Table 2 Immune effector-mediated toxicities of special interest.

From: Phase 1 clinical trial of B-Cell Maturation Antigen (BCMA) NEX-T® Chimeric Antigen Receptor (CAR) T cell therapy CC-98633/BMS-986354 in participants with triple-class exposed multiple myeloma

 

Part A - Dose Escalation

Part B- Dose Expansion

RP2D (Parts A + B)

Total

 

DL1

DL2

DL3

DL2

DL2

 
 

N=7

N=24

N=11

N=23

N=47

N=65

CRS

 Any grade

5 (71%)

20 (83%)

9 (82%)

19 (83%)

39 (83%)

53 (82%)

 Grade 1

2 (29%)

17 (71%)

9 (82%)

14 (61%)

31 (66%)

42 (65%)

 Grade 2

3 (43%)

2 (13%)

0 (0%)

4 (17%)

7 (15%)

10 (15%)

 Grade 3

0 (0%)

0 (0%)

0 (0%)

0 (0%)

0 (0%)

0 (0%)

 Grade 4

0 (0%)

0 (0%)

0 (0%)

1 (4%)

1 (2%)

1 (2%)

 Grade 5

0 (0%)

0 (0%)

0 (0%)

0 (0%)

0 (0%)

0 (0%)

Median days from infusion to onset of CRS (range)

4 (1-8)

4 (2-6)

4 (2-6)

4 (2-6)

4 (2-6)

4 (1-8)

Median duration of CRS in days (range)

2 (2-9)

3 (1-6)

4 (2-8)

5 (2-7)

4 (1-7)

4 (1-9)

Treatment of CRS

 Tocilizumab

5 (71%)

18 (75%)

7 (64%)

18 (78%)

36 (77%)

48 (74%)

 Dexamethasone

3 (43%)

12 (50%)

4 (36%)

12 (52%)

24 (51%)

31 (48%)

 Anakinra

3 (43%)

3 (13%)

1 (9%)

3 (13%)

6 (13%)

10 (15%)

Neurotoxicity

 Any grade

1 (14%)

2 (8%)

1 (9%)

1 (4%)

3 (6%)

5 (8%)

 Grade 1

1 (14%)

2 (8%)

1 (9%)

0 (0%)

2 (4%)

4 (6%)

 Grade 2

0 (0%)

0 (0%)

0 (0%)

0 (0%)

0 (0%)

0 (0%)

 Grade 3

0 (0%)

0 (0%)

0 (0%)

0 (0%)

0 (0%)

0 (0%)

 Grade 4

0 (0%)

0 (0%)

0 (0%)

1 (4%)

1 (2%)

1 (2%)

 Grade 5

0 (0%)

0 (0%)

0 (0%)

0 (0%)

0 (0%)

0 (0%)

Median days from infusion to onset of neurotoxicity (range)

8 (8–8)

7 (5–9)

5 (5–5)

5 (5–5)

5 (5–9)

5 (5–9)

Median duration of neurotoxicity in days (range)

2 (2–2)

3 (3–3)

2 (2–2)

11 (1–12)

3 (1–12)

3 (1–12)

Corticosteroids for treatment of neurotoxicity

1 (14%)

0 (0%)

0 (0%)

2 (9%)

2 (4%)

3 (5%)

  1. DL dose level, CRS cytokine release syndrome, RP2D recommended phase 2 dose.