CORRECTION article

Front. Oncol., 07 October 2021

Sec. Cancer Immunity and Immunotherapy

Volume 11 - 2021 | https://doi.org/10.3389/fonc.2021.768128

Corrigendum: Efficacy and Safety of CAR-T Cell Products Axicabtagene Ciloleucel, Tisagenlecleucel, and Lisocabtagene Maraleucel for the Treatment of Hematologic Malignancies: A Systematic Review and Meta-Analysis

  • 1. Molecular Genetics Laboratory, Suining Central Hospital, Suining, China

  • 2. Department of Neurosurgery, The First Affiliated Hospital, University of South China, Hengyang, China

  • 3. Hengyang Medical College, University of South China, Hengyang, China

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In the original article, there were mistakes in Table 2 as published. We collected data with reference to both the conference abstract version and the full-text published version of the TRANSCEND NHL 001 trial conducted by Abramson et al. (1, 2); in Table 2, we showed the data from the conference abstract version, which should be changed to the full-text version. The rest of the paper, including the meta-analysis and the systematic review section, was run with data from the full-text version of the TRANSCEND NHL 001 trial and is therefore unaffected. In addition, two footnotes were ignored in Table 2. The corrected Table 2 appears below.

Table 2

First AuthorYearNo.Median age (range)-yrHistological typeCAR-T typeEfficacy evaluationScaleToxicity evaluation (grade≥3)Scale (CRS/ICANS)Ref
Schuster201811156 (22–76)DLBCLtisa-celCR: 37/93
PR: 11/93
LuganoCRS: 24/111
ICANS: 13/111
Penn/CTCAE 4.03, MDRA 20.117
Schubert20202152 (20-68)16 DLBCL, 3 PMBCL, 1 DHL, 1 tFLaxi-celCR: 9/21
PR: 10/21
LuganoCRS: 0/21
ICANS: 6/21
ASTCT/ASTCT22
Pinnix202012460 (18-85)95 DLBCL, 20 tFL, 9 PMBCLaxi-celCR: 60/124
PR: 36/124
LuganoCRS: 11/124
ICANS: 49/124
ASTCT, CARTOX/ASTCT, CARTOX23
Nastoupil202029860 (21-83)203 DLBCL, 76 tFL, 19 PMBCLaxi-celCR: 175/275
PR: 50/175
LuganoCRS: 19/275
ICANS: 85/275
CARTOX, Lee/CARTOX, CTCAE 4.0324
Neelapu201710158 (23–76)77 DLBCL, 16 tFL, 8 PMBCLaxi-celCR: 55/101
PR: 28/101
IWGRCCRS: 13/101
ICANS: 28/101
Lee/CTCAE 4.0319
Locke2017746 (29-69)DLBCLaxi-celCR: 4/7
PR: 1/7
IWGRCCRS: 1/7
ICANS: 4/7
Lee/CTCAE 4.0325
Jain2019456 (38-66)DLBCLaxi-celCR: 2/4
PR: 1/4
NPCRS: 0/4
ICANS: 0/4
NP/NP26
Abbasi20201066 (55–77)DLBCLaxi-celCR: 8/10
PR: 0/10
NPCRS: 1/10
ICANS: 3/10
ASTCT/ASTCT27
Garfall20181061 (48-68)MMtisa-celCR: 6/10
PR: 2/10
IMWGRCCRS: 0/10
ICANS: 0/10
NP/NP28
Maude20187511 (3-23)ALLtisa-celCR: 61/75
PR: 0/75
Independent scaleCRS: 35/75
ICANS: 10/75
Penn/CTCAE 4.0329
Maude20143014 (5-60)ALLtisa-celCR: 27/30
PR: 0/30
Independent scaleCRS: 8/30
ICANS: NP
Independent scale/NP30
Schuster20172858 (25-77)14 DLBCL
14 FL
tisa-celCR: 16/28
PR: 2/28
1999 IWGRCCRS: 5/28
ICANS: 3/28
Penn/NP31
Frigault2019850 (17-79)5 DLBCL, 2 HGBCL, 1 PMBCLtisa-celCR: 2/8
PR: 2/8
NPCRS: 0/8
ICANS: 0/8
Lee, ASTCT/Lee, ASTCT32
Sim201911NP8 DLBCL, 3 tFL,axi-celCR: 5/11
PR: 4/11
LuganoCRS: 1/11
ICANS: 3/11
CTCAE 5.0/CTCAE 5.033
Porter20151466 (51-78)CLLtisa-celCR: 4/14
PR: 4/14
