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Manufacturing Chimeric Antigen Receptor (CAR) T Cells for Adoptive Immunotherapy
Published on: December 17, 2019
Antibody therapy for acute lymphoblastic leukemia
Craig A Portell1, Anjali S Advani
1Division of Hematologic Oncology and Blood Disorders, Taussig Cancer Institute, Cleveland Clinic, Cleveland, OH 44195, USA. portelc@ccf.org
Despite advances in chemotherapy, acute lymphoblastic leukemia (ALL) patients often relapse. Antigen-directed therapies targeting CD20, CD22, CD52, and CD19 offer promising new strategies for relapsed ALL.
Area of Science:
- Hematology
- Oncology
- Immunotherapy
Background:
- Acute lymphoblastic leukemia (ALL) is often curable with chemotherapy, but relapse remains a significant challenge.
- Treatment options for relapsed ALL are limited, with few advances in recent decades.
- Antigen-directed therapies show promise in complementing traditional chemotherapy for ALL.
Purpose of the Study:
- To review four key antigens in ALL: CD20, CD22, CD52, and CD19.
- To evaluate therapeutic strategies targeting these antigens in ALL.
- To assess clinical and preclinical data for novel ALL treatments.
Main Methods:
- Review of clinical and preclinical data on antigen-directed therapies for ALL.
- Evaluation of targeted agents including rituximab, epratuzumab, inotuzumab ozogamicin, alemtuzumab, and blinatumomab.
- Assessment of chimeric antigen receptor (CAR)-T cell therapy in ALL.
Main Results:
- Antigen-directed therapies have demonstrated encouraging results in managing relapsed ALL.
- Specific agents targeting CD20, CD22, CD52, and CD19 are under investigation.
- CAR-T cell therapy represents a novel approach for ALL treatment.
Conclusions:
- Targeting specific antigens on ALL cells offers a promising avenue for overcoming treatment resistance.
- Further research into antigen-directed therapies and CAR-T cells is crucial for improving outcomes in relapsed ALL.
- These novel strategies have the potential to significantly advance the management of acute lymphoblastic leukemia.
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