These results demonstrate the treatment effect of axicabtagene ciloleucel in a patient population with multiple types of aggressive NHL, including diffuse large B-cell lymphoma (DLBCL) enrolled in Cohort 1, as well as primary mediastinal B-cell lymphoma (PMBCL) and transformed follicular lymphoma (TFL) enrolled in Cohort 2.
One hundred one patients were treated in ZUMA-1. The following table shows the ORR and rate of complete response (CR) as well as the month 6 ORR and CR:
|ORR (%)||CR (%)||ORR (%)||CR (%)||ORR (%)||CR (%)|
Four of the 101 patients in ongoing CR did not have a month 6 tumor assessment prior to the data cut-off and are therefore categorized as non-responders for month 6 in the table above. These patients have an opportunity to be counted as a month 6 CR in a follow-up analysis, which may increase the month 6 response and month 6 CR rate.
At month 6, 41 percent of treated patients achieved a response, including 36 percent in CR. Five of the 101 patients (5 percent) continue to experience highly significant and durable partial responses (PR) with minimal abnormalities in PET scans. One of these PRs converted to a CR at month 9.
With a median follow-up of 8.7 months for this primary analysis, the median overall survival (OS) has not yet been reached. In a similar patient population, the median OS was estimated to be 6.6 months (SCHOLAR-1 study, ASCO 2016).
The most common grade 3 or higher adverse events included anemia (43 percent), neutropenia (39 percent), decreased neutrophil count (32 percent), febrile neutropenia (31 percent), decreased white blood cell count (29 percent), thrombocytopenia (24 percent), encephalopathy (21 percent) and decreased lymphocyte count (20 percent). As compared to the interim analysis, grade 3 or higher cytokine release syndrome (CRS) decreased from 18 percent to 13 percent and neurologic events decreased from 34 percent to 28 percent. There were no cases of cerebral edema.
As previously reported at the American Society of Hematology Annual Meeting in 2016, there were three deaths not due to disease progression in the study. Two events, one hemophagocytic lymphohistiocytosis and one cardiac arrest in the setting of CRS, were deemed related to axicabtagene ciloleucel. The third case, a pulmonary embolism, was deemed unrelated. Between the interim analysis that included 62 patients, and this primary analysis which now includes all 101 patients, there were no additional deaths due to adverse events.
"These results with axicabtagene ciloleucel are exceptional and suggest
that more than a third of patients with refractory aggressive NHL could
potentially be cured after a single infusion of axicabtagene
Kite intends to seek regulatory approval of axicabtagene ciloleucel in
aggressive NHL based upon the combined data from all 101 patients and
plans to complete its rolling submission of the Biologics License
Application (BLA) by the end of the first quarter of 2017. In addition,
Kite plans to submit a marketing authorization application (MAA) for
axicabtagene ciloleucel for the treatment of relapsed or refractory
DLBCL, PMBCL and TFL with the
"We know as clinicians that patients with aggressive lymphoma who do not
respond to their previous treatments have a very poor prognosis. In
fact, we know from the SCHOLAR-1 study, these patients have only an
eight percent chance of achieving a complete response with current
Sattva S. Neelapu, M.D.,
Full data from the primary analysis will be presented at the
ZUMA-1 is supported in part by funding from
Conference Call and Webcast Details
Kite will host a live conference call and webcast today at 9:00 AM Eastern Time (
About axicabtagene ciloleucel
Kite is a biopharmaceutical company engaged in the development of innovative cancer immunotherapies with a goal of providing rapid, long-term durable response and eliminating the burden of chronic care. The company is focused on chimeric antigen receptor (CAR) and T cell receptor (TCR) engineered cell therapies designed to empower the immune system's ability to recognize and kill tumors. Kite is based in Santa Monica, CA. For more information on Kite, please visit www.kitepharma.com. Sign up to follow @KitePharma on Twitter at www.twitter.com/kitepharma.
Cautionary Note on Forward-Looking Statements
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