CAR-T(CAR-T)细胞疗法在非肿瘤性疾病中的应用
Chimeric antigen receptor T (CAR-T) cell therapy in non-oncological diseases.
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Associação Brasileira de Hematologia, Hemoterapia e Terapia Celular Consensus on genetically modified cells. III: anti-CD19 CAR-T cell therapy for patients with non-Hodgkin lymphoma.
Associação Brasileira de Hematologia, Hemoterapia e Terapia Celular Consensus on genetically modified cells. III: anti-CD19 CAR-T cell therapy for patients with non-Hodgkin lymphoma.
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B细胞非霍奇金淋巴瘤(B-NHL)的治疗和演变在过去几年中随着靶向治疗的出现发生了重要变化,例如单克隆抗体、小分子、抗体-药物偶联物和双特异性抗体。然而,相当一部分患者仍然对新的治疗方式难治或复发(R/R),因此代表着未满足的医疗需求。使用CAR-T 细胞治疗B-NHL患者已被证明是一种有前景的疗法,在R/R疾病患者中取得了令人瞩目的结果。随着CAR-T 细胞疗法在巴西即将获批,期望值同样很高,预计这将影响R/R B-NHL的预后。本手稿的目的是提供在巴西和美国工作的肿瘤血液学和细胞治疗领域专家的共识,以讨论并提供在当前环境下使用CAR-T 细胞治疗B-NHL患者的建议。
The treatment and evolution of B-cell non-Hodgkin lymphoma (B-NHL) has undergone important changes in the last years with the emergence of targeted therapies, such as monoclonal antibodies, small molecules, antibody-drug conjugates, and bispecific antibodies. Nevertheless, a significant portion of patients remains refractory or relapsed (R/R) to the new therapeutic modalities, representing thus an unmet medical need. The use of CAR-T cells for the treatment of B-NHL patients has shown to be a promising therapy with impressive results in patients with R/R disease.
The expectations are as high as the imminent approval of CAR-T cell therapy in Brazil, which it is expected to impact the prognosis of R/R B-NHL. The aim of this manuscript is to offer a consensus of specialists in the field of onco-hematology and cellular therapy, working in Brazil and United States, in order to discuss and offer recommendations in the present setting of the use of CAR-T cells for patients with B-NHL.
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