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NCT02348216 · OUTCOME

Pharmacodynamics: Peak Level of Cytokines (IP-10, Granzyme B, IFN-gamma, IL-1 RA, IL-10, IL-15, IL-2, IL-6, IL-7, IL-8, TNF Alpha, and GM-CSF) in Serum (Phase 2 Cohorts 4, 5, and 6)

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
MEDIAN
Unit
pg/mL
Interval / dispersion
Full Range
Time frame
Baseline up to Month 3

What was measured

Peak was defined as the maximum post-baseline level of the cytokine. Following key cytokines were measured: IP-10, granzyme B, IFN-gamma, IL-1 RA, IL-2, IL-6, IL-7, IL-8, IL-10, IL-15, TNF alpha, and granulocyte-macrophage colony-stimulating factor (GM-CSF).

Analysis population: Participants in the Safety Analysis Set with available data were analyzed.

Groups in this outcome

Phase 2 (Safety Management Study): Cohort 4

Participants with r/r DLBCL, PMBCL ,TFL, or high-grade B-cell lymphoma (HGBCL) after 2 systemic lines of therapy received optional bridging therapy (dexamethasone 20mg to 40mg,either orally or IV daily for 1 to 4 days or 1g/m\^2 of high-dose methylprednisolone(HDMP) for 3 days with rituximab at 375mg/m\^2 weekly for 3 weeks or bendamustine 90 mg/m\^2 on Days 1 and 2 and rituximab 375mg/m\^2 on Day 1), 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 CAR transduced autologous T cells IV at a target dose of 2 x 10\^6 anti-CD19 CAR T cells/kg of BW. Participants also received a prophylactic regimen of levetiracetam (750 mg orally or IV twice daily (BID) starting on Day 0). Participants received tocilizumab (initiated on persistent Grade 1 CRS for over 24 hours) and dexamethasone (persistent Grade 1 CRS for over 72 hours and at onset of Grade 1 neurologic toxicity).

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.

Phase 2 (Safety Management Study): Cohort 6

Participants with r/r DLBCL, PMBCL ,TFL, or HGBCL after 2 systemic lines of therapy may have received bridging therapy (dexamethasone 20mg to 40mg, either orally or IV daily for 1 to 4 days or 1g/m\^2 of high-dose methylprednisolone(HDMP) for 3 days with rituximab at 375mg/m\^2 weekly for 3 weeks or bendamustine 90 mg/m\^2 on Days 1 and 2 and rituximab 375mg/m\^2 on Day 1), 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 CAR transduced autologous T cells IV 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 twice daily (BID) starting on Day 0) and corticosteroids (dexamethasone, 10 mg once daily on Days 0, 1, and 2). Participants received tocilizumab (initiated on persistent Grade 1 CRS for over 24 hours) and dexamethasone (persistent Grade 1 CRS for over 72 hours and at onset of Grade 1 neurologic toxicity).

Group identifiers and denominators belong to this outcome only. They may differ in another outcome or in safety reporting.

Analysis denominator · Participants

GroupSource count
Phase 2 (Safety Management Study): Cohort 441
Phase 2 (Safety Management Study): Cohort 550
Phase 2 (Safety Management Study): Cohort 640

Reported measurements

IP-10

Analysis denominator · Participants

GroupSource count
Phase 2 (Safety Management Study): Cohort 441
Phase 2 (Safety Management Study): Cohort 550
Phase 2 (Safety Management Study): Cohort 640
Values in pg/mL · Interval/dispersion: Full Range
GroupValueSpreadLowerUpperComment
Phase 2 (Safety Management Study): Cohort 41549.70Not reported469.202000.00Not reported
Phase 2 (Safety Management Study): Cohort 51746.15Not reported349.802000.00Not reported
Phase 2 (Safety Management Study): Cohort 61560.03Not reported347.002000.000Not reported
Granzyme B

