NCT02348216 · OUTCOME
Phase 2 Safety Management Study (Cohort 5): Percentage of Participants With Treatment-Emergent CRS and Neurologic Toxicities by Severity Grades
Study Evaluating the Safety and Efficacy of KTE-C19 in Adult Participants With Refractory Aggressive Non-Hodgkin Lymphoma · Source last updated 2024-06-04
Results reported by the registry submitting party. Population, time horizon, units and missing values must be read together.
- Measure
- NUMBER
- Unit
- percentage of participants
- Interval / dispersion
- Not reported
- Time frame
- First infusion date of axicabtagene ciloleucel up to last follow-up visit (maximum duration: 4.4 years)
What was measured
TEAE was defined as any AE with onset on or after the start of treatment. CRS events were graded by Lee et al 2014. Grade 1 : No life threatening symptoms and require symptomatic treatment only; Grade 2: Symptoms require and respond to moderate intervention; Grade 3: Symptoms require and respond to aggressive intervention; Grade 4: Life-threatening symptoms and requirements for ventilator support or CVVHD, and Grade 5: Death. Neurologic toxicities were graded by CTCAE version 4.03. Grade 1: Mild, asymptomatic or mild symptoms and intervention not indicated; Grade 2: Moderate and minimal, local or noninvasive intervention indicated; Grade 3: Severe or medically significant but not immediately life-threatening, hospitalization or prolongation of hospitalization indicated; Grade 4: Life-threatening and urgent intervention indicated; Grade 5: Death related to AE.
Analysis population: The Safety Analysis Set included all participants treated with any dose of axicabtagene ciloleucel.
Groups in this outcome
Phase 2 (Safety Management Study): Cohort 5
Participants with r/r DLBCL, PMBCL ,TFL, or HGBCL after 2 systemic lines of therapy received debulking therapy (R-CHOP:rituximab 375mg/m\^2 D1,doxorubicin 50mg/m\^2 D1,prednisone 100mg D1 to D5,cyclophosphamide 750mg/m\^2 D1,vincristine 1.4 mg/m\^2 D1 or R-ICE:rituximab 375mg/ m\^2 D1,ifosfamide 5g/m\^2 24h-CI D2,carboplatin AUC5 D2 maximum dose 800mg,etoposide 100 mg/m\^2/day D1 to D3 or R-GEMOX:rituximab 375mg/m\^2 D1,gemcitabine 1000mg/m\^2 D2,oxaliplatin 100mg/m\^2 D2 or R-GDP:rituximab 375mg/m\^2 D1 or D8,gemcitabine 1g/m\^2 D1 \& D8,dexamethasone 40mg D1 to D4,cisplatin 75mg/m\^2 D1(or carboplatin AUC5 D1) or radiotherapy:20 to 30 Gy), conditioning chemotherapy (fludarabine 30mg/m\^2 IV and cyclophosphamide 500mg/m\^2 IV)on Days -5,-4, and -3; followed by single infusion of axicabtagene ciloleucel at a target dose of 2 x 10\^6 anti-CD19 CAR T cells/kg of BW on Day 0. Participants also received a prophylactic regimen of levetiracetam (750 mg orally or IV BID starting on D0).D=Day.
Group identifiers and denominators belong to this outcome only. They may differ in another outcome or in safety reporting.
Analysis denominator · Participants
| Group | Source count |
|---|
| Phase 2 (Safety Management Study): Cohort 5 | 50 |
|---|
Reported measurements
Worst Grade 1 CRS
Values in percentage of participants · Interval/dispersion: Not reported| Group | Value | Spread | Lower | Upper | Comment |
|---|
| Phase 2 (Safety Management Study): Cohort 5 | 38 | Not reported | Not reported | Not reported | Not reported |
|---|
Worst Grade 2 CRS
Values in percentage of participants · Interval/dispersion: Not reported| Group | Value | Spread | Lower | Upper | Comment |
|---|
| Phase 2 (Safety Management Study): Cohort 5 | 46 | Not reported | Not reported | Not reported | Not reported |
|---|
Worst Grade 3 CRS
Values in percentage of participants · Interval/dispersion: Not reported| Group | Value | Spread | Lower | Upper | Comment |
|---|
| Phase 2 (Safety Management Study): Cohort 5 | 0 | Not reported | Not reported | Not reported | Not reported |
|---|
Worst Grade 4 CRS
Values in percentage of participants · Interval/dispersion: Not reported| Group | Value | Spread | Lower | Upper | Comment |
|---|
| Phase 2 (Safety Management Study): Cohort 5 | 2 | Not reported | Not reported | Not reported | Not reported |
|---|
Worst Grade 5 CRS
Values in percentage of participants · Interval/dispersion: Not reported| Group | Value | Spread | Lower | Upper | Comment |
|---|
| Phase 2 (Safety Management Study): Cohort 5 | 0 | Not reported | Not reported | Not reported | Not reported |
|---|
Worst Grade ≥ 3 CRS
Values in percentage of participants · Interval/dispersion: Not reported| Group | Value | Spread | Lower | Upper | Comment |
|---|
| Phase 2 (Safety Management Study): Cohort 5 | 2 | Not reported | Not reported | Not reported | Not reported |
|---|
Worst Grade 1 Neurologic Toxicities
Values in percentage of participants · Interval/dispersion: Not reported| Group | Value | Spread | Lower | Upper | Comment |
