Abstract
The SCHOLAR-2 retrospective study highlighted poor overall survival (OS) with standard of care (SOC) regimens among patients with relapsed/refractory (R/R) mantle cell lymphoma (MCL) who failed a covalent Bruton tyrosine kinase inhibitor (BTKi). In the ZUMA-2 single-arm trial, brexucabtagene autoleucel (brexu-cel; autologous anti-CD19 CAR T-cell therapy) demonstrated high rates of durable responses in patients with R/R MCL who had previous BTKi exposure. Here, we compared OS in ZUMA-2 and SCHOLAR-2 using three different methods which adjusted for imbalances in prognostic factors between populations: inverse probability weighting (IPW), regression adjustment (RA), and doubly robust (DR). Brexu-cel was associated with improved OS compared to SOC across all unadjusted and adjusted comparisons. Hazard ratios (95% confidence intervals) were 0.38 (0.23, 0.61) for IPW, 0.45 (0.28, 0.74) for RA, and 0.37 (0.23, 0.59) for DR. These results suggest a substantial survival benefit with brexu-cel versus SOC in patients with R/R MCL after BTKi exposure.
Original language | English |
---|---|
Pages (from-to) | 14-25 |
Number of pages | 12 |
Journal | Leukemia and Lymphoma |
Volume | 65 |
Issue number | 1 |
Early online date | 16 Oct 2023 |
DOIs | |
Publication status | Published - 1 Jan 2024 |
Keywords
- brexucabtagene autoleucel
- CAR T-cell therapy
- indirect treatment comparison
- mantle cell lymphoma
- non-Hodgkin lymphoma
- standard of care
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Hess, G., Dreyling, M., Oberic, L., Gine, E., Zinzani, P. L., Linton, K., Vilmar, A., Jerkeman, M., Chen, J. M. H., Ohler, A., Stilgenbauer, S., Thieblemont, C., Lambert, J., Zilioli, V. R., Sancho, J. M., Jimenez-Ubieto, A., Fischer, L., Eyre, T. A., Keeping, S., ... Salles, G. (2024). Indirect treatment comparison of brexucabtagene autoleucel (ZUMA-2) versus standard of care (SCHOLAR-2) in relapsed/refractory mantle cell lymphoma. Leukemia and Lymphoma, 65(1), 14-25. https://doi.org/10.1080/10428194.2023.2268228
Hess, Georg ; Dreyling, Martin ; Oberic, Lucie et al. / Indirect treatment comparison of brexucabtagene autoleucel (ZUMA-2) versus standard of care (SCHOLAR-2) in relapsed/refractory mantle cell lymphoma. In: Leukemia and Lymphoma. 2024 ; Vol. 65, No. 1. pp. 14-25.
@article{727ccf63bee4455b884859d21916a07f,
title = "Indirect treatment comparison of brexucabtagene autoleucel (ZUMA-2) versus standard of care (SCHOLAR-2) in relapsed/refractory mantle cell lymphoma",
abstract = "The SCHOLAR-2 retrospective study highlighted poor overall survival (OS) with standard of care (SOC) regimens among patients with relapsed/refractory (R/R) mantle cell lymphoma (MCL) who failed a covalent Bruton tyrosine kinase inhibitor (BTKi). In the ZUMA-2 single-arm trial, brexucabtagene autoleucel (brexu-cel; autologous anti-CD19 CAR T-cell therapy) demonstrated high rates of durable responses in patients with R/R MCL who had previous BTKi exposure. Here, we compared OS in ZUMA-2 and SCHOLAR-2 using three different methods which adjusted for imbalances in prognostic factors between populations: inverse probability weighting (IPW), regression adjustment (RA), and doubly robust (DR). Brexu-cel was associated with improved OS compared to SOC across all unadjusted and adjusted comparisons. Hazard ratios (95% confidence intervals) were 0.38 (0.23, 0.61) for IPW, 0.45 (0.28, 0.74) for RA, and 0.37 (0.23, 0.59) for DR. These results suggest a substantial survival benefit with brexu-cel versus SOC in patients with R/R MCL after BTKi exposure.",
keywords = "brexucabtagene autoleucel, CAR T-cell therapy, indirect treatment comparison, mantle cell lymphoma, non-Hodgkin lymphoma, standard of care",
author = "Georg Hess and Martin Dreyling and Lucie Oberic and Eva Gine and Zinzani, {Pier Luigi} and Kim Linton and Adam Vilmar and Mats Jerkeman and Chen, {Jenny M.H.} and Anke Ohler and Stephan Stilgenbauer and Catherine Thieblemont and Jonathan Lambert and Zilioli, {Vittorio Ruggero} and Sancho, {Juan Manuel} and Ana Jimenez-Ubieto and Luca Fischer and Eyre, {Toby A.} and Sam Keeping and Park, {Julie E.} and Wu, {James J.} and Ana Nunes and John Reitan and Wade, {Sally W.} and Gilles Salles",
note = "Publisher Copyright: {\textcopyright} 2023 Kite Pharma. Published by Informa UK Limited, trading as Taylor & Francis Group.",
year = "2024",
month = jan,
day = "1",
doi = "10.1080/10428194.2023.2268228",
language = "English",
volume = "65",
pages = "14--25",
journal = "Leukemia and Lymphoma",
issn = "1042-8194",
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Hess, G, Dreyling, M, Oberic, L, Gine, E, Zinzani, PL, Linton, K, Vilmar, A, Jerkeman, M, Chen, JMH, Ohler, A, Stilgenbauer, S, Thieblemont, C, Lambert, J, Zilioli, VR, Sancho, JM, Jimenez-Ubieto, A, Fischer, L, Eyre, TA, Keeping, S, Park, JE, Wu, JJ, Nunes, A, Reitan, J, Wade, SW & Salles, G 2024, 'Indirect treatment comparison of brexucabtagene autoleucel (ZUMA-2) versus standard of care (SCHOLAR-2) in relapsed/refractory mantle cell lymphoma', Leukemia and Lymphoma, vol. 65, no. 1, pp. 14-25. https://doi.org/10.1080/10428194.2023.2268228
Indirect treatment comparison of brexucabtagene autoleucel (ZUMA-2) versus standard of care (SCHOLAR-2) in relapsed/refractory mantle cell lymphoma. / Hess, Georg; Dreyling, Martin; Oberic, Lucie et al.
