CART Cell – Analisi di sopravvivenza

Linfomi · Pescara

Published

21 March 2026

1 Caratteristiche dei pazienti

Tabella 1. Caratteristiche dei pazienti
N = 40 pazienti · Linfomi
Characteristic N = 401
Diagnosi
    DLBCL 19 (48%)
    DLBCL double HIT 1 (2.5%)
    FL 1 (2.5%)
    MCL 7 (18%)
    PMBCL 7 (18%)
    s-DLBCL 5 (13%)
Età alla diagnosi 59 (50, 64)
Ecog basale
    0 17 (44%)
    1 16 (41%)
    2 5 (13%)
    3 1 (2.6%)
Terapia 1ª linea
    CHT 2 (5.0%)
    GMALL 1 (2.5%)
    O-CHOP 1 (2.5%)
    PROMACE-CYTABOM 1 (2.5%)
    R-BENDA 1 (2.5%)
    R-CHOP 12 (30%)
    R-CHOP / R-DAOX 1 (2.5%)
    R-CHOP + lena 1 (2.5%)
    R-CHOP/R-DAOX 5 (13%)
    R-CHOP14 1 (2.5%)
    R-COMP 7 (18%)
    R-COMP-14 1 (2.5%)
    R-DHAP 1 (2.5%)
    R-HYPER-CVAD 2 (5.0%)
    R-POLA-CHP 2 (5.0%)
    R-POLA-CHP + HD MTX 1 (2.5%)
Terapia 2ª linea
    BRENTUXIMAB-NIVOLUMAB 1 (2.5%)
    IBRUTINIB 5 (13%)
    IMBRUVICA 1 (2.5%)
    MARIETTA 2 (5.0%)
    NA 11 (28%)
    Obinotuzumab-Benda 1 (2.5%)
    PEMBROLIZUMAB 1 (2.5%)
    R-DHAOx 2 (5.0%)
    R-DHAP 10 (25%)
    R-GEMOX 3 (7.5%)
    R-ICE 1 (2.5%)
    R-IEV 1 (2.5%)
    RT 1 (2.5%)
Terapia 3ª linea
    NA 34 (85%)
    PEMBROLIZUMAB 1 (2.5%)
    PIXANTRONE 1 (2.5%)
    R-BAC 1 (2.5%)
    R-DHAOx 1 (2.5%)
    R-GEMOX 1 (2.5%)
    R-IEV 1 (2.5%)
Autotrapianto
    NA 1 (2.5%)
    NO 32 (80%)
    SI 7 (18%)
Allotrapianto
    NA 4 (10%)
    NO 36 (90%)
Linee pre-CART (senza bridge)
    1 11 (28%)
    2 22 (55%)
    3 6 (15%)
    5 1 (2.5%)
Terapia bridge
    NO 8 (20%)
    SI 32 (80%)
Tipo terapia bridge
    IBRUTINIB 2 (5.0%)
    NA 5 (13%)
    NO 2 (5.0%)
    PEMBROLIZUMAB 1 (2.5%)
    PIRTOBRUTINIB 1 (2.5%)
    PIXANTRONE 2 (5.0%)
    PIXANTRONE + R-IEV 1 (2.5%)
    R-BAC 1 (2.5%)
    R-DHAP 1 (2.5%)
    R-GEMOX 5 (13%)
    R-GEMOX + RT 1 (2.5%)
    R-IBRUTINIB-VENETOCLAX 1 (2.5%)
    R-IEV 2 (5.0%)
    R-LENALIDOMIDE 2 (5.0%)
    R-POLA 2 (5.0%)
    R-POLA-BENDAMUSTINA 2 (5.0%)
    R-POLA-CHP 2 (5.0%)
    RT 6 (15%)
    RT + R-POLA 1 (2.5%)
Ecog a CAR-T 24 (63%)
Prodotto CAR-T
    AXICEL 25 (63%)
    BREXUCABTAGENE AUTOLEUCEL 6 (15%)
    TECARTUS 1 (2.5%)
    TISAGENLECLEUCEL 8 (20%)
Status malattia alla CART
    PD 29 (73%)
    PR 4 (10%)
    RC 1 (2.5%)
    SD 6 (15%)
Tossicità ematologica
    0 17 (44%)
    1 (ferritina) 1 (2.6%)
    1 (PCR) 3 (7.7%)
    1 (PLT) 1 (2.6%)
    2 (Fe PCR) 2 (5.1%)
    2 (Gb PCR) 1 (2.6%)
    2 (Hb PCR) 1 (2.6%)
    2 (PLT PCR) 1 (2.6%)
    2 (Plt) 1 (2.6%)
    2 (PLT) 2 (5.1%)
    3 (Hb+Fe+PCR) 2 (5.1%)
    3 (PLT Fe) 1 (2.6%)
    4 (Hb Fe PCR) 1 (2.6%)
    4 (Hb PLT Fe PCR) 1 (2.6%)
    5 1 (2.6%)
    6 (Hb Gb PLT PCR Fe) 1 (2.6%)
    6 (Hb PLT PCR Fe) 1 (2.6%)
    7 (Hb PLT N Fe PCR) 1 (2.6%)
1 n (%); Median (Q1, Q3)

2 Risultati di sopravvivenza

2.1 Mediane

Mediane di sopravvivenza con IC 95%
Endpoint N pazienti N eventi Mediana (mesi) IC 95% inf. IC 95% sup.
Overall Survival 40 17 36.1 10.4 NR
Relapse-Free Survival 40 16 22.1 11.0 NR
Time to Next Treatment 40 11 36.1 11.0 NR
Follow-up mediano 40 23 18.0 6.5 28.5
NR = non raggiunto

2.2 Overall Survival

2.3 Relapse-Free Survival

2.4 Time to Next Treatment

2.5 Cumulative Incidence of Relapse

2.6 RMST – Overall Survival

Restricted Mean Survival Time – Overall Survival
Mesi medi di sopravvivenza entro l'orizzonte τ
τ..mesi. RMST IC 95% inf. IC 95% sup.
12 8.7 7.2 10.2
24 15.0 11.6 18.4
36 21.3 15.7 26.9
RMST calcolato con metodo Kaplan-Meier · IC 95% = RMST ± 1.96 × SE

2.7 Partitioned Survival Analysis

2.8 Surrogacy PFS → OS

2.9 Markov multi-state model