中文摘要
近年来,CAR-T 细胞疗法在多种恶性肿瘤中的应用迅速扩展,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细胞成熟抗原靶向CAR-T 疗法,在标准治疗失败患者中显示出较高总缓解率和持久缓解。多项研究正在探索将CAR-T 前移至更早治疗线。在高级别B细胞淋巴瘤中,CD19 CAR-T 可能在不久的将来取代二线自体造血细胞移植。靶向新型肿瘤相关抗原的CAR-T 有助于将该疗法拓展至其他血液系统恶性肿瘤,也可能克服现有获批CAR-T 的局限。本综述概述目前获批的CAR-T 疗法及可能影响临床实践的后续临床试验。
展开英文摘要原文
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.
论文信息
- 作者
- Sengsayadeth S、Savani BN、Oluwole O、Dholaria B
- 单位
- Vanderbilt Ingram Cancer Center Vanderbilt University Medical Center Nashville Tennessee USA.United States
- 文献类型
- 综述
- 期刊
- EJHaem2022 Jan