IWG on CLL RCCRS: 7/14
ICANS: 1/14
Penn/CTCAE 3.034
Shah20187NP3 DLBCL, 4 FLtisa-celCR: 3/7
PR: 2/7
LuganoCRS: NP
ICANS: NP
NP/NP35
Wright202031NP26 DLBCL, 5 tFL18 axi-cel, 13 tisa-celCR: 11/27
PR: 3/27
LuganoCRS: 6/31
ICANS: 4/31
Penn/NP36
Jacobson202012262 (21-79)57 DLBCL, 33 tFL, 17 HGBCL, 8 PMBCL, 5 TMZL, 2 RSaxi-celCR: 61/122
PR: 24/122
LuganoCRS: 19/122
ICANS: 43/122
Lee/CTCAE 4.0337
Abramson202026963 (54-70)215 DLBCL, 36 HGBCL, 15 PMBCL, 3 FL3Bliso-celCR: 136/256
PR: 50/256
LuganoCRS: 6/269
ICANS: 27/269
Lee/CTCAE 4.0316
Fehse20191056 (24-79)7 DLBCL, 3 PMBCLaxi-celCR: 2/10
PR: 5/10
NPCRS: 2/10
ICANS: 1/10
ASTCT/ASTCT38
Gupta20197860+-13※DLBCL69 axi-cel, 9 tisa-celCR+PR: 43/78*NPCRS: 10/78
ICANS: 22/78
CTCAE 5.0, Lee/CTCAE 5.039
Korell20202554 (20-68)24 DLBCL, 1 PMBCLaxi-celCR: 9/25
PR: 10/25
LuganoCRS: NP
ICANS: NP
NP/NP40
Frey20193534 (21-70)ALLtisa-celCR: 24/35
PR: 0/35
Independent scaleCRS: 25/35
ICANS: 2/35
Penn/CTCAE 4.0341
Sesques20206159 (27-75)38 DLBCL, 18 PMBCL, 4 tFL, 1 TMZL28 axi-cel, 33 tisa-celCR: 28/61
PR: 9/61
LuganoCRS: 5/61
ICANS: 6/61
ASTCT/ASTCT42
Holtzman20204560 (26-75)35 DLBCL, 3 PMBCL, 7 tFLaxi-celCR: 22/45
PR: NP
NPCRS: NP
ICANS: 18/45
NP/CTCAE 4.0343
Strati202010060 (18-85)LBCL (Including 77 DLBCL)axi-celCR: NP
PR: NP
LuganoCRS: 9/100
ICANS:41/100
CARTOX/CARTOX44
Faramand20207563 (23-7950 DLBCL, 25 Transformed Indolent lymphomasaxi-celCR: 36/68
PR: 29/68
LuganoCRS: 12/75
ICANS: 23/75
ASTCT/CARTOX, ASTCT, CTCAE v4.0345
Kittai2020964 (40-77)RSaxi-celCR: 8/8
PR: 5/8
LuganoCRS: 1/9
ICANS: 3/9
ASTCT/ASTCT46
Deng20202458 (24-74)16 DLBCL, 6 tFL, 2 PMBCLaxi-celCR: NP
PR: NP
NPCRS: 4/24
ICANS: 12/24
NP/NP47
Dean20209664 (19-79)47 DLBCL, 15 HGBCL, 5 PMBCL, 29 NPaxi-celCR: 74/96
PR: 63/96
NPCRS: 9/96
ICANS: 28/96
Lee/CTCAE 4.0348
Sermer20206963 (19-85)DLBCL47 axi-cel, 22 tisa-celCR: 50/69
PR: 36/69
LuganoCRS: NP
ICANS: NP
NP/NP49
Wudhikarn20206063 (20-86)DLBCL43 axi-cel, 17 tisa-celCR: NP
PR: NP
NPCRS: 7/60
ICANS: 13/60
NP/NP50
Rubin202020460+-12Inexact#axi-celCR: NP
PR: NP
NPCRS: NP
ICANS: 51/204
NP/CTCAE 4.0351

Characteristics of included studies.

CR, complete response; PR, partial response; CRS, cytokine release syndrome; ICANS, immune effector cell-associated neurotoxicity syndrome; DLBCL, diffuse large B cell lymphoma; FL/tFL, follicular lymphoma or transformed follicular; PMBCL, primary mediastinal B-cell lymphoma; HGBCL, high-grade B cell lymphoma; ALL, acute lymphoblastic leukemia; CLL, chronic lymphocytic leukemia; CAR-T, chimeric antigen receptor T; TMZL, transformed marginal zone lymphoma; MM, multiple myeloma; NP, not provided; ref, reference; MDRA, Medical Dictionary for Regulatory Activities, version; CTCAE, Common Terminology Criteria for Adverse Events; RS, Richter’ s syndrome; ASTCT, American Society for Transplantation and Cellular Therapy criteria; CARTOX, CAR-T-cell-therapy-associated TOXicity; IWGRC, International Working Group Response Criteria; IMWGRC, International Myeloma Working Group response criteria; IWG on CLL RC, International Workshop Group on CLL response criteria.

