Side-effect management of chimeric antigen receptor (CAR) T-cell therapy

Chimeric antigen receptor (CAR) T cells directed against the B-cell marker CD19 are currently changing the landscape for treatment of patients with refractory and/or relapsed B-cell malignancies. Due to the nature of CAR T cells as living drugs, they display a unique toxicity profile. As CAR T-cell...

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Hauptverfasser: Schubert, Maria-Luisa (VerfasserIn) , Schmitt, Michael (VerfasserIn) , Wang, Lei (VerfasserIn) , Ramos, C. A. (VerfasserIn) , Jordan, Karin (VerfasserIn) , Müller-Tidow, Carsten (VerfasserIn) , Dreger, Peter (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 2021
In: Annals of oncology
Year: 2021, Jahrgang: 32, Heft: 1, Pages: 34-48
ISSN:1569-8041
DOI:10.1016/j.annonc.2020.10.478
Online-Zugang:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1016/j.annonc.2020.10.478
Verlag, lizenzpflichtig, Volltext: https://www.sciencedirect.com/science/article/pii/S0923753420429801
Volltext
Verfasserangaben:M. -L. Schubert, M. Schmitt, L. Wang, C.A. Ramos, K. Jordan, C. Müller-Tidow & P. Dreger
Beschreibung
Zusammenfassung:Chimeric antigen receptor (CAR) T cells directed against the B-cell marker CD19 are currently changing the landscape for treatment of patients with refractory and/or relapsed B-cell malignancies. Due to the nature of CAR T cells as living drugs, they display a unique toxicity profile. As CAR T-cell therapy is extending towards other diseases and being more broadly employed in hematology and oncology, optimal management strategies of side-effects associated with CAR T-cell therapy are of high relevance. Cytokine release syndrome (CRS), immune effector cell-associated neurotoxicity syndrome (ICANS), and cytopenias constitute challenges in the treatment of patients with CAR T cells. This review summarizes the current understanding of CAR T-cell toxicity and its management.
Beschreibung:Available online: 21 October 2020
Gesehen am 08.02.2021
Beschreibung:Online Resource
ISSN:1569-8041
DOI:10.1016/j.annonc.2020.10.478