决定异体 CAR T 细胞排斥与扩增的细胞和分子机制
Cellular and molecular mechanisms determining allogeneic CAR T cell rejection and expansion.
我们评估了11例接受单一批次cemacabtagene ansegedleucel(cema-cel)治疗的大B细胞淋巴瘤患者,cemacabtagene ansegedleucel是一种异体抗CD19 CAR T产品。
英文原题:Bispecific Antibodies for Lymphoid Malignancy Treatment.
双特异性抗体(BsAbs)是一类新型的“即用型”T细胞重定向药物,能够靶向多种细胞表面抗原。目前正在研究新的抗原靶点,如CD19 CD3和CD30 CD3或CD30 CD16,在不同情况下。BsAbs是当今淋巴瘤最有前景的治疗选择之一,因为它们在重度预处理的B-NHL患者中已显示出显著的单一药物活性,且毒性特征可控。
在这篇综述中,我们提供了对复发/难治性(R/R)B-NHL和霍奇金淋巴瘤患者中最近完成和正在进行的BsAb试验的最新概述,包括单药结果、新兴联合方案、安全性数据以及新型构建体。
BACKGROUD: The introduction of highly active immunotherapies has changed the outcome of B-cell non-Hodgkin lymphomas (B-NHLs) in the last two decades. Since then, important progress has been shown using newer and more active immunotherapies, including chimeric antigen receptor T-cell therapy (CAR-T), conjugated monoclonal antibodies, and bispecific antobodies, which currently plays a significant role in the treatment of diffuse large B-cell (DLBCL), follicular (FL), and mantle cell (MCL) lymphoma. PURPOSE: In this review, we provide an updated overview of recently completed and ongoing BsAb trials in patients with relapsed/refractory(R/R) B-NHL and Hodgkin's lymphoma, including single-agent results, emerging combinations, safety data, and novel constructs. CONCLUSIONS: Bispecific antibodies (BsAbs) are a novel class of "off-the-shelf" T-cell-redirecting drugs capable of targeting various cell-surface antigens. New antigen targets are currently under investigation, such as CD19 CD3 and CD30 CD3 or CD30 CD16, in different settings. BsAbs are among the most promising therapeutic options for lymphoma today since they have demonstrated significant single-agent activity, along with a manageable toxicity profile, in patients with heavily pretreated B-NHL.
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