Analysis denominator · Participants

GroupSource count
Phase 2 (Safety Management Study): Cohort 441
Phase 2 (Safety Management Study): Cohort 550
Phase 2 (Safety Management Study): Cohort 640
Values in pg/mL · Interval/dispersion: Full Range
GroupValueSpreadLowerUpperComment
Phase 2 (Safety Management Study): Cohort 423.10Not reported1.00322.60Not reported
Phase 2 (Safety Management Study): Cohort 527.90Not reported1.00375.76Not reported
Phase 2 (Safety Management Study): Cohort 618.40Not reported1.00162.30Not reported
IFN-gamma

Analysis denominator · Participants

GroupSource count
Phase 2 (Safety Management Study): Cohort 441
Phase 2 (Safety Management Study): Cohort 550
Phase 2 (Safety Management Study): Cohort 640
Values in pg/mL · Interval/dispersion: Full Range
GroupValueSpreadLowerUpperComment
Phase 2 (Safety Management Study): Cohort 4334.50Not reported24.901876.00Not reported
Phase 2 (Safety Management Study): Cohort 5314.90Not reported7.501876.00Not reported
Phase 2 (Safety Management Study): Cohort 6207.95Not reported18.801876.00Not reported
IL-1 RA

Analysis denominator · Participants

GroupSource count
Phase 2 (Safety Management Study): Cohort 431
Phase 2 (Safety Management Study): Cohort 550
Phase 2 (Safety Management Study): Cohort 640
Values in pg/mL · Interval/dispersion: Full Range
GroupValueSpreadLowerUpperComment
Phase 2 (Safety Management Study): Cohort 41093.70Not reported193.304493.10Not reported
Phase 2 (Safety Management Study): Cohort 5908.00Not reported229.009000.00Not reported
Phase 2 (Safety Management Study): Cohort 61279.50Not reported227.009000.00Not reported
IL-2

Analysis denominator · Participants

GroupSource count
Phase 2 (Safety Management Study): Cohort 441
Phase 2 (Safety Management Study): Cohort 550
Phase 2 (Safety Management Study): Cohort 640
Values in pg/mL · Interval/dispersion: Full Range
GroupValueSpreadLowerUpperComment
Phase 2 (Safety Management Study): Cohort 411.20Not reported0.9079.40Not reported
Phase 2 (Safety Management Study): Cohort 511.85Not reported0.90142.70Not reported
Phase 2 (Safety Management Study): Cohort 68.40Not reported0.90277.60Not reported
IL-6

Analysis denominator · Participants

GroupSource count
Phase 2 (Safety Management Study): Cohort 441
Phase 2 (Safety Management Study): Cohort 550
Phase 2 (Safety Management Study): Cohort 640
Values in pg/mL · Interval/dispersion: Full Range
GroupValueSpreadLowerUpperComment
Phase 2 (Safety Management Study): Cohort 4136.70Not reported1.60976.00Not reported
Phase 2 (Safety Management Study): Cohort 597.95Not reported1.60976.00Not reported
Phase 2 (Safety Management Study): Cohort 647.25Not reported1.60976.00Not reported
IL-7

Analysis denominator · Participants

GroupSource count
Phase 2 (Safety Management Study): Cohort 441
Phase 2 (Safety Management Study): Cohort 550
Phase 2 (Safety Management Study): Cohort 640
Values in pg/mL · Interval/dispersion: Full Range
GroupValueSpreadLowerUpperComment
Phase 2 (Safety Management Study): Cohort 433.10Not reported18.0067.50Not reported
Phase 2 (Safety Management Study): Cohort 529.80Not reported1.4065.20Not reported
Phase 2 (Safety Management Study): Cohort 628.25Not reported13.2074.30Not reported
IL-8

Analysis denominator · Participants

GroupSource count
Phase 2 (Safety Management Study): Cohort 441
Phase 2 (Safety Management Study): Cohort 550
Phase 2 (Safety Management Study): Cohort 640
Values in pg/mL · Interval/dispersion: Full Range
GroupValueSpreadLowerUpperComment
Phase 2 (Safety Management Study): Cohort 467.40Not reported8.50750.00Not reported
Phase 2 (Safety Management Study): Cohort 575.10Not reported5.80750.00Not reported
Phase 2 (Safety Management Study): Cohort 652.55Not reported10.00750.00Not reported
IL-10

