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Table 1 Clinic trials and patients characteristics

From: The efficacy and safety of anti-CD19/CD20 chimeric antigen receptor- T cells immunotherapy in relapsed or refractory B-cell malignancies:a meta-analysis

Study

No. of patients

Disease type

Disease status

Ag recognition moieties

costimulatory domains

CART generation

Original T cell sources

T cell culture time

Transduction method

T cell treatment

CAR T cells persistence time

Lymphodepletion

IL-2 infusion to patients

IL-2 infusion to cells

The infused total cell number

CAR T cells number

Patients’ response

Kochenderfer, J. N. (2012) [13]

8

4: lymphoma 4: CLL

Advanced, progressive

CD19

CD28+ CD3ζ

2nd

Autologous

24 days

Gammaretrovirus

OKT3

< 20 days, > 6 months

Cyclophosphamide, fludarabine

Yes

–

0.5–5.5 × 107

0.3–3.0× 107

5 PR

1 CR

1 SD

1 Died with influenza

Jensen, M. C. (2010) [34]

4

2: DLBCL

2: FL

Recurrent, refractory

2: CD20 2: CD19

CD3ζ

1st

Autologous

106 days

Electroporation

OKT3, rHuIL-2

1 day-1 week

BCNU TBI cytoxan, VP-16; Fludarabine

NO; yes

Yes

3–21 × 108; 40–60 × 108/m2

–

2 PD

1 Died

1 PR

Kochenderfer, J. N. (2013) [35]

10

4: CLL

4: MCL

2: DLBCL

Progressive

CD19

CD28

CD3ζ

2nd

Allogeneic

8 days

Gammaretrovirus

OKT3, IL-2

1 month

No

No

Yes

1–10 × 106/Kg

0.4–7.8× 106/Kg

6 SD

2 PD

1 CR

1 PR

Brentjens, R. J. (2013) [36]

5

ALL

Relapsed

CD19

CD28

CD3ζ

2nd

Autologous

14 days

Gammaretrovirus

CD3/CD28 beads

3–8 weeks

Cyclophosphamide

No

–

1.2–6.2 × 108

1.4–3.2×  108

5 CR

Till, B. G. (2012) [37]

3

2: MCL

1: FL

Relapsed, refractory

CD20

CD28

CD3ζ

CD137 (4-1BB)

3rd

Autologous

>  69 days

Electroporation

OKT3, IL-2

12 months, 9 months

Cyclophosphamide

Yes

–

4.4 × 109/m2

–

1 PR

2 NE

Brentjens, R. J. (2011) [11]

9

8: CLL

1: ALL

Relapsed, refractory

CD19

CD28

CD3ζ

2nd

Autologous

11–18 days

Retrovirus

CD3/CD28 beads, CD19/CD80 artificial APCs

0 days, < 4 weeks, > 8 weeks

No; Cyclophosphamide

No

Yes

1.0–11.1 × 109

1.4–32 × 108

3 NR

1 NE

2 PD

2 SD

1 PR

Cruz, C. R. (2013) [38]

8

6: ALL

2: CLL

Relapse

CD19

CD28

CD3ζ

2nd

Allogeneic

40 ± 12 days

Retrovirus

Irradiated LCLs, IL-2

1–12 weeks

–

No

Yes

1.9–11.3 × 107

–

3 CR

1 SD

1 PR

3 PD

Dai, H. (2015) [39]

9

ALL

Relapsed, refractory

CD19

4-1BB

CD3ζ

2nd

Autologous; Allogeneic

10–12 days

Lentivirus

OKT3, IL-2

> 6 weeks, < 3–4 weeks

C-MOAD; no

No

Yes

–

2.2–7.9 × 108

3 PD

2 CR

4 PR

Davila, M. L. (2014) [40]

16

ALL

Relapsed, refractory

CD19

CD28

CD3ζ

2nd

Autologous

14 days

Gammaretrovirus

CD3/CD28 beads

2–3 months

Cyclophosphamide

No

–

–

3 × 106/kg

14 PR

2 NR

Savoldo, B. (2011) [28]

