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CAR-T 细胞治疗在复发/难治性成人 B-ALL 中的作用

英文原题:The Role of CAR T-Cell Therapy in Relapsed/Refractory Adult B-ALL.

查看英文原题

The Role of CAR T-Cell Therapy in Relapsed/Refractory Adult B-ALL.

PubMed 2024/10/01(内容时间) J Natl Compr Canc Netw Q1 · IF 17.5(JCR 2025)

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中文摘要

CAR-T 细胞治疗是近期治疗进展,已改变复发/难治性(R/R)B 急性淋巴细胞白血病(B-ALL)的管理方式。目前 FDA 已批准 2 种治疗 R/R B-ALL 的 CAR-T 产品:tisagenlecleucel 用于年龄 <26 岁患者,brexucabtagene autoleucel 用于年龄 ≥18 岁患者。本综述总结促成这两种产品获 FDA 批准的关键临床试验,并强调回应 CAR-T 细胞在快速演进的 R/R ALL 管理中应用相关关键问题的新兴数据,包括 CAR-T 与其他新型免疫治疗药物的最佳序贯顺序、CAR-T 后巩固和维持治疗的作用、目前正在临床开发的新型 CAR-T 构型,以及优化商业化 CAR-T 产品使用以改善患者结局的策略。

展开英文摘要原文

CAR T-cell therapy is a recent therapeutic advancement that has transformed the management of relapsed/refractory (R/R) B-cell acute lymphoblastic leukemia (B-ALL). To date, there are 2 FDA-approved CAR-T products for R/R B-ALL: tisagenlecleucel in patients aged <26 years and brexucabtagene autoleucel in those aged 18 years.

This review summarizes the pivotal clinical trials that led to FDA approval of these 2 products and highlight emerging data addressing key questions pertinent to CAR-T utilization in the rapidly evolving landscape of R/R ALL management. These include optimal sequencing of CAR-T among other novel immunotherapeutic agents, the role of consolidation and maintenance following CAR-T, novel CAR-T constructs currently under clinical development, and strategies to optimize use of commercially available CAR-T products to improve patient outcomes.

论文信息

作者
Othman T、Logan AC、Muffly L、Leonard J、Park J、Shah B、Aldoss I
单位
Department of Hematology and Hematopoietic Cell Transplantation, City of Hope National Medical Center, Duarte, CA.United States
文献类型
综述 · 非美国政府资助研究
期刊
Journal of the National Comprehensive Cancer Network : JNCCN2024 Oct
原文标识
PubMed 39413830 · DOI 10.6004/jnccn.2024.7065