Download full-text PDF

Source
http://dx.doi.org/10.1002/ajh.26988DOI Listing

Publication Analysis

Top Keywords

cd19-negative relapse
4
relapse adult
4
adult patients
4
patients relapsed/refractory
4
relapsed/refractory b-cell
4
b-cell precursor
4
precursor acute
4
acute lymphoblastic
4
lymphoblastic leukemia
4
leukemia treatment
4

Similar Publications

Article Synopsis
  • Relapse in B-cell acute lymphoblastic leukaemia (ALL) and B-cell non-Hodgkin lymphoma (B-NHL) after CD19-directed CAR-T cell therapy is a significant issue, prompting the development of dual CAR-T cells targeting CD19 and additional antigens like CD22 or CD20 to reduce relapse rates.
  • Various methods for creating dual CAR-T cells include co-administration of separate products, co-transduction of T-cells, and the use of bicistronic vectors or bivalent CARs, with early trials indicating that this approach is safe and maintains good remission rates.
  • Despite advancements, challenges remain, including poor CAR-T cell persistence and the fact that
View Article and Find Full Text PDF

Tafasitamab plus lenalidomide (TAFA-LEN) treatment relevance pre- or post-anti-CD19 chimeric antigen receptor (CAR) T-cell therapy is debated. We analyzed patients with large B-cell lymphoma in the DESCAR-T registry treated with axi[1]cel or tisa-cel in ≥3rd line and TAFA-LEN before (n = 15, "TL-pre-CAR-T" set) or directly after (n = 52, "TL-post-CAR-T" set) CAR T-cell therapy. We compared TAFA-LEN v.

View Article and Find Full Text PDF

How I treat postimmunotherapy relapsed B-ALL.

Blood

January 2025

Pediatric Oncology Branch, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, MD.

Despite significant advancements in single-antigen targeted therapies for B-cell acute lymphoblastic leukemia (B-ALL), nonresponse and relapse persist as major challenges. Antigen escape after blinatumomab or CD19-directed chimeric antigen receptor (CAR) T cells (CD19-CAR), as CD19-negative B-ALL or lineage switch (LS) to acute myeloid leukemia, present diagnostic and treatment complexities. Given the poor outcomes for patients experiencing a postinfusion relapse, particularly those with loss of the target antigen, a strategic approach to diagnosis and treatment is imperative.

View Article and Find Full Text PDF

CD22-directed CAR T-cell therapy for large B-cell lymphomas progressing after CD19-directed CAR T-cell therapy: a dose-finding phase 1 study.

Lancet

July 2024

Division of Blood and Marrow Transplantation and Cellular Therapy, Department of Medicine, Stanford University School of Medicine, Stanford, CA, USA; Center for Cancer Cell Therapy, Stanford Cancer Institute, Stanford University, Stanford, CA, USA. Electronic address:

Background: Outcomes are poor for patients with large B-cell lymphoma who relapse after CD19-directed chimeric antigen receptor (CAR) T-cell therapy (CAR19). CD22 is a nearly universally expressed B-cell surface antigen and the efficacy of a CD22-directed CAR T-cell therapy (CAR22) in large B-cell lymphoma is unknown, which was what we aimed to examine in this study.

Methods: In this single centre, open-label, dose-escalation phase 1 trial, we intravenously administered CAR22 at two dose levels (1 million and 3 million CAR22-positive T cells per kg of bodyweight) to adult patients (aged ≥18 years) who relapsed after CAR19 or had CD19-negative large B-cell lymphoma.

View Article and Find Full Text PDF

Background: Cellular immunotherapy, represented by the chimeric antigen receptor T cell (CAR-T), has exhibited high response rates, durable remission, and safety in vitro and in clinical trials. Unfortunately, anti-CD19 CAR-T (CART-19) treatment alone is prone to relapse and has a particularly poor prognosis in relapsed/refractory (r/r) B-ALL patients. To date, addressing or reducing relapse remains one of the research priorities to achieve broad clinical application.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!