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SOHO 2026 | Exploring dual-antigen targeting in LBCL: insights into axi-cel plus rituximab data from ZUMA-14

Krish Patel, MD, Sarah Cannon Research Institute, Nashville, TN, highlights impressive response rate data from the ZUMA-14 trial (NCT04002401), which evaluated axicabtagene ciloleucel (axi-cel) plus rituximab in large B-cell lymphoma (LBCL). Dr Patel notes that this trial paved the way for exploring dual-targeting CD19-CD20 CAR T-cell therapy, which has shown impressive data in randomized trials compared with monospecific CAR T-cells. This interview took place at the 14th Annual Meeting of the Society of Hematologic Oncology (SOHO 2026) in Houston, TX.

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Transcript

Yeah, I think ZUMA-14 is a really interesting trial. At the time we undertook that trial, we were really just trying to understand targeting two antigens. Do we get a better depth of response? And I think that trial in a lot of ways has served as the basis for what we’re seeing now with dual antigen targeting CAR T-cells. So essentially we were able to see a higher complete response rate...

Yeah, I think ZUMA-14 is a really interesting trial. At the time we undertook that trial, we were really just trying to understand targeting two antigens. Do we get a better depth of response? And I think that trial in a lot of ways has served as the basis for what we’re seeing now with dual antigen targeting CAR T-cells. So essentially we were able to see a higher complete response rate. Yes, you might be able to achieve that with an antibody-based therapy like rituximab, but we probably do better by actually engineering that dual targeting therapy into the CAR T-cell itself. And so now we see several of these CD19-CD20 CAR T-cells with very impressive data now also undergoing randomized trials compared to CD19 mono CARs. So I think that trial really was one of the earliest bases to allow us to advance dual targeting CAR T-cells, which is, I think, going to be a really exciting area.

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