Results of a multicenter phase I/II trial of TCRαβ and CD19-depleted haploidentical hematopoietic stem cell transplantation for adult and pediatric patients.
Journal
Bone marrow transplantation
ISSN: 1476-5365
Titre abrégé: Bone Marrow Transplant
Pays: England
ID NLM: 8702459
Informations de publication
Date de publication:
03 2022
03 2022
Historique:
received:
20
08
2021
accepted:
06
12
2021
revised:
17
11
2021
pubmed:
26
12
2021
medline:
22
4
2022
entrez:
25
12
2021
Statut:
ppublish
Résumé
Hematopoietic stem cell transplantation (HSCT) from haploidentical donors is a viable option for patients lacking HLA-matched donors. Here we report the results of a prospective multicenter phase I/II trial of transplantation of TCRαβ and CD19-depleted peripheral blood stem cells from haploidentical family donors after a reduced-intensity conditioning with fludarabine, thiotepa, and melphalan. Thirty pediatric and 30 adult patients with acute leukemia (n = 43), myelodysplastic or myeloproliferative syndrome (n = 6), multiple myeloma (n = 1), solid tumors (n = 6), and non-malignant disorders (n = 4) were enrolled. TCR αβ/CD19-depleted grafts prepared decentrally at six manufacturing sites contained a median of 12.1 × 10
Identifiants
pubmed: 34952929
doi: 10.1038/s41409-021-01551-z
pii: 10.1038/s41409-021-01551-z
pmc: PMC8702395
doi:
Substances chimiques
Antigens, CD19
0
Receptors, Antigen, T-Cell, alpha-beta
0
Types de publication
Clinical Trial, Phase I
Clinical Trial, Phase II
Journal Article
Multicenter Study
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
423-430Informations de copyright
© 2021. The Author(s).
Références
Passweg JR, Baldomero H, Bader P, Bonini C, Duarte RF, Dufour C. et al. Use of haploidentical stem cell transplantation continues to increase: the 2015 European Society for Blood and Marrow Transplant activity survey report. Bone Marrow Transpl. 2017;52:811–7. https://doi.org/10.1038/bmt.2017.34 .
doi: 10.1038/bmt.2017.34
Or-Geva N, Reisner Y. The evolution of T-cell depletion in haploidentical stem-cell transplantation. Br J Haematol. 2016;172:667–84. https://doi.org/10.1111/bjh.13868 .
doi: 10.1111/bjh.13868
pubmed: 26684279
Reisner Y, Kapoor N, Kirkpatrick D, Pollack MS, Cunningham-Rundles S, Dupont B, et al. Transplantation for severe combined immunodeficiency with HLA-A,B,D,DR incompatible parental marrow cells fractionated by soybean agglutinin and sheep red blood cells. Blood. 1983;61:341–8.
doi: 10.1182/blood.V61.2.341.341
Aversa F, Tabilio A, Terenzi A, Velardi A, Falzetti F, Giannoni C, et al. Successful engraftment of T-cell-depleted haploidentical “three-loci” incompatible transplants in leukemia patients by addition of recombinant human granulocyte colony-stimulating factor-mobilized peripheral blood progenitor cells to bone marrow inoculum. Blood. 1994;84:3948–55.
doi: 10.1182/blood.V84.11.3948.bloodjournal84113948
Sebestyen Z, Prinz I, Déchanet-Merville J, Silva-Santos B, Kuball J. Translating gammadelta (γδ) T cells and their receptors into cancer cell therapies. Nat Rev Drug Disco. 2020;19:169–84. https://doi.org/10.1038/s41573-019-0038-z .
doi: 10.1038/s41573-019-0038-z
Kierkels GJJ, Scheper W, Meringa AD, Johanna I, Beringer DX, Janssen A, et al. Identification of a tumor-specific allo-HLA-restricted γδTCR. Blood Adv. 2019;3:2870–82. https://doi.org/10.1182/bloodadvances.2019032409 .
doi: 10.1182/bloodadvances.2019032409
pubmed: 31585951
pmcid: 6784524
Godder KT, Henslee-Downey PJ, Mehta J, Park BS, Chiang KY, Abhyankar S, et al. Long term disease-free survival in acute leukemia patients recovering with increased gammadelta T cells after partially mismatched related donor bone marrow transplantation. Bone Marrow Transpl. 2007;39:751–7. https://doi.org/10.1038/sj.bmt.1705650 .
