{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T03:48:01Z","timestamp":1792036081714,"version":"4.4.0"},"reference-count":31,"publisher":"American Society of Clinical Oncology (ASCO)","issue":"5","content-domain":{"domain":["ascopubs.org"],"crossmark-restriction":true},"short-container-title":["JCO"],"published-print":{"date-parts":[[2025,2,10]]},"abstract":"<jats:sec>\n            <jats:title>PURPOSE<\/jats:title>\n            <jats:p>On the basis of the results of the ZUMA-3 trial, brexucabtagene autoleucel (brexu-cel), a CD19-directed chimeric antigen receptor T-cell therapy, gained US Food and Drug Administration approval in October 2021 for adults with relapsed\/refractory (R\/R) B-cell ALL (B-ALL). We report outcomes of patients treated with brexu-cel as a standard therapy.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>METHODS<\/jats:title>\n            <jats:p>We developed a collaboration across 31 US centers to study adults with B-ALL who received brexu-cel outside the context of a clinical trial. Data were collected retrospectively from October 2021 to October 2023. Toxicities were graded per American Society for Transplantation and Cellular Therapy guidelines for cytokine release syndrome (CRS) and immune effector cell\u2013associated neurotoxicity syndrome (ICANS).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>RESULTS<\/jats:title>\n            <jats:p>At the time of data lock, 204 patients had undergone apheresis and 189 were infused. Median follow-up time was 11.4 months. Forty-two percent of patients received brexu-cel in morphologic remission and would have been ineligible for participation in ZUMA-3. After brexu-cel, 151 achieved complete remission (CR), of which 79% were measurable residual disease (MRD) negative remissions. Median progression-free survival (PFS) was 9.5 months and median overall survival was not reached. Grade 3-4 CRS or ICANS occurred in 11% and 31%, respectively. In multivariable analysis, patients receiving consolidative hematopoietic cell transplantation (HCT; hazard ratio, 0.34 [95% CI, 0.14 to 0.85]) after brexu-cel had superior PFS compared with those who did not receive any consolidation or maintenance therapy.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>CONCLUSION<\/jats:title>\n            <jats:p>Similar to ZUMA-3, high rates of MRD-negative CR were observed after brexu-cel treatment for R\/R B-ALL. The use of HCT as consolidation after brexu-cel resulted in improved PFS.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1200\/jco.24.00321","type":"journal-article","created":{"date-parts":[[2024,10,17]],"date-time":"2024-10-17T19:59:41Z","timestamp":1729195181000},"page":"558-566","update-policy":"https:\/\/doi.org\/10.1200\/crossmark","source":"Crossref","is-referenced-by-count":50,"title":["Outcomes After Brexucabtagene Autoleucel Administered as a Standard Therapy for Adults With Relapsed\/Refractory B-Cell ALL"],"prefix":"10.1200","volume":"43","author":[{"given":"Gregory W.","family":"Roloff","sequence":"first","affiliation":[{"name":"Section of Hematology\/Oncology, Department of Medicine, University of Chicago, Chicago, IL"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9564-4498","authenticated-orcid":true,"given":"Ibrahim","family":"Aldoss","sequence":"additional","affiliation":[{"name":"Division of Leukemia, Department of 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of prior response to blinatumomab on outcomes of brexucabtagene autoleucel (Brexu-cel) in adult patients with relapsed or refractory (r\/r) B-cell acute lymphoblastic leukemia (B-ALL): Results from the real-world outcomes collaborative of CAR-T in adult ALL (ROCCA)","volume":"142","author":"Gupta VK","year":"2023","unstructured":"Gupta VK, Roloff GW, Muffly LS, et al: Impact of prior response to blinatumomab on outcomes of brexucabtagene autoleucel (Brexu-cel) in adult patients with relapsed or refractory (r\/r) B-cell acute lymphoblastic leukemia (B-ALL): Results from the real-world outcomes collaborative of CAR-T in adult ALL (ROCCA). 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