不适合移植的大 B 细胞淋巴瘤二线使用 axicabtagene ciloleucel:ALYCANTE 最终分析
Second-line axicabtagene ciloleucel in large B-cell lymphoma ineligible for transplantation: ALYCANTE final analysis.
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:New Indications and platforms for CAR-T therapy in lymphomas beyond DLBCL.
New Indications and platforms for CAR-T therapy in lymphomas beyond DLBCL.
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CD19 靶向CAR-T 细胞疗法(CAR-T)代表了复发/难治性大 B 细胞淋巴瘤(LBCL)患者的重大进展。长期随访证实,近半数患者可获得持久缓解,而这一人群此前估计接受标准挽救治疗的中位生存期约为 6 个月。CAR-T 的这一初步成功促使其在其他淋巴瘤组织学类型中的显著扩展,近期已导致 CAR-T 在套细胞淋巴瘤和滤泡性淋巴瘤中获得监管批准。此外,多种新型 CAR-T 治疗平台正在开发中,以提高疗效并限制毒性,例如双抗原靶向、异基因和自然杀伤 CAR。在这篇综述中,我们重点关注 CAR-T 在 LBCL 以外淋巴瘤中的新适应症以及新兴的 CAR-T 治疗平台。
CD19 directed chimeric antigen receptor T-cell therapy (CAR-T) represents a significant advancement for patients with relapsed/refractory large B-cell lymphoma (LBCL). Long term follow-up confirms durable remissions in nearly half of the patients, a population which was previously estimated to have a median survival of around 6 months with standard salvage therapy.
This initial success of CAR-T has led to significant expansion across other lymphoma histologies resulting in the recent regulatory approval of CAR-T in mantle cell lymphoma and follicular lymphoma.
Additionally, multiple novel platforms of CAR-T therapy are under development to improve efficacy and limit toxicity such dual antigen targeting, allogeneic and natural killer CAR's. In this review, we focus on the new indications of CAR-T in lymphomas beyond LBCL as well as emerging platforms of CAR-T therapy.
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