Axicabtagene Ciloleucel: The First FDA-Approved CAR T-Cell Therapy for Relapsed/Refractory Large B-Cell Lymphoma.

Axicabtagene Ciloleucel: The First FDA-Approved CAR T-Cell Therapy for Relapsed/Refractory Large B-Cell Lymphoma.
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DOI:
10.6004/jadpro.2019.10.8.9
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发表时间:
2019-11-01
期刊:
Journal of the advanced practitioner in oncology
影响因子:
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通讯作者:
Orozco, Jennifer S
Orozco, Jennifer S
中科院分区:
其他
文献类型:
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作者:
King, Amber C;Orozco, Jennifer S

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Axicabtagene ciloleucel (axi-cel) 是一种抗 CD19 CAR T 细胞疗法,已证明对传统疗法反应不佳的复发性难治性弥漫性大 B 细胞淋巴瘤 (DLBCL) 患者有效。赋予 axi-cel 功效的免疫激活是以潜在的破坏性不良现象为代价的:细胞因子释放综合征和神经毒性。本文对 axi-cel 进行了概述,包括对现有临床证据、作用机制以及 axi-cel 一些独特毒性的管理的回顾。
Axicabtagene ciloleucel (axi-cel) is an anti-CD19 CAR T-cell therapy that has demonstrated efficacy in relapsed and refractory diffuse large B-cell lymphoma (DLBCL) patients who have had suboptimal responses to conventional therapies. The immune activation that confers the efficacy of axi-cel comes at the price of potentially devastating adverse phenomena: cytokine release syndrome and neurotoxicity. This article serves as an overview of axi-cel, including a review of the available clinical evidence, mechanism of action, and management of some of the unique toxicities of axi-cel.