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December 8, 2025Blood

Prognostic impact of CAR-T cell expansion and PD1 expression in patients with DLBCL treated with axicabtagene ciloleucel

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Authors

DCDiego CarbonellIGIgnacio Gómez‐CenturiónPSPablo Silva

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Overview

Retrospective study shows CAR-T expansion and PD1 expression predict survival in DLBCL, suggesting new prognostic markers.

Key Points

  • To assess the relationship between CAR-T cell expansion dynamics, PD1 expression, and clinical outcomes in DLBCL patients treated with axicabtagene ciloleucel.
  • Conducted a retrospective study on adult DLBCL patients receiving axi-cel as third-line therapy.
  • Collected peripheral blood samples post-infusion and analyzed using flow cytometry on specified days.
  • Evaluated progression-free survival and overall survival with Kaplan-Meier estimates.
  • 2-year progression-free survival was 39.6% and overall survival was 47.8%.
  • Higher CAR-T cell expansion correlated with improved survival outcomes.
  • Significant relationship found between PD1hi expression and lower disease progression rate.

Cite This Study

Carbonell et al. (2025) studied this question.

synapsesocial.com/papers/69362f744fa91c937236e267https://doi.org/10.1182/blood-2025-5503
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