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:Complete responses to odronextamab in two patients with diffuse large B-cell lymphoma refractory to chimeric antigen receptor T-cell therapy.
Complete responses to odronextamab in two patients with diffuse large B-cell lymphoma refractory to chimeric antigen receptor T-cell therapy.
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对于复发/难治性B细胞非霍奇金淋巴瘤(R/R B-NHL)患者,结局仍然不佳。虽然嵌合抗原受体(CAR)T细胞疗法已经彻底改变了治疗方式,但仍有相当比例的患者复发或未能应答。Odronextamab是一种CD20 CD3双特异性抗体,在首次人体试验(NCT02290951)中,已在R/R B-NHL患者中显示出持久应答和可控的安全性特征。在此,我们记录了2例对CAR-T 细胞疗法难治的弥漫性大B细胞淋巴瘤患者。两例患者在接受odronextamab后均获得完全缓解,且缓解持续2年。两例患者在治疗期间均未发生3级细胞因子释放综合征或3级神经系统不良事件。
Outcomes remain poor for patients with relapsed/refractory B-cell non-Hodgkin lymphoma (R/R B-NHL). While chimeric antigen receptor (CAR) T-cell therapy has revolutionised treatment, a significant proportion of patients relapse or fail to respond. Odronextamab is a CD20 CD3 bispecific antibody that has demonstrated durable responses and a manageable safety profile in patients with R/R B-NHL in a first-in-human trial (NCT02290951).
Here, we document two patients with diffuse large B-cell lymphoma refractory to CART-cell therapy. Both achieved complete responses that remain ongoing for 2 years following odronextamab. Neither patient experienced Grade 3 cytokine release syndrome or Grade 3 neurological adverse events during treatment.
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