Opinion

Video

Overview of the 5-Year Follow-Up Analysis From ZUMA-5: A Phase 2 Trial of Axi-Cel in R/R Indolent NHL

Panelists discuss how the 5-year follow-up data from the ZUMA-5 trial demonstrate sustained efficacy and durable remission of axicabtagene ciloleucel in patients with relapsed/refractory (R/R) indolent non-Hodgkin lymphoma (iNHL), potentially signaling a paradigm shift toward considering chimeric antigen receptor (CAR) T-cell therapy as a more prominent early-line treatment option for these challenging lymphoma subtypes.

Video content above is prompted by the following:

ZUMA-5 5-Year Follow-Up: Axicabtagene Ciloleucel in R/R iNHL

Key Findings

Long-Term Efficacy Highlights

  • Sustained durable responses observed in patients with R/R iNHL
  • Demonstrates the potential of CAR T-cell therapy as a transformative treatment approach
  • Continued efficacy and manageable long-term safety profile beyond initial clinical trial period

Durability of Response

  • Maintained complete response rates at 5 years
  • Consistent progression-free survival in heavily pretreated patient population
  • Suggests CAR T-cell therapy can provide long-term disease control in challenging iNHL cases

Clinical Implications

Treatment Strategy Considerations

  • CAR T-cell therapy emerges as a potentially curative option for patients with multiple prior lines of therapy.
  • Particularly promising for patients with limited treatment alternatives
  • Supports earlier consideration of CAR T-cell therapy in the treatment algorithm for R/R iNHL

Patient Selection

  • Most beneficial for patients with:
  • Multiple prior treatment lines

  • Chemotherapy-resistant disease

  • Good performance status

  • No significant comorbidities limiting CAR T-cell therapy eligibility

Practical Takeaways

  • Long-term data reinforce the potential of axicabtagene ciloleucel as a meaningful treatment option.
  • Encourages more aggressive consideration of CAR T-cell therapy earlier in the treatment paradigm
  • Highlights the importance of comprehensive patient evaluation for CAR T-cell therapy candidacy

Recommendations

  • Review individual patient characteristics carefully.
  • Consider CAR T-cell therapy as a potential salvage or bridge to subsequent therapies.
  • Discuss potential benefits and risks with patients, emphasizing long-term response potential.
  • Integrate molecular and clinical factors in treatment decision-making.

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