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多发性骨髓瘤中 CAR-T 细胞与双特异性抗体治疗的毒性特征:发病机制、预防与管理

英文原题:Toxicity Profile of Chimeric Antigen Receptor T-Cell and Bispecific Antibody Therapies in Multiple Myeloma: Pathogenesis, Prevention and Management.

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Toxicity Profile of Chimeric Antigen Receptor T-Cell and Bispecific Antibody Therapies in Multiple Myeloma: Pathogenesis, Prevention and Management.

PubMed 2023/07/01(内容时间) Curr Oncol Q2 · IF 3.6(JCR 2025)

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中文摘要

多发性骨髓瘤是全球成人中第二常见的血液系统恶性肿瘤。尽管治疗方式不断进步,它仍是一种不可治愈的疾病,5年生存率约为50%。近年来,抗BCMA免疫疗法的发展并引入临床实践,包括CAR-T 细胞疗法和双特异性抗体,彻底改变了治疗格局。然而,尽管这些疗法具有广泛应用的潜力,但已报道了频繁且显著的不良反应,无论是短期还是长期情况下,都需要治疗团队提高认识和警惕,密切监测,并采用多学科方法及时干预。在这篇综述中,我们将讨论与CAR-T 细胞和双特异性抗体疗法相关的毒性,重点关注主要临床研究的结果和真实世界观察。此外,我们将强调预防、监测和管理的有效策略,并提供专家建议。

展开英文摘要原文

Multiple myeloma is the second-most common hematologic malignancy in adults worldwide. Despite ongoing advancement in therapeutic modalities, it remains an incurable disease with a 5-year survival rate of approximately 50%. The recent development and introduction of anti-BCMA immunotherapies into clinical practice, including chimeric antigen receptor T-cell (CAR-T) therapies and bispecific antibodies, has radically shifted the treatment paradigm.

However, despite the promising potential of these therapies for broader application, frequent and significant adverse effects have been reported, both in short- and in long-term settings, requiring increasing awareness and vigilance in the treating team, close monitoring, and prompt interventions with a multidisciplinary approach. In this review, we will discuss the toxicities associated with CAR-T cell and bispecific antibody therapies, focusing on results from major clinical studies and real-world observations.

In addition, we will emphasize on effective strategies for prevention, monitoring and management, and provide expert recommendations.

论文信息

作者
Markouli M、Ullah F、Unlu S、Omar N、Lopetegui-Lia N、Duco M、Anwer F、Raza S
第一作者单位
Department of Internal Medicine, Boston Medical Center, Boston University School of Medicine, Boston, MA 02118, USA.United States
通讯作者单位
Department of Translational Hematology and Oncology Research, Lerner Research Institute, Cleveland Clinic, Cleveland, OH 44195, USA.United States
文献类型
综述
期刊
Current oncology (Toronto, Ont.)2023 Jul 1
原文标识
PubMed 37504327 · DOI 10.3390/curroncol30070467