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.
CELL INTELLIGENCE · 肿瘤细胞治疗研究
肿瘤细胞治疗研究
英文原题:Glofitamab in the sequential treatment of relapsed/refractory B-Cell lymphoma: a single-center real-world study.
Glofitamab in the sequential treatment of relapsed/refractory B-Cell lymphoma: a single-center real-world study.
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在单中心真实世界经验中,Glofitamab 在三种临床场景中表现出可控的安全性和持久的抗肿瘤活性。特别是,即使在 CAR-T 治疗失败后,它仍能带来临床获益,并探索了 Glofitamab 与 CAR-T 的序贯治疗策略。
Glofitamab是一种双特异性抗体(BsAb),在复发/难治性B细胞非霍奇金淋巴瘤(r/r B-NHL)中具有良好的疗效,尤其是在复发/难治性弥漫性大B细胞淋巴瘤(r/r DLBCL)中。本研究探讨了其在真实世界中的序贯治疗策略和疗效,包括CAR-T 细胞治疗失败后的挽救治疗、桥接CAR-T 治疗和单药治疗。
这是一项单中心回顾性队列分析,纳入24例明确诊断为复发/难治性B细胞淋巴瘤的患者,包括原发性弥漫大B细胞淋巴瘤(DLBCL)、伴Richter转化的弥漫大B细胞淋巴瘤(DLBCL-RT)和Burkitt淋巴瘤(BL)。根据治疗顺序将患者分为三组:第1组(CAR-T 治疗进展后Glofitamab挽救治疗)、第2组(Glofitamab桥接后续CAR-T 治疗)和第3组(Glofitamab单药治疗),这些患者于2024年9月至2025年12月期间在我中心接受Glofitamab治疗。
Glofitamab is a bispecific antibody (BsAb), and has good efficacy in relapsed or refractory B-cell non-Hodgkin lymphoma (r/r B-NHL), especially in relapsed/refractory diffuse large B-cell lymphoma (r/r DLBCL). This study explored its sequential treatment strategies and efficacy in the real world, including rescue therapy after chimeric antigen receptor T cell (CAR-T) therapy failure, bridging CAR-T therapy and monotherapy.
This was a single-center retrospective cohort analysis of 24 patients with clearly diagnosed relapsed/refractory B-cell lymphoma, including primary diffuse large B-cell lymphoma (DLBCL), diffuse large B-cell lymphoma with Richter transformation (DLBCL-RT), and Burkitt lymphoma (BL). Patients were divided into three groups according to the treatment sequence: Group 1 (Glofitamab rescue therapy after progression of CAR-T therapy), group 2 (Glofitamab bridging subsequent CAR-T therapy), and group 3 (Glofitamab monotherapy), who received Glofitamab at our center between September 2024 and December 2025.
In the single-center real-world experience, Glofitamab demonstrated controllable safety and durable anti-tumor activity in three clinical scenarios. Especially, it could still bring clinical benefits even after CAR-T therapy failed, and it explored the sequential treatment strategy of Glofitamab and CAR-T.
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