The present invention relates to a first composition comprising one of CD4+ T cells and CD8+ T cells for use with a second composition comprising the other of CD4+ T cells and CD8+ T cells in a method for treating a subject having
chronic lymphocytic leukemia (CLL) or small lymphocytic
lymphoma (SLL), wherein the method comprises administering to the subject a
dose of modified T cells comprising CD4+ and CD8+ T cells comprising a
chimeric antigen receptor (CAR) that binds specifically to CD19, wherein: (i) the subject has relapsed following remission
after treatment with, has become
refractory to or has failed treatment with and / or has been intolerant to
ibrutinib and
venetoclax;(ii) administration comprises administering a plurality of separate compositions, wherein the plurality of separate compositions comprises the first composition comprising one of the CD4+ T cells and CD8+ T cells and the second composition comprising the other of the CD4+ T cells and CD8+ T cells, and (iii) the modified
T cell dose comprises a defined ratio of CAR-expressing CD4+ cells to CAR-expressing CD8+ cells, optionally wherein the ratio is between approximately 1:3 and approximately 3:1;