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