Analysis denominator · Participants

GroupSource count
Phase 2 (Safety Management Study): Cohort 441
Phase 2 (Safety Management Study): Cohort 550
Phase 2 (Safety Management Study): Cohort 640
Values in pg/mL · Interval/dispersion: Full Range
GroupValueSpreadLowerUpperComment
Phase 2 (Safety Management Study): Cohort 419.60Not reported1.40466.00Not reported
Phase 2 (Safety Management Study): Cohort 514.45Not reported0.70300.90Not reported
Phase 2 (Safety Management Study): Cohort 613.30Not reported0.70171.20Not reported
IL-15

Analysis denominator · Participants

GroupSource count
Phase 2 (Safety Management Study): Cohort 441
Phase 2 (Safety Management Study): Cohort 550
Phase 2 (Safety Management Study): Cohort 640
Values in pg/mL · Interval/dispersion: Full Range
GroupValueSpreadLowerUpperComment
Phase 2 (Safety Management Study): Cohort 445.80Not reported22.30272.70Not reported
Phase 2 (Safety Management Study): Cohort 534.15Not reported1.40140.00Not reported
Phase 2 (Safety Management Study): Cohort 637.20Not reported9.5086.30Not reported
TNF alpha

Analysis denominator · Participants

GroupSource count
Phase 2 (Safety Management Study): Cohort 441
Phase 2 (Safety Management Study): Cohort 550
Phase 2 (Safety Management Study): Cohort 640
Values in pg/mL · Interval/dispersion: Full Range
GroupValueSpreadLowerUpperComment
Phase 2 (Safety Management Study): Cohort 45.70Not reported2.0054.60Not reported
Phase 2 (Safety Management Study): Cohort 55.25Not reported1.4033.30Not reported
Phase 2 (Safety Management Study): Cohort 64.80Not reported2.1020.20Not reported
GM-CSF

