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:Clinical Practice Recommendations for Hematopoietic Cell Transplantation and Cellular Therapies in Follicular Lymphoma: A Collaborative Effort on Behalf of the American Society for Transplantation and Cellular Therapy and the European Society for Blood and Marrow Transplantation.
Clinical Practice Recommendations for Hematopoietic Cell Transplantation and Cellular Therapies in Follicular Lymphoma: A Collaborative Effort on Behalf of the American Society for Transplantation and Cellular Therapy and the European Society for Blood and Marrow Transplantation.
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滤泡性淋巴瘤(FL)是最常见的惰性B细胞非霍奇金淋巴瘤(NHL),约占全部NHL的三分之一。过去十年,FL治疗手段显著扩展,但该病仍被认为无法治愈。造血细胞移植(HCT)在部分病例中可能实现治愈。近期CAR-T 治疗复发/难治性(R/R)FL取得令人瞩目的缓解率和长期缓解,但由于患者数量有限且随访相对较短,目前尚不能明确其治愈潜力。对于自体或异基因HCT及细胞疗法在FL中的当代作用、最佳时机和治疗顺序,亟需形成共识。因此,美国移植与细胞治疗学会(ASTCT)实践指南委员会支持开展相关工作,以制定共识建议应对这一未满足需求。研究采用RAND修正Delphi法,形成15项共识声明/建议。这些临床实践建议将帮助临床医生管理FL患者。需要指出的是,本项目范围不包括双特异性抗体治疗R/R FL。
Follicular lymphoma (FL) is the most common indolent B-cell non-Hodgkin lymphoma (NHL), accounting for nearly one-third of all NHL. The therapeutic landscape for patients with FL has significantly expanded over the past decade, but the disease continues to be considered incurable. Hematopoietic cell transplantation (HCT) is potentially curative in some cases. Recently, the emergence of chimeric antigen receptor T-cell therapy (CAR-T) for patients with relapsed/refractory (R/R) FL has yielded impressive response rates and long-term remissions, but definitive statement on the curative potential of CAR-T is currently not possible due to limited patient numbers and relatively short follow up.
A consensus on the contemporary role, optimal timing, and sequencing of HCT (autologous or allogeneic) and cellular therapies in FL is needed. As a result, the American Society of Transplantation and Cellular Therapy (ASTCT) Committee on Practice Guidelines endorsed this effort to formulate consensus recommendations to address this unmet need.
The RAND-modified Delphi method was used to generate 15 consensus statements/recommendations. These clinical practice recommendations will help guide clinicians managing patients with FL. Of note, the use of bispecific antibodies in R/R FL was not in the scope of this project.
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