Retrospective analysis reveals high incidence of IEC-HS in hematologic malignancy patients post CAR T-cell therapy, indicating severe outcomes.
Key Points
This study aims to analyze the incidence and outcomes of immune effector cell-associated hemophagocytic lymphohistiocytosis following CAR T-cell therapy.
Retrospective analysis of 301 patients treated with CD19- or BCMA-directed CAR T-cells from January 2019 to January 2026.
Diagnosis of IEC-HS based on American Society for Transplantation and Cellular Therapy criteria.
IEC-HS diagnosed in 14 patients (4.7%), characterized by median hyperferritinemia of 15,321 µg/L.
Mortality rate was 79% (11/14), with 1-year overall survival at 31% compared to 69% for the overall cohort (p < 0.0001).
Resolution of IEC-HS occurred in 7/14 patients, with infections noted in 11/14.