doi: 10.1038/sj.bmt.1705650
Li Pira G, Malaspina D, Girolami E, Biagini S, Cicchetti E, Conflitti G, et al. Selective depletion of alphabeta T cells and B cells for human leukocyte antigen-haploidentical hematopoietic stem cell transplantation. A three-year follow-up of procedure efficiency. Biol Blood Marrow Transpl. 2016;22:2056–64. https://doi.org/10.1016/j.bbmt.2016.08.006 .
doi: 10.1016/j.bbmt.2016.08.006
Schumm M, Lang P, Bethge W, Faul C, Feuchtinger T, Pfeiffer M, et al. Depletion of T-cell receptor alpha/beta and CD19 positive cells from apheresis products with the CliniMACS device. Cytotherapy. 2013;15:1253–8. https://doi.org/10.1016/j.jcyt.2013.05.014 .
doi: 10.1016/j.jcyt.2013.05.014
pubmed: 23993299
Bertaina A, Merli P, Rutella S, Pagliara D, Bernardo ME, Masetti R, et al. HLA-haploidentical stem cell transplantation after removal of alphabeta+ T and B cells in children with nonmalignant disorders. Blood. 2014;124:822–6. https://doi.org/10.1182/blood-2014-03-563817 .
doi: 10.1182/blood-2014-03-563817
pubmed: 24869942
Bertaina A, Zecca M, Buldini B, Sacchi N, Algeri M, Saglio F, et al. Unrelated donor vs HLA-haploidentical alpha/beta T-cell- and B-cell-depleted HSCT in children with acute leukemia. Blood. 2018;132:2594–607. https://doi.org/10.1182/blood-2018-07-861575 .
doi: 10.1182/blood-2018-07-861575
pubmed: 30348653
Ghosh S, Schuster FR, Adams O, Babor F, Borkhardt A, Comoli P, et al. Haploidentical stem cell transplantation in DOCK8 deficiency—successful control of pre-existing severe viremia with a TCRass/CD19-depleted graft and antiviral treatment. Clin Immunol. 2014;152:111–4. https://doi.org/10.1016/j.clim.2014.03.006 .
doi: 10.1016/j.clim.2014.03.006
pubmed: 24667686
Kaynar L, Demir K, Turak EE, Ozturk CP, Zararsiz G, Gonen ZB, et al. TcRalphabeta-depleted haploidentical transplantation results in adult acute leukemia patients. Hematology. 2017;22:136–44. https://doi.org/10.1080/10245332.2016.1238182 .
doi: 10.1080/10245332.2016.1238182
pubmed: 27724812
Kharya G, Nademi Z, Leahy TR, Dunn J, Barge D, Schulz A, et al. Haploidentical T-cell alpha beta receptor and CD19-depleted stem cell transplant for Wiskott-Aldrich syndrome. J Allergy Clin Immunol. 2014;134:1199–201. https://doi.org/10.1016/j.jaci.2014.04.041 .
doi: 10.1016/j.jaci.2014.04.041
pubmed: 24985403
Lang P, Schlegel PG, Meisel R, Schulz A, Greil J, Bader P, et al. Safety and efficacy of TCRalpha/beta and CD19 depleted haploidentical stem cell transplantation following reduced intensity conditioning in children: results of a prospective multicenter phase I/II clinical trial. Bone Marrow Transpl. 2018;53:O154.
Locatelli F, Merli P, Pagliara D, Li Pira G, Falco M, Pende D, et al. Outcome of children with acute leukemia given HLA-haploidentical HSCT after alphabeta T-cell and B-cell depletion. Blood. 2017;130:677–85. https://doi.org/10.1182/blood-2017-04-779769 .
doi: 10.1182/blood-2017-04-779769
pubmed: 28588018
Mainardi C, Tumino M, Gazzola MV, Rampazzo A, Scarpa M, Messina C. TCRalphabeta CD19 depletion in allogeneic haematopoietic stem cell transplantation performed for Hurler syndrome. Bone Marrow Transpl. 2016;51:438–9. https://doi.org/10.1038/bmt.2015.258 .