|---|
| Phase 2 (Safety Management Study): Cohort 5 | 26 | Not reported | Not reported | Not reported | Not reported |
|---|
Worst Grade 2 Neurologic Toxicities
Values in percentage of participants · Interval/dispersion: Not reported| Group | Value | Spread | Lower | Upper | Comment |
|---|
| Phase 2 (Safety Management Study): Cohort 5 | 18 | Not reported | Not reported | Not reported | Not reported |
|---|
Worst Grade 3 Neurologic Toxicities
Values in percentage of participants · Interval/dispersion: Not reported| Group | Value | Spread | Lower | Upper | Comment |
|---|
| Phase 2 (Safety Management Study): Cohort 5 | 10 | Not reported | Not reported | Not reported | Not reported |
|---|
Worst Grade 4 Neurologic Toxicities
Values in percentage of participants · Interval/dispersion: Not reported| Group | Value | Spread | Lower | Upper | Comment |
|---|
| Phase 2 (Safety Management Study): Cohort 5 | 2 | Not reported | Not reported | Not reported | Not reported |
|---|
Worst Grade 5 Neurologic Toxicities
Values in percentage of participants · Interval/dispersion: Not reported| Group | Value | Spread | Lower | Upper | Comment |
|---|
| Phase 2 (Safety Management Study): Cohort 5 | 0 | Not reported | Not reported | Not reported | Not reported |
|---|
Worst Grade ≥ 3 Neurologic Toxicities
Values in percentage of participants · Interval/dispersion: Not reported| Group | Value | Spread | Lower | Upper | Comment |
|---|
| Phase 2 (Safety Management Study): Cohort 5 | 12 | Not reported | Not reported | Not reported | Not reported |
|---|
Complete source fields
- classes
- title
- Worst Grade 1 CRS
- title
- Worst Grade 2 CRS
- title
- Worst Grade 3 CRS
- title
- Worst Grade 4 CRS
- title
- Worst Grade 5 CRS
- title
- Worst Grade ≥ 3 CRS
- title
- Worst Grade 1 Neurologic Toxicities
- title
- Worst Grade 2 Neurologic Toxicities
- title
- Worst Grade 3 Neurologic Toxicities
- title
- Worst Grade 4 Neurologic Toxicities
- title
- Worst Grade 5 Neurologic Toxicities
- title
- Worst Grade ≥ 3 Neurologic Toxicities
- description
- TEAE was defined as any AE with onset on or after the start of treatment. CRS events were graded by Lee et al 2014. Grade 1 : No life threatening symptoms and require symptomatic treatment only; Grade 2: Symptoms require and respond to moderate intervention; Grade 3: Symptoms require and respond to aggressive intervention; Grade 4: Life-threatening symptoms and requirements for ventilator support or CVVHD, and Grade 5: Death. Neurologic toxicities were graded by CTCAE version 4.03. Grade 1: Mild, asymptomatic or mild symptoms and intervention not indicated; Grade 2: Moderate and minimal, local or noninvasive intervention indicated; Grade 3: Severe or medically significant but not immediately life-threatening, hospitalization or prolongation of hospitalization indicated; Grade 4: Life-threatening and urgent intervention indicated; Grade 5: Death related to AE.
- groups
- description
- Participants with r/r DLBCL, PMBCL ,TFL, or HGBCL after 2 systemic lines of therapy received debulking therapy (R-CHOP:rituximab 375mg/m\^2 D1,doxorubicin 50mg/m\^2 D1,prednisone 100mg D1 to D5,cyclophosphamide 750mg/m\^2 D1,vincristine 1.4 mg/m\^2 D1 or R-ICE:rituximab 375mg/ m\^2 D1,ifosfamide 5g/m\^2 24h-CI D2,carboplatin AUC5 D2 maximum dose 800mg,etoposide 100 mg/m\^2/day D1 to D3 or R-GEMOX:rituximab 375mg/m\^2 D1,gemcitabine 1000mg/m\^2 D2,oxaliplatin 100mg/m\^2 D2 or R-GDP:rituximab 375mg/m\^2 D1 or D8,gemcitabine 1g/m\^2 D1 \& D8,dexamethasone 40mg D1 to D4,cisplatin 75mg/m\^2 D1(or carboplatin AUC5 D1) or radiotherapy:20 to 30 Gy), conditioning chemotherapy (fludarabine 30mg/m\^2 IV and cyclophosphamide 500mg/m\^2 IV)on Days -5,-4, and -3; followed by single infusion of axicabtagene ciloleucel at a target dose of 2 x 10\^6 anti-CD19 CAR T cells/kg of BW on Day 0. Participants also received a prophylactic regimen of levetiracetam (750 mg orally or IV BID starting on D0).D=Day.
- id
- OG000
- title
- Phase 2 (Safety Management Study): Cohort 5
- param Type
- NUMBER
- population Description
- The Safety Analysis Set included all participants treated with any dose of axicabtagene ciloleucel.
- reporting Status
- POSTED
- time Frame
- First infusion date of axicabtagene ciloleucel up to last follow-up visit (maximum duration: 4.4 years)
- title
- Phase 2 Safety Management Study (Cohort 5): Percentage of Participants With Treatment-Emergent CRS and Neurologic Toxicities by Severity Grades
- type
- PRIMARY
- unit Of Measure
- percentage of participants
Download exact source JSON → · Snapshot ctgov-results-191f4516d4760045304b24a0
Preserved source evidence · Not medical advice