Bendamustine Impairs Outcomes with CAR T-Cell Therapy

CD19-directed chimeric antigen receptor (CAR) T-cell therapy provides durable responses and a potential cure in approximately one third of patients with relapsed or refractory large B-cell lymphoma (R/R LBCL). Although it is known that therapy with the lymphotoxic chemotherapy agent bendamustine, prior to autologous T-cell collection, can impair T-cell number and function, its impact on patient outcomes has not been systematically addressed.

Investigators have now conducted a retrospective, multicenter study of 439 patients with R/R LBCL who had received two or more previous lines of therapy and were infused with commercially available CD19-targeted CAR T cells (axicabtagene ciloleucel or tisagenlecleucel). Of these patients, 80 (18%) had re…