doi: 10.1038/bmt.2015.258
Maschan M, Shelikhova L, Ilushina M, Kurnikova E, Boyakova E, Balashov D, et al. TCR-alpha/beta and CD19 depletion and treosulfan-based conditioning regimen in unrelated and haploidentical transplantation in children with acute myeloid leukemia. Bone Marrow Transpl. 2016;51:668–74. https://doi.org/10.1038/bmt.2015.343 .
doi: 10.1038/bmt.2015.343
Tumino M, Mainardi C, Pillon M, Calore E, Gazzola MV, Destro R, et al. Haploidentical TCR A/B and B-cell depleted hematopoietic SCT in pediatric SAA and aspergillosis. Bone Marrow Transpl. 2014;49:847–9. https://doi.org/10.1038/bmt.2014.58 .
doi: 10.1038/bmt.2014.58
Bacigalupo A, Ballen K, Rizzo D, Giralt S, Lazarus H, Ho V, et al. Defining the intensity of conditioning regimens: working definitions. Biol Blood Marrow Transpl. 2009;15:1628–33. https://doi.org/10.1016/j.bbmt.2009.07.004 .
doi: 10.1016/j.bbmt.2009.07.004
Jagasia MH, Greinix HT, Arora M, Williams KM, Wolff D, Cowen EW, et al. National Institutes of Health Consensus Development Project on Criteria for Clinical Trials in Chronic Graft-versus-Host Disease: I. The 2014 Diagnosis and Staging Working Group report. Biol Blood Marrow Transpl. 2015;21:389–401.e381. https://doi.org/10.1016/j.bbmt.2014.12.001 .
doi: 10.1016/j.bbmt.2014.12.001
Przepiorka D, Weisdorf D, Martin P, Klingemann HG, Beatty P, Hows J, et al. 1994 Consensus Conference on acute GVHD grading. Bone Marrow Transpl. 1995;15:825–8.
Holtan SG, DeFor TE, Lazaryan A, Bejanyan N, Arora M, Brunstein CG, et al. Composite end point of graft-versus-host disease-free, relapse-free survival after allogeneic hematopoietic cell transplantation. Blood. 2015;125:1333–8. https://doi.org/10.1182/blood-2014-10-609032 .
doi: 10.1182/blood-2014-10-609032
pubmed: 25593335
pmcid: 4335084
Fuchs EJ. Human leukocyte antigen-haploidentical stem cell transplantation using T-cell-replete bone marrow grafts. Curr Opin Hematol. 2012;19:440–7. https://doi.org/10.1097/MOH.0b013e32835822dc .
doi: 10.1097/MOH.0b013e32835822dc
pubmed: 22954723
Reisner Y, Hagin D, Martelli MF. Haploidentical hematopoietic transplantation: current status and future perspectives. Blood. 2011;118:6006–17. https://doi.org/10.1182/blood-2011-07-338822 .
doi: 10.1182/blood-2011-07-338822
pubmed: 21921045
Roy DC, Walker I, Maertens J, Lewalle P, Olavarria E, Selleslag D, et al. ATIR101 administered after T-cell-depleted haploidentical HSCT reduces NRM and improves overall survival in acute leukemia. Leukemia. 2020;34:1907–23. https://doi.org/10.1038/s41375-020-0733-0 .
doi: 10.1038/s41375-020-0733-0
pubmed: 32047237
pmcid: 7326707
Sahasrabudhe K, Otto M, Hematti P, Kenkre V. TCR αβ+/CD19+ cell depletion in haploidentical hematopoietic allogeneic stem cell transplantation: a review of current data. Leuk Lymphoma. 2019;60:598–609. https://doi.org/10.1080/10428194.2018.1485905 .
doi: 10.1080/10428194.2018.1485905
pubmed: 30187806
Federmann B, Bornhauser M, Meisner C, Kordelas L, Beelen DW, Stuhler G, et al. Haploidentical allogeneic hematopoietic cell transplantation in adults using CD3/CD19 depletion and reduced intensity conditioning: a phase II study. Haematologica. 2012;97:1523–31. https://doi.org/10.3324/haematol.2011.059378 .
