抗 CD22/CD19 CAR-T 细胞疗法 CART2219.1 在成人和儿童复发/难治性 B-ALL 中的 I/II 期试验
A Phase I/II Trial of Anti-CD22/CD19 CAR-T Cell Therapy, CART2219.1, in Adult and Pediatric Relapsed/Refractory B-ALL.
在一项多中心I/II期试验中,所有患者(n=11;7名儿童,4名成人)在第28天均达到完全缓解(91%为微小残留病阴性)。
英文原题:Translational advancement of immunotherapeutics against pediatric central nervous system tumors.
儿童中枢神经系统(CNS)肿瘤是儿童中最常见的实体瘤,并且仍然是儿童癌症患者死亡的主要原因。
儿童中枢神经系统(CNS)肿瘤是儿童中最常见的实体瘤,并且仍然是儿童癌症患者死亡的主要原因。尽管标准细胞毒性方案的强度很大,许多高级别肿瘤患者仍然会经历复发,此时他们的治愈选择有限。即使是儿童CNS肿瘤的幸存者也常常留下终身并发症,对其生活质量产生负面影响。免疫疗法有望提供量身定制的治疗,能够改善预后并产生较少的副作用。针对白血病和一些实体瘤的早期成功支持了这一前景,但这只是针对儿童CNS肿瘤的靶向免疫疗法的初期阶段。虽然这是一个新兴的、蓬勃发展的领域,但一个强大且协调的临床前环境已经推动了一系列创新临床试验,这些试验为这些新技术奠定了基础。在此,我们将回顾细胞疗法、免疫检查点抑制、癌症疫苗和溶瘤病毒疗法在儿童CNS肿瘤患者中的当前状态。
Pediatric central nervous system (CNS) tumors are the most common solid tumors in children and remain the leading cause of death amongst childhood cancer patients. Despite the intensity of standard cytotoxic regimens, many patients with high-grade tumors still experience relapse, at which time they have limited curative options. Even the survivors of childhood CNS tumors are often left with lifelong complications that negatively impact their quality of life. Immunotherapy holds the promise of tailored therapies that can improve outcomes and inflict fewer side effects. Early successes across against leukemia and some solid tumors have supported this promise, but this is only the infancy of targeted immunotherapies against pediatric CNS tumors. While this is a new, blossoming field, a robust and coordinated preclinical environment has spurred a spectrum of innovative clinical trials that serve as the ground floor for these new technologies. Here, we will review the current state of cellular therapy, immune checkpoint inhibition, cancer vaccines, and oncolytic viral therapy for children with CNS tumors.
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