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:Society for Immunotherapy of Cancer (SITC) clinical practice guideline on immunotherapy for the treatment of acute leukemia, version 2.0.
急性白血病是一种影响所有年龄段的血液系统恶性肿瘤。
急性白血病是一种影响所有年龄段人群的血液系统恶性肿瘤。免疫疗法,包括T细胞衔接器、抗体药物偶联物和CAR-T 细胞疗法,已促使急性白血病患者的治疗模式发生转变。结合异基因造血干细胞移植的进展和靶向治疗的开发,急性白血病患者有了更多有效的治疗选择,为长期缓解提供了可能。然而,这些进展导致临床医生需要面对一个复杂且动态的治疗格局。为了指导肿瘤学界并提供一个患者诊疗框架,癌症免疫治疗学会召集了一个专家小组,制定了本关于免疫治疗用于急性白血病治疗的临床实践指南。基于已发表的数据和临床经验,专家小组制定了关于诊断;用于治疗急性淋巴细胞白血病、急性髓系白血病和母细胞性浆细胞样树突状细胞肿瘤的免疫疗法;毒性和安全性管理;治疗排序;以及患者教育和生活质量的循证和共识建议。
Acute leukemia is a hematologic malignancy that affects people of all ages. Immunotherapies, including T-cell engagers, antibody-drug conjugates, and chimeric antigen receptor T-cell therapies have contributed to a paradigm shift in the treatment of patients with acute leukemia. Combined with advancements in allogeneic hematopoietic stem cell transplant and targeted therapy development, patients with acute leukemia have additional effective treatment options, providing the possibility of long-term remission. However, these advances have resulted in a complex and dynamic treatment landscape for clinicians to navigate. To guide the oncology community and provide a framework for patient care, the Society for Immunotherapy of Cancer convened a panel of experts to develop this clinical practice guideline on immunotherapy for the treatment of acute leukemia. Drawing from published data and clinical experience, the Expert Panel developed evidence-based and consensus-based recommendations relating to diagnostics; immunotherapies for the treatment of acute lymphoblastic leukemia, acute myeloid leukemia, and blastic plasmacytoid dendritic cell neoplasm; toxicity and safety management; treatment sequencing; and patient education and quality of life.
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