6

NHL

Relapsed, refractory

CD19

CD28

CD3ζ; CD3ζ

1st and 2nd

Autologous

6–18 days

Retrovirus

OKT3, IL-2

4–6 weeks; < 6 weeks

–

No

Yes

2–20 × 107/m2

–

4 PD

2 SD

Kochenderfer, J. N. (2015) [32]

15

9: DLBCL

2: lymphoma

4: CLL

Relapsed, refractory

CD19

CD28

CD3ζ

2nd

Autologous

10 days

Gammaretrovirus

OKT3, IL-2

35- > 75 days

Cyclophosphamide, fludarabin

No

Yes

–

1–5 × 106/kg

8 CR

4 PD

1 SD

2 NE

Maude, S. L. (2014) [41]

30

ALL

Relapsed, refractory

CD19

4-1BB

CD3ζ

2nd

Autologous

12 days

Lentivirus

CD3/CD28 beads

>  11 months

3: no

15: Flu/Cy

5: Cy/VP

3: Cy

2: CVAD

1: Clofarabine

1: Etoposide/Cytarabine

No

–

–

0.3–9.58 × 108

27 CR

3 NR

Porter, D. L. (2015) [26]

14

CLL

Relapsed, refractory

CD19

4-1BB

CD3ζ

2nd

Autologous

10–12 days

Lentivirus

CD3/CD28 beads

1–12 months

3: fludarabine/cyclophosphamide

5: pentostatin/cyclophosphamide

6: bendamustine

No

–

–

0.14–11 × 108

4 CR

4 PR

6 NR

Wang, Y. (2014) [42]

7

DLBCL

Refractory

CD20

CD137

CD3ζ

2nd

Autologous

10–12 days

Lentivirus

–

> 90 days

Cyclophosphamide, Vincristine, Etoposide, Dexamethasone, Doxorubicin, Methylprednisolone, Carboplatin, cytosine, arabinoside; NO

No

–

1–6 × 107/kg

0.2–2.2 × 107/kg

1 CR

1 Died of massive hemorrhage

of alimentary tract

4 PR

1 PD

Kochenderfer, J. N. (2010) [43]

1

FL

Progressive

CD19

CD28, CD3ζ

2nd

Autologous

18 days

Retrovirus

IL-2, OKT3

27 weeks

Cyclophosphamide, fludarabin

Yes

Yes

–

4× 108

PR

Wang, X. (2016) [44]

16

7: DLBCL

1: MCL;

4: DLBCL

4: MCL

Relapse

CD19

CD3ζ; CD28

CD3ζ

1st; 2nd

Autologous

7–19 days

Lentivirus

CD3/CD28 beads, IL-2, IL-15

18.25 days; 20.5 days

–

No

Yes

–

2.5–10× 107; 5–20× 107

5 CR

2 PR

1 PD;

8 CR

Lee, D. W. (2015) [31]

21

20: ALL 1: NHL

Relapsed

refractory

CD19

CD28, CD3ζ

2nd

Autologous

11 days

Retrovirus

CD3/CD28 beads

68 days

Fludarabine, cyclophosphamide

No

No

–

0.03–3× 106/kg

14 CR

4 PD

3 SD

Kalos, M. (2011) [12]

3

CLL

Relapsed

refractory

CD19

CD137

CD3ζ

2nd

Autologous

10 days

Lentivirus

CD3/CD28 beads

≥ 6 months

Bendamustine, rituximab, Pentostatin, cyclophosphamide

No

No

–

0.14–11× 108

2 CR

1 PR

  1. When counted the infusion cell number, the patients’ weight were identified as 50 Kg on average, and patients’ body surface area were identified as 1.8 on average
  2. ALL: acute lymphocytic leukemia; CLL: chronic lymphocytic leukemia; FL: follicular lymphoma; MCL: mantle cell lymphoma; DLBCL: diffuse large B-cell lymphoma; NHL: non-Hodgkon’s lymphoma
  3. LCLs: EBV-transformed lymphoblastoid B-cell lines
  4. CR: complete response; PR: partial response; SD: stable disease; PD: progress disease; NR: no response; NE: not evaluate