Analysis denominator · Participants

GroupSource count
Phase 2 (Safety Management Study): Cohort 441
Phase 2 (Safety Management Study): Cohort 550
Phase 2 (Safety Management Study): Cohort 640
Values in pg/mL · Interval/dispersion: Full Range
GroupValueSpreadLowerUpperComment
Phase 2 (Safety Management Study): Cohort 44.40Not reported1.9047.00Not reported
Phase 2 (Safety Management Study): Cohort 52.90Not reported1.9035.60Not reported
Phase 2 (Safety Management Study): Cohort 61.90Not reported1.9047.40Not reported
Complete source fields
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        469.20
        upper Limit
        2000.00
        value
        1549.70
      2. group Id
        OG001
        lower Limit
        349.80
        upper Limit
        2000.00
        value
        1746.15
      3. group Id
        OG002
        lower Limit
        347.00
        upper Limit
        2000.000
        value
        1560.03
    denoms
    1. counts
      1. group Id
        OG000
        value
        41
      2. group Id
        OG001
        value
        50
      3. group Id
        OG002
        value
        40
      units
      Participants
    title
    IP-10
  2. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        1.00
        upper Limit
        322.60
        value
        23.10
      2. group Id
        OG001
        lower Limit
        1.00
        upper Limit
        375.76
        value
        27.90
      3. group Id
        OG002
        lower Limit
        1.00
        upper Limit
        162.30
        value
        18.40
    denoms
    1. counts
      1. group Id
        OG000
        value
        41
      2. group Id
        OG001
        value
        50
      3. group Id
        OG002
        value
        40
      units
      Participants
    title
    Granzyme B
  3. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        24.90
        upper Limit
        1876.00
        value
        334.50
      2. group Id
        OG001
        lower Limit
        7.50
        upper Limit
        1876.00
        value
        314.90
      3. group Id
        OG002
        lower Limit
        18.80
        upper Limit
        1876.00
        value
        207.95
    denoms
    1. counts
      1. group Id
        OG000
        value
        41
      2. group Id
        OG001
        value
        50
      3. group Id
        OG002
        value
        40
      units
      Participants
    title
    IFN-gamma
  4. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        193.30
        upper Limit
        4493.10
        value
        1093.70
      2. group Id
        OG001
        lower Limit
        229.00
        upper Limit
        9000.00
        value
        908.00
      3. group Id
        OG002
        lower Limit
        227.00
        upper Limit
        9000.00
        value
        1279.50
    denoms
    1. counts
      1. group Id
        OG000
        value
        31
      2. group Id
        OG001
        value
        50
      3. group Id
        OG002
        value
        40
      units
      Participants
    title
    IL-1 RA
  5. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        0.90
        upper Limit
        79.40
        value
        11.20
      2. group Id
        OG001
        lower Limit
        0.90
        upper Limit
        142.70
        value
        11.85
      3. group Id
        OG002
        lower Limit
        0.90
        upper Limit
        277.60
        value
        8.40
    denoms
    1. counts
      1. group Id
        OG000
        value
        41
      2. group Id
        OG001
        value
        50
      3. group Id
        OG002
        value
        40
      units
      Participants
    title
    IL-2
  6. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        1.60
        upper Limit
        976.00
        value
        136.70
      2. group Id
        OG001
        lower Limit
        1.60
        upper Limit
        976.00
        value
        97.95
      3. group Id
        OG002
        lower Limit
        1.60
        upper Limit
        976.00
        value
        47.25
    denoms
    1. counts
      1. group Id
        OG000
        value
        41
      2. group Id
        OG001
        value
        50
      3. group Id
        OG002
        value
        40
      units
      Participants
    title
    IL-6
  7. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        18.00
        upper Limit
        67.50
        value
        33.10
      2. group Id
        OG001
        lower Limit
        1.40
        upper Limit
        65.20
        value
        29.80
      3. group Id
        OG002
        lower Limit
        13.20
        upper Limit
        74.30
        value
        28.25
    denoms
    1. counts
      1. group Id
        OG000
        value
        41
      2. group Id
        OG001
        value
        50
      3. group Id
        OG002
        value
        40
      units
      Participants
    title
    IL-7
  8. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        8.50
        upper Limit
        750.00
        value
        67.40
      2. group Id
        OG001
        lower Limit
        5.80
        upper Limit
        750.00
        value
        75.10
      3. group Id
        OG002
        lower Limit
        10.00
        upper Limit
        750.00
        value
        52.55
    denoms
    1. counts
      1. group Id
        OG000
        value
        41
      2. group Id
        OG001
        value
        50
      3. group Id
        OG002
        value
        40
      units
