Overview of approved CAR-T therapies, ongoing clinical trials, and its impact on clinical practice.

Overview of approved CAR-T therapies, ongoing clinical trials, and its impact on clinical practice.
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DOI:
10.1002/jha2.338
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发表时间:
2022-01
期刊:
EJHaem
影响因子:
--
通讯作者:
Dholaria, Bhagirathbhai
Dholaria, Bhagirathbhai
中科院分区:
其他
文献类型:
--
作者:
Sengsayadeth, Salyka;Savani, Bipin N.;Oluwole, Olalekan;Dholaria, Bhagirathbhai

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近年来,我们看到嵌合抗原受体 T 细胞 (CAR-T) 疗法在多种恶性肿瘤中的快速扩展。 CAR-T 疗法深刻改变了非霍奇金淋巴瘤、B 细胞急性淋巴细胞白血病和多发性骨髓瘤的治疗格局。目前可用的 CD19 和 B 细胞成熟抗原导向的 CAR-T 疗法在标准疗法失败的患者中表现出较高的总体缓解率和持久的缓解。多项研究正在进行中,探索 CAR-T 细胞疗法作为早期治疗方案的作用。在高级别B细胞淋巴瘤中,CD19 CAR-T疗法可能在不久的将来取代自体造血细胞移植作为二线疗法。针对新型肿瘤相关抗原的 CAR-T 细胞疗法将有助于扩大这种治疗方式在其他血液恶性肿瘤中的应用。它还可能有助于克服目前批准的 CAR-T 细胞疗法的局限性。在这篇综述中,我们概述了目前批准的 CAR-T 疗法和即将进行的可能影响临床实践的临床试验。
In recent years, we have seen rapid expansion of chimeric antigen receptor T‐cell (CAR‐T) therapies in multiple malignancies. CAR‐T therapy has profoundly altered the treatment landscape of non‐Hodgkin lymphoma, B‐cell acute lymphoblastic leukemia, and multiple myeloma. Currently available CD19 and B‐cell maturation antigen‐directed CAR‐T therapies have shown high overall response rate and durable remissions in patients who have failed standard therapies. Multiple studies are underway exploring the role of CAR‐T‐cell therapy as earlier line of treatment. In high‐grade B‐cell lymphoma, CD19 CAR‐T therapy may replace autologous hematopoietic cell transplantation as second line therapy in near future. CAR‐T‐cell therapy targeting novel tumor‐associated antigens will help expand utility of this treatment modality in other hematological malignancies. It may also help overcome limitations of currently approved CAR‐T‐cell therapies. In this review, we have provided an overview of currently approved CAR‐T therapies and upcoming clinical trials which may potentially impact the clinical practice.
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