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               Table 4. CAR T cell therapies in ongoing trials
                                                                   Target   Costimulatory
                Phase Patient population   CAR T                                          NCT number
                                                                   antigen  domain
                1    R/R PTCL or CTCL with CD4   LB1901 (Legend Biotech, on clinical   CD4  4-1BB  NCT04712864
                     expression            hold)
                1    R/R CD5 positive lymphomas  CT125A (Huazhong)  CD5     Unknown       NCT04767308
                1/2  R/R CD5 positive PTCL  MT-101 (Myeloid)       CD5      Unknown       NCT05138458
                1    R/R T-cell leukemia or lymphoma  CD7.CAR/CD28zeta (Baylor)  CD7  CD28  NCT03690011
                     with CD7 expression
                1    R/R CD7 positive hematologic   PG-CART-07-001 (PersonGen)  CD7  Unknown  NCT04480788
                     malignancies
                1    R/R T-cell hematologic   SHYSXY-202105-CD7-CART   CD7  Unknown       NCT05290155
                     malignancies with CD7 expression (Shanghai)
                1/2  R/R CD7 positive leukemia and   anti-CD7 CAR-pNK cells   CD7  Unknown  NCT02742727
                     lymphoma              (PersonGen)
                1    R.R CD30 positive lymphomas  Fully human anti-CD30 CAR   CD30  CD28 [113]  NCT03049449
                                           (National Cancer Institute)
                1/2  R/R CD30 positive lymphomas  CD30.CAR T cells (Baylor)  CD30  CD28 [114]  NCT02690545,
                                                                                          NCT02917083
                2    R/R CD30 positive lymphomas  ATLCAR.CD30 T cells (North   CD30  CD28   NCT04083495
                                           Carolina)
                1    R/R PTCL with CD30 expression  CD30.CAR-T (Tessa)  CD30  Unknown     NCT04526834
                1    R/R CD30 positive lymphocyte   WHUH-CART-CD30-01 (Wuhan)  CD30  Unknown  NCT04008394
                     malignancies
                1    R/R CD30 positive     ARM002-CN-2021-01 (Zhejiang)  CD30  Unknown    NCT05208853
                1    CD70 positive malignant   CD70 CAR T-cells (Zhejiang)  CD70  Unknown  NCT04662294
                     hematologic diseases
                1/2  R/R PTCL with TRBC1 expression  AUTO4, RQR8/aTRBC1 (Autolus)  TRBC1  N/A  NCT03590574
                1    R/R TRBC1 positive T-cell   SHYSXY-202101-CART (Shanghai)  TRBC1  N/A  NCT04828174
                     hematologic malignancies

               CTCL: Cutaneous T-cell lymphoma; PTCL: peripheral T-cell lymphoma; R/R: relapsed or refractory; TRBC1: T-cell receptor beta constant 1.


               The PTCL are rare and heterogeneous, making it difficult to study but many advances, such as technology,
               diagnostics, and treatments, have been made since 1993, when CHOP was determined to be the standard.
               Technology permits interconnectedness in a global scientific community where communication across the
               world can be instant and international, multicenter clinical trials are more feasible than ever before. In
               addition, the diagnose of lymphomas has become more sophisticated. The Non-Hodgkin’s Lymphoma
               Pathologic Classification Project from 1982 was used to classify patients with low, intermediate, and high-
                               [112]
               grade lymphomas . In the trial by Fisher and colleagues, patients with aggressive lymphomas were
               included and there was no differentiation between B-cell and T-cell . In this trial, subtypes from this
                                                                           [48]
               working classification, subtypes encompassed both intermediate- and high-grade groups: follicular
               lymphoma that was predominantly large cell, diffuse small-cleaved cell, diffuse mixed small and large cell,
               diffuse large cell, immunoblastic, and small noncleaved [89,112] . If these lymphomas were diagnosed today, the
               revised 2016 WHO classification could categorize these intermediate and aggressive lymphomas in 50
               different ways . Finally, the development of novel agents has transformed how to diagnosis and treat
                            [1]
               lymphomas. In the past, there were only combinations of chemotherapy, and maybe the specific subtype
               would not change how patients could be treated. Now there are novel agents that specifically target disease
               pathways and specifying the subtype of lymphoma may change management.

               International, multicenter trials are easier to coordinate than ever before, and global consortiums are
               important in systematically designing trials that answer important questions in the treatment of patients
               with PTCL. Given the difficulty of enrolling patients in clinical trials, which is also coupled with the fact that
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