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:Integrating CAR-T cell therapy into the management of DLBCL: what we are learning.
Integrating CAR-T cell therapy into the management of DLBCL: what we are learning.
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本综述旨在描述 CAR-T 细胞在 DLBCL 中的现状,概述其结局与毒性,并阐明尚待解决的突出问题。
引言:嵌合抗原受体(CAR)T细胞疗法已成为复发/难治性(R/R)弥漫大B细胞淋巴瘤(DLBCL)患者的标准治疗之一。CAR-T 疗法的不足在于缺乏比较性临床试验,不过许多基于真实世界数据的发表研究已证实关键研究中的结果。CAR-T 商业化数年后,仍有一些问题有待充分澄清。医务人员对如何识别可能从治疗中获益的患者存在疑问。与治疗可及性相关的问题包括改善CAR-T 治疗中心与转诊中心之间的协作。 涵盖领域:尚待解答的问题涉及挽救治疗和桥接治疗、应答预测标准,以及CAR-T 输注后细胞的持续存在情况。毒性管理仍是首要任务,也是亟需深入了解的领域之一。 专家意见:本综述旨在介绍DLBCL CAR-T 疗法的现状,概述其结局和毒性,并说明仍待解决的重要问题。
INTRODUCTION: Chimeric Antigen Receptor ;(CAR) T cells therapies have become part of the standard of care for patients with relapsed/refractory (R/R) diffuse large B-cell lymphoma (DLBCL). The weakness of CAR-T therapies is that there are no comparative clinical trials, although many publications based on real-life data have confirmed the results obtained in pivotal studies. After several years of the commercialization of CAR-T, some points still need to be fully clarified. Healthcare professionals have questions about identifying patients who may benefit from therapy.
There are aspects inherent in the accessibility of care related to improved relationships between CAR-T-delivering and referral centers. AREAS COVERED: Open questions are inherent in the salvage and bridge therapy, predictive criteria for response and persistence of CAR-T after infusion.
Managing toxicities remain a top priority and one of the points on which further knowledge is needed. EXPERT OPINION: This review aims to describe the current landscape of CAR-T cells in DLBCL, outline their outcomes and toxicities, and explain the outstanding questions that remain to be addressed.
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