Use of a real-world synthetic control arm for direct comparison of lisocabtagene maraleucel and conventional therapy in relapsed/refractory large B-cell lymphoma Journal Article


Authors: Van Le, H.; Van Naarden Braun, K.; Nowakowski, G. S.; Sermer, D.; Radford, J.; Townsend, W.; Ghesquieres, H.; Menne, T.; Porpaczy, E.; Fox, C. P.; Schusterbauer, C.; Liu, F. F.; Yue, L.; De Benedetti, M.; Hasskarl, J.
Article Title: Use of a real-world synthetic control arm for direct comparison of lisocabtagene maraleucel and conventional therapy in relapsed/refractory large B-cell lymphoma
Abstract: This study used a real-world population as a synthetic comparator for the single-arm TRANSCEND NHL 001 study (TRANSCEND; NCT02631044) to evaluate the efficacy of lisocabtagene maraleucel (liso-cel) compared with conventional (noncellular) therapies in patients with relapsed/refractory (R/R) large B-cell lymphoma (LBCL). Inclusion and exclusion criteria for the real-world study closely matched the enrollment criteria in TRANSCEND. The analytic comparator cohort was created by matching and balancing observed baseline characteristics of real-world patients with those in TRANSCEND using propensity score methodology. Efficacy outcomes comparing liso-cel– (n = 257) and conventional therapy–treated (n = 257) patients, respectively, significantly favored liso-cel: overall response rate (74% vs 39%; p < 0.0001), complete response rate (50% vs 24%; p < 0.0001), median overall survival (23.5 vs 6.8 months; p < 0.0001), and median progression-free survival (3.5 vs 2.2 months; p < 0.0001). These results demonstrated a statistically significant and clinically meaningful benefit of liso-cel in patients with third- or later-line R/R LBCL relative to conventional therapies. Clinical trial registration: ClinicalTrials.gov identifier: NCT02631044. © 2023 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.
Keywords: lymphoma, large b-cell, diffuse; adoptive immunotherapy; immunotherapy, adoptive; cd19 antigen; antigens, cd19; progression-free survival; adverse event; propensity score; diffuse large b cell lymphoma; large b-cell lymphoma; humans; human; real-world data; car t-cell therapy; synthetic control
Journal Title: Leukemia and Lymphoma
Volume: 64
Issue: 3
ISSN: 1042-8194
Publisher: Taylor & Francis Group  
Date Published: 2023-01-01
Start Page: 573
End Page: 585
Language: English
DOI: 10.1080/10428194.2022.2160200
PUBMED: 36755418
PROVIDER: scopus
DOI/URL:
Notes: Article -- Source: Scopus
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  1. David Sermer
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