决定异体 CAR T 细胞排斥与扩增的细胞和分子机制
Cellular and molecular mechanisms determining allogeneic CAR T cell rejection and expansion.
我们评估了11例接受单一批次cemacabtagene ansegedleucel(cema-cel)治疗的大B细胞淋巴瘤患者,cemacabtagene ansegedleucel是一种异体抗CD19 CAR T产品。
英文原题:Clinical strategies for lymphoma management: Recommendations from the Bridging the Gaps in Leukemia, Lymphoma, and Multiple Myeloma Consensus Conference 2025.
本次会议阐述了持续开展研究以完善管理策略、改善淋巴瘤诊疗中患者结局的重要性,并填补了临床实践中缺乏高级别证据的空白。
2025年白血病、淋巴瘤和多发性骨髓瘤跨学科差距弥合(BTG)共识会议汇集了一个多学科肿瘤学专家组,旨在应对淋巴瘤管理的复杂性,重点关注套细胞淋巴瘤(MCL)、慢性淋巴细胞白血病(CLL)和弥漫性大B细胞淋巴瘤(DLBCL)。本文介绍了通过改良Delphi流程制定的共识建议,这些建议强调鉴于近期治疗选择的进展,需要制定个体化的治疗策略。关键建议包括:对MCL进行高危特征筛查,对TP53异常病例使用BOVen方案(zanubrutinib、obinutuzumab和venetoclax),以及对共价Bruton酪氨酸激酶抑制剂难治性套细胞淋巴瘤患者整合CAR-T 细胞治疗。对于CLL,建议包括考虑对年轻患者采用限时治疗,以及对无症状患者采取“观察等待”策略,尽管当前治疗方案的活性和安全性已有所改善。对于DLBCL,本文强调了治疗序贯方面的挑战,以及循环肿瘤DNA和微小残留病检测在监测疾病进展中的作用。总体而言,会议阐述了持续研究对于优化管理策略和改善淋巴瘤诊疗中患者结局的重要性,并填补了临床实践中缺乏高级别证据的空白。
The Bridging the Gaps (BTG) in Leukemia, Lymphoma and Multiple Myeloma Consensus Conference 2025 brought together a multidisciplinary group of oncology experts to address the complexities of lymphoma management, focusing on mantle cell lymphoma (MCL), chronic lymphocytic leukemia (CLL), and diffuse large B-cell lymphoma (DLBCL). This article presents consensus recommendations developed through a modified Delphi process, which emphasize the need for tailored therapeutic strategies in light of recent advancements in treatment options. Key recommendations include the screening for high-risk features in MCL, use of the BOVen regimen (zanubrutinib, obinutuzumab, and venetoclax) for TP53-aberrant cases, and integration of chimeric antigen receptor T-cell therapy for patients with mantle cell lymphoma that is refractory to covalent Bruton tyrosine kinase inhibitors. For CLL, recommendations include consideration of time-limited therapies for younger patients and a "watch and wait" strategy for asymptomatic patients despite the improved activity and safety of current treatment regimens. For DLBCL, this article highlights the challenges in treatment sequencing and the role of circulating tumor DNA and minimal residual disease testing in monitoring disease progression. Overall, the conference describes the importance of ongoing research to refine management strategies and improve patient outcomes in lymphoma care, addressing the gaps in clinical practice where high-level evidence is lacking.
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