doi: 10.3324/haematol.2011.059378
pubmed: 22491731
pmcid: 3487553
Federmann B, Hägele M, Pfeiffer M, Wirths S, Schumm M, Faul C, et al. Immune reconstitution after haploidentical hematopoietic cell transplantation: impact of reduced intensity conditioning and CD3/CD19 depleted grafts. Leukemia. 2011;25:121–9. https://doi.org/10.1038/leu.2010.235 .
doi: 10.1038/leu.2010.235
pubmed: 20944677
Eyrich M, Lang P, Lal S, Bader P, Klingebiel T, Handgretinger R, et al. A prospective analysis of the pattern of immune reconstitution following transplantation of HLA-disparate hematopoietic stem cells from parental donors. Br J Haematol. 2001;114:422–32.
doi: 10.1046/j.1365-2141.2001.02934.x
Rambaldi B, Kim HT, Reynolds C, Chamling Rai S, Arihara Y, Kubo T, et al. Impaired T- and NK-cell reconstitution after haploidentical HCT with posttransplant cyclophosphamide. Blood Adv. 2021;5:352–64. https://doi.org/10.1182/bloodadvances.2020003005 .
doi: 10.1182/bloodadvances.2020003005
pubmed: 33496734
pmcid: 7839379
Stocker N, Gaugler B, Labopin M, Farge A, Ye Y, Ricard L, et al. High-dose post-transplant cyclophosphamide impairs γδ T-cell reconstitution after haploidentical haematopoietic stem cell transplantation using low-dose antithymocyte globulin and peripheral blood stem cell graft. Clin Transl Immunol. 2020;9:e1171. https://doi.org/10.1002/cti2.1171 .
doi: 10.1002/cti2.1171
Sanz J, Montoro J, Solano C, Valcárcel D, Sampol A, Ferrá C, et al. Prospective randomized study comparing myeloablative unrelated umbilical cord blood transplantation versus HLA-haploidentical related stem cell transplantation for adults with hematologic malignancies. Biol Blood Marrow Transpl. 2020;26:358–66. https://doi.org/10.1016/j.bbmt.2019.10.014 .
doi: 10.1016/j.bbmt.2019.10.014
Boeckh M, Nichols WG, Papanicolaou G, Rubin R, Wingard JR, Zaia J. Cytomegalovirus in hematopoietic stem cell transplant recipients: current status, known challenges, and future strategies. Biol Blood Marrow Transpl. 2003;9:543–58. https://doi.org/10.1016/s1083-8791(03)00287-8 .
doi: 10.1016/s1083-8791(03)00287-8
Symons HJ, Zahurak M, Cao Y, Chen A, Cooke K, Gamper C, et al. Myeloablative haploidentical BMT with posttransplant cyclophosphamide for hematologic malignancies in children and adults. Blood Adv. 2020;4:3913–25. https://doi.org/10.1182/bloodadvances.2020001648 .
doi: 10.1182/bloodadvances.2020001648
pubmed: 32813874
pmcid: 7448587
Srour SA, Milton DR, Bashey A, Karduss-Urueta A, Al Malki MM, Romee R, et al. Haploidentical transplantation with post-transplantation cyclophosphamide for high-risk acute lymphoblastic leukemia. Biol Blood Marrow Transpl. 2017;23:318–24. https://doi.org/10.1016/j.bbmt.2016.11.008 .
doi: 10.1016/j.bbmt.2016.11.008
Solh M, Zhang X, Connor K, Brown S, Solomon SR, Morris LE, et al. Factors predicting graft-versus-host disease-free, relapse-free survival after allogeneic hematopoietic cell transplantation: multivariable analysis from a single center. Biol Blood Marrow Transpl. 2016;22:1403–9. https://doi.org/10.1016/j.bbmt.2016.04.006 .
doi: 10.1016/j.bbmt.2016.04.006
Kröger N, Solano C, Wolschke C, Bandini G, Patriarca F, Pini M, et al. Antilymphocyte globulin for prevention of chronic graft-versus-host disease. N Engl J Med. 2016;374:43–53. https://doi.org/10.1056/NEJMoa1506002 .
doi: 10.1056/NEJMoa1506002
pubmed: 26735993