In: Leukemia and Lymphoma, Vol. 65, No. 1, 01.01.2024, p. 14-25.
Research output: Contribution to journal › Article › peer-review
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T1 - Indirect treatment comparison of brexucabtagene autoleucel (ZUMA-2) versus standard of care (SCHOLAR-2) in relapsed/refractory mantle cell lymphoma
AU - Hess, Georg
AU - Dreyling, Martin
AU - Oberic, Lucie
AU - Gine, Eva
AU - Zinzani, Pier Luigi
AU - Linton, Kim
AU - Vilmar, Adam
AU - Jerkeman, Mats
AU - Chen, Jenny M.H.
AU - Ohler, Anke
AU - Stilgenbauer, Stephan
AU - Thieblemont, Catherine
AU - Lambert, Jonathan
AU - Zilioli, Vittorio Ruggero
AU - Sancho, Juan Manuel
AU - Jimenez-Ubieto, Ana
AU - Fischer, Luca
AU - Eyre, Toby A.
AU - Keeping, Sam
AU - Park, Julie E.
AU - Wu, James J.
AU - Nunes, Ana
AU - Reitan, John
AU - Wade, Sally W.
AU - Salles, Gilles
N1 - Publisher Copyright:© 2023 Kite Pharma. Published by Informa UK Limited, trading as Taylor & Francis Group.
PY - 2024/1/1
Y1 - 2024/1/1
N2 - The SCHOLAR-2 retrospective study highlighted poor overall survival (OS) with standard of care (SOC) regimens among patients with relapsed/refractory (R/R) mantle cell lymphoma (MCL) who failed a covalent Bruton tyrosine kinase inhibitor (BTKi). In the ZUMA-2 single-arm trial, brexucabtagene autoleucel (brexu-cel; autologous anti-CD19 CAR T-cell therapy) demonstrated high rates of durable responses in patients with R/R MCL who had previous BTKi exposure. Here, we compared OS in ZUMA-2 and SCHOLAR-2 using three different methods which adjusted for imbalances in prognostic factors between populations: inverse probability weighting (IPW), regression adjustment (RA), and doubly robust (DR). Brexu-cel was associated with improved OS compared to SOC across all unadjusted and adjusted comparisons. Hazard ratios (95% confidence intervals) were 0.38 (0.23, 0.61) for IPW, 0.45 (0.28, 0.74) for RA, and 0.37 (0.23, 0.59) for DR. These results suggest a substantial survival benefit with brexu-cel versus SOC in patients with R/R MCL after BTKi exposure.
AB - The SCHOLAR-2 retrospective study highlighted poor overall survival (OS) with standard of care (SOC) regimens among patients with relapsed/refractory (R/R) mantle cell lymphoma (MCL) who failed a covalent Bruton tyrosine kinase inhibitor (BTKi). In the ZUMA-2 single-arm trial, brexucabtagene autoleucel (brexu-cel; autologous anti-CD19 CAR T-cell therapy) demonstrated high rates of durable responses in patients with R/R MCL who had previous BTKi exposure. Here, we compared OS in ZUMA-2 and SCHOLAR-2 using three different methods which adjusted for imbalances in prognostic factors between populations: inverse probability weighting (IPW), regression adjustment (RA), and doubly robust (DR). Brexu-cel was associated with improved OS compared to SOC across all unadjusted and adjusted comparisons. Hazard ratios (95% confidence intervals) were 0.38 (0.23, 0.61) for IPW, 0.45 (0.28, 0.74) for RA, and 0.37 (0.23, 0.59) for DR. These results suggest a substantial survival benefit with brexu-cel versus SOC in patients with R/R MCL after BTKi exposure.
KW - brexucabtagene autoleucel
KW - CAR T-cell therapy
KW - indirect treatment comparison
KW - mantle cell lymphoma
KW - non-Hodgkin lymphoma
KW - standard of care
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U2 - 10.1080/10428194.2023.2268228
DO - 10.1080/10428194.2023.2268228
M3 - Article
C2 - 37840282
AN - SCOPUS:85174242231
SN - 1042-8194
VL - 65
SP - 14
EP - 25
JO - Leukemia and Lymphoma
JF - Leukemia and Lymphoma
IS - 1
ER -
Hess G, Dreyling M, Oberic L, Gine E, Zinzani PL, Linton K et al. Indirect treatment comparison of brexucabtagene autoleucel (ZUMA-2) versus standard of care (SCHOLAR-2) in relapsed/refractory mantle cell lymphoma. Leukemia and Lymphoma. 2024 Jan 1;65(1):14-25. Epub 2023 Oct 16. doi: 10.1080/10428194.2023.2268228