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.
CAR-T(CAR-T)细胞在血液系统恶性肿瘤中的应用推动了这种免疫治疗形式的显著进展。
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Real-world outcomes with novel therapies in relapsed/refractory diffuse large B-cell lymphoma.
Real-world outcomes with novel therapies in relapsed/refractory diffuse large B-cell lymphoma.
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本研究利用美国COTA去标识化真实世界数据(2010至2021年),评估复发/难治性弥漫大B细胞淋巴瘤新型疗法结局,包括CAR-T、泊洛妥珠单抗方案和塔法西他单抗方案。共分析175例患者,分别有73、69和27例接受上述治疗。接受至少二线治疗的患者中,CAR-T、泊洛妥珠单抗和塔法西他单抗方案的中位总生存期分别为26.5、7.8和6.3个月。CAR-T 后复发患者结局尤其差,表明真实世界中二线及以上泊洛妥珠单抗或塔法西他单抗方案疗效仍不理想,亟需其他治疗选择。
This study used COTA de-identified data (2010-2021) of patients in the US to explore outcomes of novel therapies in relapsed/refractory (R/R) diffuse large B-cell lymphoma (DLBCL) in real-world settings. Demographics, clinical characteristics, and clinical outcomes of patients with R/R DLBCL who received novel treatments including chimeric antigen receptor T-cell (CAR T) therapy and tafasitamab- or polatuzumab-based therapies were evaluated.
Overall, 175 patients with R/R DLBCL were analyzed; 73, 69, and 27 received CAR T therapy, polatuzumab-based regimens, and tafasitamab-based regimens, respectively. In patients who had 1 prior lines of therapy (i. e. starting second-line or later therapy; 2 L+), CAR T, polatuzumab-based regimens, and tafasitamab-based regimens achieved a median overall survival of 26.
5, 7. 8, and 6. 3 months, respectively. Outcomes were particularly poor for patients with relapse following CAR T, indicating that polatuzumab- and tafasitamab-based regimens in 2 L + R/R DLBCL have suboptimal outcomes in the real world. Additional treatment options are needed.
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