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自体干细胞移植联合 CAR-T 细胞治疗难治/复发 B 细胞淋巴瘤:单臂临床研究

英文原题:Combination autologous stem cell transplantation with chimeric antigen receptor T-cell therapy for refractory/relapsed B-cell lymphoma: a single-arm clinical study.

查看英文原题

Combination autologous stem cell transplantation with chimeric antigen receptor T-cell therapy for refractory/relapsed B-cell lymphoma: a single-arm clinical study.

PubMed 2025/02/26(内容时间) Front Immunol Q1 · IF 7(JCR 2025)

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中文摘要

自体干细胞移植(ASCT)和CAR-T 细胞已被用作难治/复发性B细胞非霍奇金淋巴瘤(R/R B-NHL)患者在接受二线化疗或挽救治疗后达到缓解的巩固治疗。然而,不同病理亚型和缓解状态的患者从ASCT或CAR-T 细胞治疗中获益可能不同。此外,涉及ASCT或CAR-T 细胞的巩固治疗仍存在显著的疾病复发风险。我们开展了一项针对47例R/R B-NHL患者的回顾性单臂研究,发现ASCT联合CAR-T 治疗将3年无进展生存期(PFS)率和总生存期(OS)率分别提高至66.04%(95%CI:48.311-78.928)和72.442%(95%CI:53.46-84.708)。此外,联合治疗未出现严重不良事件。因此,ASCT联合CAR-T 细胞治疗对多种亚型的R/R B-NHL有效,并能有效延长患者的长期生存。

展开英文摘要原文

Autologous stem cell transplantation (ASCT) and chimeric antigen receptor T-cells (CAR-T) have been used as consolidation therapies for patients with refractory/relapsed B cell non-Hodgkin's lymphoma (R/R B-NHL) in remission after second-line chemotherapy or salvage therapy.

However, patients with different pathological subtypes and remission states may benefit differently from ASCT or CAR-T cell therapy.

Furthermore, consolidation treatment involving ASCT or CAR-T cells still poses a significant risk of disease relapse.

We conducted a retrospective, single-arm study of 47 patients with R/R B-NHL, and found that the combination of ASCT and CAR-T therapy improved the 3-year progression-free survival (PFS) and overall survival (OS) rates to 66. 04% (95%CI: 48. 311-78. 928) and 72. 442% (95%CI: 53. 46-84. 708) respectively.

Furthermore, the combination therapy has no serious adverse events.

Thus, ASCT combined with CAR-T cell therapy is effective against multiple subtypes of R/R B-NHL, and can effectively prolong the long-term survival of patients.

论文信息

作者
Li D、Liu R、Fu Z、Yang F、Ma L、Guo Y、Cao M、Lei Y
单位
Department of Lymphoma and Myeloma Research Center, Beijing GoBroad Hospital, Beijing, China.China
期刊
Frontiers in immunology2025
原文标识
PubMed 40078989 · DOI 10.3389/fimmu.2025.1532460