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clinical / clinicalDLBCL salvage therapy, CAR-T axi-cel, ZUMA-7, SCHOLAR-1, relapsed/refractory DLBCL

Michael Crump

迈克尔·克朗普

MD, FRCPC

🏢Princess Margaret Cancer Centre / University of Toronto(玛格丽特公主癌症中心 / 多伦多大学)🌐Canada

Medical Oncologist and Hematologist, Princess Margaret Cancer Centre; Professor of Medicine, University of Toronto玛格丽特公主癌症中心医学肿瘤科医生及血液科医生;多伦多大学医学教授

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Key Papers
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Awards
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Key Contributions

👥Biography 个人简介

Michael Crump, MD, FRCPC is a Medical Oncologist and Hematologist at the Princess Margaret Cancer Centre and Professor of Medicine at the University of Toronto, where he has been a leading investigator in relapsed and refractory diffuse large B-cell lymphoma (DLBCL) for more than three decades. He is recognized for his key contributions to the ZUMA-7 trial — a pivotal phase III randomized study published in NEJM (2022) comparing axicabtagene ciloleucel (axi-cel) CAR-T cell therapy with standard-of-care salvage chemoimmunotherapy plus autologous stem cell transplantation (ASCT) as second-line treatment for relapsed/refractory DLBCL. ZUMA-7 demonstrated that axi-cel significantly improved event-free survival compared with the traditional salvage-then-ASCT approach, fundamentally redefining the second-line treatment paradigm for DLBCL and contributing to FDA approval of axi-cel in this setting. Prior to ZUMA-7, Dr. Crump was a founding contributor to SCHOLAR-1 — the first large multicenter retrospective analysis of outcomes in refractory DLBCL — which documented dismal outcomes (median OS ~6 months, ORR ~26%) with salvage therapy in this population, establishing the unmet need that drove the development of CAR-T therapies. He has led multiple CCTG (Canadian Cancer Trials Group) lymphoma trials and is recognized internationally for his expertise in aggressive lymphoma management and biomarker-driven therapy selection.

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🧪Research Fields 研究领域

Relapsed/Refractory DLBCL — Salvage Chemotherapy and CAR-T Cell Therapy复发/难治性DLBCL——挽救化疗与CAR-T细胞治疗
ZUMA-7 Trial — Axi-cel vs. Standard of Care in Second-Line DLBCLZUMA-7试验——axi-cel与标准二线治疗在DLBCL中的比较
SCHOLAR-1 — Large Cohort Analysis of Outcomes in Refractory DLBCLSCHOLAR-1——难治性DLBCL结局大型队列分析
Autologous Stem Cell Transplantation Eligibility and Outcomes in Aggressive Lymphoma侵袭性淋巴瘤中自体造血干细胞移植适应性与结局
DLBCL Biomarkers — Cell of Origin, MYC/BCL2 Double-Hit, Treatment ImplicationsDLBCL生物标志物——细胞来源、MYC/BCL2双打击、治疗意义

🎓Key Contributions 主要贡献

ZUMA-7 — CAR-T Cell Therapy Establishes New Second-Line Standard in Relapsed DLBCL

Contributed to the landmark phase III ZUMA-7 trial (NEJM 2022) demonstrating that axi-cel CAR-T cell therapy significantly improved event-free survival (median 8.3 vs. 2.0 months; HR 0.40) and response rates compared with standard salvage chemoimmunotherapy plus ASCT as second-line treatment for relapsed/refractory DLBCL within 12 months of first-line therapy, leading to FDA approval of axi-cel in the second-line setting and transforming the treatment paradigm.

SCHOLAR-1 — Defining the Unmet Need in Refractory DLBCL

Was a founding contributor to SCHOLAR-1, a multicenter retrospective cohort study (JCO 2017) analyzing outcomes of 636 patients with refractory DLBCL across four academic centers, documenting a median OS of only 6.3 months, an ORR of 26%, and a complete response rate of 7% with salvage therapy in truly refractory disease — data that established the scientific and clinical rationale for CAR-T cell therapy development in this population.

Salvage Chemotherapy Regimen Development and Transplant Eligibility in DLBCL

Led and contributed to Canadian multicenter studies and international cooperative group trials evaluating ICE, GDP (gemcitabine, dexamethasone, cisplatin), DHAP, and R-GDP as salvage regimens in relapsed/refractory DLBCL, including randomized comparisons of salvage regimens, establishing GDP/R-GDP as a highly effective and less toxic alternative to platinum-based salvage that became internationally adopted.

DLBCL Biomarker Research — MYC/BCL2 Double-Hit and Cell of Origin

Contributed to translational studies characterizing the prognostic impact of MYC/BCL2 co-expression ("double-expressor"), MYC/BCL2/BCL6 double-/triple-hit high-grade B-cell lymphoma, and ABC vs. GCB cell-of-origin subtype on outcomes with R-CHOP and salvage therapy, informing the use of intensified induction (DA-EPOCH-R) and early CAR-T referral in high-risk DLBCL.

Representative Works 代表性著作

[1]

Axicabtagene Ciloleucel as Second-Line Therapy for Large B-Cell Lymphoma (ZUMA-7)

New England Journal of Medicine (2022)

Phase III ZUMA-7 trial establishing axi-cel CAR-T as superior to standard salvage plus ASCT in second-line relapsed/refractory DLBCL, redefining the treatment paradigm.

[2]

Outcomes in refractory diffuse large B-cell lymphoma: results from the international SCHOLAR-1 study

Blood (2017)

SCHOLAR-1 multicenter cohort defining dismal prognosis in refractory DLBCL with standard salvage therapy, establishing the unmet need for CAR-T cell therapies.

[3]

Randomized phase III trial comparing gemcitabine, dexamethasone, and cisplatin with dexamethasone, cytarabine, and cisplatin chemotherapy in patients with relapsed or refractory aggressive lymphoma

Journal of Clinical Oncology (2014)

Phase III trial establishing GDP as equivalent to DHAP in relapsed/refractory DLBCL with superior tolerability, making GDP/R-GDP an internationally adopted salvage standard.

[4]

Prognostic impact of MYC rearrangement and expression in large B-cell lymphoma with concurrent BCL2 or BCL6 alterations

Haematologica (2019)

Multicenter analysis of outcomes by MYC/BCL2/BCL6 rearrangement status in DLBCL, contributing to the characterization of high-grade B-cell lymphoma prognosis.

🏆Awards & Recognition 奖项与荣誉

🏆Canadian Cancer Trials Group (CCTG) Lymphoma Disease Site Group Lead
🏆Princess Margaret Cancer Centre Lymphoma Program Scientific Lead
🏆ASH Scientific Committee, Aggressive Lymphoma
🏆ASCO Hematologic Malignancies Scientific Program Committee
🏆University of Toronto Department of Medicine Research Award

📄Data Sources 数据来源

Last updated: 2026-04-06 | All information from publicly available academic sources

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