Independent scale: the institution used their own criteria instead of international criteria, which can be found in original text.

Very good partial response was analyzed as complete response.

The statement in original text was severe CRS, but it was not clear if it was ≥ grade 3 and therefore not included for analysis.

*No separate CR and PR numbers were provided.

Mean ± standard deviation.

#Patients with aggressive (e.g., diffuse large B-cell lymphoma, primary mediastinal B-cell lymphoma) or indolent (e.g., follicular lymphoma, marginal zone lymphoma) histologic subtype.

In the original article, the neurotoxicity result of tisa-cel in the Primary Mediastinal B Cell Lymphoma subgroup was incorrectly stated. A correction has been made to Results, Primary Mediastinal B Cell Lymphoma, Paragraph 1.

“A study on tisa-cel that included one patient with PMBCL with central nervous system (CNS) involvement indicated that the patient was showing ongoing response at day 90 and developed only grade 1 CRS and no ICANS”.

Secondly, a percentage was carelessly written incorrectly in the comparison of severe cytokine release syndrome between adult and pediatric patients with acute lymphoblastic leukemia. A correction has been made to Results, Acute Lymphoblastic Leukemia and Chronic Lymphocytic Leukemia, Paragraph 3.

“Adult patients with ALL were more likely to develop grade ≥3 CRS than pediatric patients (71 vs 47%, respectively)”.

In addition, we carelessly wrote “tisa-cel” instead of “liso-cel” and used a wrong percentage in one place. A correction has been made to Discussion, Paragraph 5.

“In the TRANSCEND NHL 001 trial, 7% of patients received non-conforming products, two patients experienced manufacturing failure of liso-cel, and 10% of patients died before receiving liso-cel.”

In the original article, there was a mistake in the legend for Figure 8 as published. “tisa-cel” was carelessly written as “axi-cel”. The correct legend appears below.

Figure 8

Figure 8

The forest plots of pooled results in patients with acute lymphoblastic leukemia. (A) The forest plot of complete response rate of tisa-cel. (B) The forest plot of severe cytokine release syndrome rate of tisa-cel. (C) The forest plot of severe immune effector cell-associated neurotoxicity syndrome rate of tisa -cel.

The authors apologize for these errors and state that this does not change the scientific conclusions of the article in any way. The original article has been updated.

Publisher’s Note

All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.

References

  • 1

    AbramsonJSPalombaMLGordonLILunningMAWangMLArnasonJEet al. Pivotal Safety and Efficacy Results From Transcend NHL 001, A Multicenter Phase 1 Study of Lisocabtagene Maraleucel (Liso-Cel) in Relapsed/Refractory (R/R) Large B Cell Lymphomas. Blood (2019) 134(Supplement_1):241. doi: 10.1182/blood-2019-127508

  • 2

    AbramsonJSPalombaMLGordonLILunningMAWangMArnasonJet al. Lisocabtagene Maraleucel for Patients With Relapsed or Refractory Large B-Cell Lymphomas (TRANSCEND NHL 001): A Multicentre Seamless Design Study. Lancet (2020) 396:839–52. doi: 10.1016/S0140-6736(20)31366-0

Summary

Keywords

chimeric antigen receptor T-cell product, CAR-T cell therapy, immunotherapy, lymphoma, leukemia, hematologic malignancy, efficacy, safety

Citation

Meng J, Wu X, Sun Z, Xun R, Liu M, Hu R and Huang J (2021) Corrigendum: Efficacy and Safety of CAR-T Cell Products Axicabtagene Ciloleucel, Tisagenlecleucel, and Lisocabtagene Maraleucel for the Treatment of Hematologic Malignancies: A Systematic Review and Meta-Analysis. Front. Oncol. 11:768128. doi: 10.3389/fonc.2021.768128

Received

31 August 2021

Accepted

08 September 2021

Published

07 October 2021

Volume

11 - 2021

Edited and reviewed by

Sairah Ahmed, University of Texas MD Anderson Cancer Center, United States

Updates

Copyright

*Correspondence: JianChao Huang,

†These authors have contributed equally to this work and share first authorship

This article was submitted to Cancer Immunity and Immunotherapy, a section of the journal Frontiers in Oncology

Disclaimer

All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

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