zhang, Lei
    Li, Ling
    Wu, Xiaolong
    Ma, Wang
    Sun, Zhenchang
    Yu, Hui
    Zhou, Zhiyuan
    Feng, Xiaoyan
    Cui, Kang
    Li, Zhaoming
    Zhang, Hongling
    Zeng, Ying
    Wan, Xiaochun
    Chen, Youhai H.
    Zhang, Mingzhi
    Zhang, Yi
    [J]. IMMUNOTHERAPY, 2020, 12 (10) : 681 - 696
  • [6] Successful Management of a Patient with Refractory Primary Central Nervous System Lymphoma by Zanubrutinib
    Cheng, Qiansong
    Wang, Jing
    Lv, Chenglan
    Xu, Jingyan
    [J]. ONCOTARGETS AND THERAPY, 2021, 14 : 3367 - 3372
  • [7] Human CAR T cells with cell-intrinsic PD-1 checkpoint blockade resist tumor-mediated inhibition
    Cherkassky, Leonid
    Morello, Aurore
    Villena-Vargas, Jonathan
    Feng, Yang
    Dimitrov, Dimiter S.
    Jones, David R.
    Sadelain, Michel
    Adusumilli, Prasad S.
    [J]. JOURNAL OF CLINICAL INVESTIGATION, 2016, 126 (08) : 3130 - 3144
  • [8] Revised response criteria for malignant lymphoma
    Cheson, Bruce D.
    Pfistner, Beate
    Juweid, Malik E.
    Gascoyne, Randy D.
    Specht, Lena
    Horning, Sandra J.
    Coiffier, Bertrand
    Fisher, Richard I.
    Hagenbeek, Anton
    Zucca, Emanuele
    Rosen, Steven T.
    Stroobants, Sigrid
    Lister, T. Andrew
    Hoppe, Richard T.
    Dreyling, Martin
    Tobinai, Kensei
    Vose, Julie M.
    Connors, Joseph M.
    Federico, Massimo
    Diehl, Volker
    [J]. JOURNAL OF CLINICAL ONCOLOGY, 2007, 25 (05) : 579 - 586
  • [9] Five-Year Outcomes for Refractory B-Cell Lymphomas with CAR T-Cell Therapy
    Chong, Elise A.
    Ruella, Marco
    Schuster, Stephen J.
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 2021, 384 (07) : 673 - 674
  • [10] Treatment strategies, outcomes and prognostic factors in 291 patients with secondary CNS involvement by diffuse large B-cell lymphoma
    El-Galaly, Tarec Christoffer
    Cheah, Chan Yoon
    Bendtsen, Mette Dahl
    Nowakowski, Grzegorz S.
    Kansara, Roopesh
    Savage, Kerry J.
    Connors, Joseph M.
    Sehn, Laurie H.
    Goldschmidt, Neta
    Shaulov, Adir
    Farooq, Umar
    Link, Brian K.
    Ferreri, Andres J. M.
    Calimeri, Teresa
    Cecchetti, Caterina
    Dann, Eldad J.
    Thompson, Carrie A.
    Inbar, Tsofia
    Maurer, Matthew J.
    Gade, Inger Lise
    Juul, Maja Bech
    Hansen, Jakob W.
    Holmberg, Staffan
    Larsen, Thomas S.
    Cordua, Sabrina
    Mikhaeel, N. George
    Hutchings, Martin
    Seymour, John F.
    Clausen, Michael Roost
    Smith, Daniel
    Opat, Stephen
    Gilbertson, Michael
    Thanarajasingam, Gita
    Villa, Diego
    [J]. EUROPEAN JOURNAL OF CANCER, 2018, 93 : 57 - 68