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双特异性抗体对比 CAR-T 细胞治疗复发/难治性弥漫大 B 细胞淋巴瘤:疗效、安全性与可及性的比较性叙述综述

英文原题:Bispecific Antibodies Versus Chimeric Antigen Receptor T-Cell Therapy in Relapsed/Refractory Diffuse Large B-Cell Lymphoma: A Comparative Narrative Review of Efficacy, Safety, and Accessibility.

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Bispecific Antibodies Versus Chimeric Antigen Receptor T-Cell Therapy in Relapsed/Refractory Diffuse Large B-Cell Lymphoma: A Comparative Narrative Review of Efficacy, Safety, and Accessibility.

PubMed 2026/02/01(内容时间) Cancer Med Q2 · IF 3.5(JCR 2025)

分数与星级只用于站内排序 —— 不代表疗效、安全性或个人适用性。

研究概要

本综述为临床医生提供了全面的比较,以支持复发/难治性 DLBCL 的循证治疗选择。

中文摘要

本叙述性综述从作用机制、临床疗效、安全性、物流、成本及可及性等多个方面比较这些疗法。

CAR-T 疗法显示持久完全缓解率为40%–60%,无进展生存期延长(中位11–12.5个月),但受制于制备复杂、成本高和可能出现的严重毒性。相比之下,BsAb可即刻提供现货型治疗,具有良好疗效和更优安全性,适合门诊给药,但其长期持久性仍在研究中。

本综述为临床医生提供全面比较,以支持rel/ref DLBCL的循证治疗选择。

展开英文摘要原文

This narrative review compares these therapies across multiple domains, including mechanisms of action, clinical efficacy, safety profiles, logistics, cost, and accessibility.

CAR T therapies have demonstrated durable complete response rates (40%-60%) and extended progression-free survival (median 11-12.5 months), but they are limited by complex manufacturing, high cost, and potentially severe toxicities. In contrast, BsAbs offer immediate, off-the-shelf availability, with promising efficacy and a more favorable safety profile that enables outpatient administration, although long-term durability remains under investigation.

This review provides clinicians with a comprehensive comparison to support evidence-based treatment selection in rel/ref DLBCL.

论文信息

作者
Abou DS、Thalib HI、Akil F、Sabbagh SZ、Abou HS、Pereira M、Hassan FE
第一作者单位
Pharmacy Program, Batterjee Medical College, Jeddah, Saudi Arabia.Saudi Arabia
通讯作者单位
General Medicine Practice Program, Department of Physiology, Batterjee Medical College, Jeddah, Saudi Arabia.Saudi Arabia
文献类型
综述 · 对照研究
期刊
Cancer medicine2026 Feb
原文标识
PubMed 41608764 · DOI 10.1002/cam4.71562