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四种已获批 CAR-T 细胞疗法治疗多发性骨髓瘤的疗效与安全性比较

英文原题:Efficacy and Safety Comparisons of Four Approved Chimeric Antigen Receptor T-Cell Therapies in Multiple Myeloma.

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Efficacy and Safety Comparisons of Four Approved Chimeric Antigen Receptor T-Cell Therapies in Multiple Myeloma.

PubMed 2026/03/01(内容时间) Hematol Oncol Q1 · IF 4.1(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。

中文摘要

尽管新型疗法取得显著进展,多发性骨髓瘤(MM)仍会不可避免地复发,因而目前仍无法治愈。嵌合抗原受体(CAR)T细胞疗法是一种创新免疫疗法,在复发/难治性(R/R)MM患者中显示出显著疗效。迄今,美国和中国已批准四种靶向B细胞成熟抗原(BCMA)的CAR-T 细胞疗法用于治疗R/R MM:伊德卡布塔基仑赛、西达基奥仑赛、伊基奥仑赛和泽沃基奥仑赛。尽管这四种疗法在R/R MM中均取得令人鼓舞的缓解率,但仍缺乏对其疗效和毒性特征的全面比较分析。本综述比较了这四种已获批BCMA靶向CAR-T 细胞疗法的疗效和安全性,并讨论观察到差异的潜在原因,以及可能进一步改善这一革命性疗法临床结局的策略。

展开英文摘要原文

Despite significant advances in novel therapies, multiple myeloma (MM) remains incurable due to inevitable relapse. Chimeric antigen receptor (CAR) T-cell therapy is an innovative immunotherapy that has demonstrated remarkable efficacy in patients with relapsed/refractory (R/R) MM. To date, four B-cell maturation antigen (BCMA)-targeting CAR T-cell therapies have been approved in the United States and China for the treatment of R/R MM: idecabtagene vicleucel, ciltacabtagene autoleucel, equecabtagene autoleucel, and zevorcabtagene autoleucel.

Although these four CAR T-cell therapies have achieved encouraging response rates in R/R MM, a comprehensive comparative analysis of their efficacy and toxicity profiles is still lacking. In this review, we compare the efficacy and safety of these four approved BCMA-directed CAR T-cell therapies.

We also discuss potential factors underlying the observed differences and highlight strategies that may further improve the clinical outcomes of this revolutionary therapy.

论文信息

作者
Song Z、Fu Q、Du J
单位
Department of Hematology, Myeloma & Lymphoma Center, Shanghai Changzheng Hospital, Naval Medical University, Shanghai, China.China
文献类型
综述 · 对照研究
期刊
Hematological oncology2026 Mar
原文标识
PubMed 41721717 · DOI 10.1002/hon.70179