      Participants
    title
    IL-8
  9. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        1.40
        upper Limit
        466.00
        value
        19.60
      2. group Id
        OG001
        lower Limit
        0.70
        upper Limit
        300.90
        value
        14.45
      3. group Id
        OG002
        lower Limit
        0.70
        upper Limit
        171.20
        value
        13.30
    denoms
    1. counts
      1. group Id
        OG000
        value
        41
      2. group Id
        OG001
        value
        50
      3. group Id
        OG002
        value
        40
      units
      Participants
    title
    IL-10
  10. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        22.30
        upper Limit
        272.70
        value
        45.80
      2. group Id
        OG001
        lower Limit
        1.40
        upper Limit
        140.00
        value
        34.15
      3. group Id
        OG002
        lower Limit
        9.50
        upper Limit
        86.30
        value
        37.20
    denoms
    1. counts
      1. group Id
        OG000
        value
        41
      2. group Id
        OG001
        value
        50
      3. group Id
        OG002
        value
        40
      units
      Participants
    title
    IL-15
  11. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        2.00
        upper Limit
        54.60
        value
        5.70
      2. group Id
        OG001
        lower Limit
        1.40
        upper Limit
        33.30
        value
        5.25
      3. group Id
        OG002
        lower Limit
        2.10
        upper Limit
        20.20
        value
        4.80
    denoms
    1. counts
      1. group Id
        OG000
        value
        41
      2. group Id
        OG001
        value
        50
      3. group Id
        OG002
        value
        40
      units
      Participants
    title
    TNF alpha
  12. categories
    1. measurements
      1. group Id
        OG000
        lower Limit
        1.90
        upper Limit
        47.00
        value
        4.40
      2. group Id
        OG001
        lower Limit
        1.90
        upper Limit
        35.60
        value
        2.90
      3. group Id
        OG002
        lower Limit
        1.90
        upper Limit
        47.40
        value
        1.90
    denoms
    1. counts
      1. group Id
        OG000
        value
        41
      2. group Id
        OG001
        value
        50
      3. group Id
        OG002
        value
        40
      units
      Participants
    title
    GM-CSF
denoms
  1. counts
    1. group Id
      OG000
      value
      41
    2. group Id
      OG001
      value
      50
    3. group Id
      OG002
      value
      40
    units
    Participants
description
Peak was defined as the maximum post-baseline level of the cytokine. Following key cytokines were measured: IP-10, granzyme B, IFN-gamma, IL-1 RA, IL-2, IL-6, IL-7, IL-8, IL-10, IL-15, TNF alpha, and granulocyte-macrophage colony-stimulating factor (GM-CSF).
dispersion Type
Full Range
groups
  1. description
    Participants with r/r DLBCL, PMBCL ,TFL, or high-grade B-cell lymphoma (HGBCL) after 2 systemic lines of therapy received optional bridging therapy (dexamethasone 20mg to 40mg,either orally or IV daily for 1 to 4 days or 1g/m\^2 of high-dose methylprednisolone(HDMP) for 3 days with rituximab at 375mg/m\^2 weekly for 3 weeks or bendamustine 90 mg/m\^2 on Days 1 and 2 and rituximab 375mg/m\^2 on Day 1), 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 CAR transduced autologous T cells IV at a target dose of 2 x 10\^6 anti-CD19 CAR T cells/kg of BW. Participants also received a prophylactic regimen of levetiracetam (750 mg orally or IV twice daily (BID) starting on Day 0). Participants received tocilizumab (initiated on persistent Grade 1 CRS for over 24 hours) and dexamethasone (persistent Grade 1 CRS for over 72 hours and at onset of Grade 1 neurologic toxicity).
    id
    OG000
    title
    Phase 2 (Safety Management Study): Cohort 4
  2. 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
    OG001
    title
    Phase 2 (Safety Management Study): Cohort 5
  3. description
    Participants with r/r DLBCL, PMBCL ,TFL, or HGBCL after 2 systemic lines of therapy may have received bridging therapy (dexamethasone 20mg to 40mg, either orally or IV daily for 1 to 4 days or 1g/m\^2 of high-dose methylprednisolone(HDMP) for 3 days with rituximab at 375mg/m\^2 weekly for 3 weeks or bendamustine 90 mg/m\^2 on Days 1 and 2 and rituximab 375mg/m\^2 on Day 1), 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 CAR transduced autologous T cells IV 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 twice daily (BID) starting on Day 0) and corticosteroids (dexamethasone, 10 mg once daily on Days 0, 1, and 2). Participants received tocilizumab (initiated on persistent Grade 1 CRS for over 24 hours) and dexamethasone (persistent Grade 1 CRS for over 72 hours and at onset of Grade 1 neurologic toxicity).
    id
    OG002
    title
    Phase 2 (Safety Management Study): Cohort 6
param Type
MEDIAN
population Description
Participants in the Safety Analysis Set with available data were analyzed.
reporting Status
POSTED
time Frame
Baseline up to Month 3
title
Pharmacodynamics: Peak Level of Cytokines (IP-10, Granzyme B, IFN-gamma, IL-1 RA, IL-10, IL-15, IL-2, IL-6, IL-7, IL-8, TNF Alpha, and GM-CSF) in Serum (Phase 2 Cohorts 4, 5, and 6)
type
SECONDARY
unit Of Measure
pg/mL

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Preserved source evidence · Not medical advice