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Related Concept Videos

Tumor Immunotherapy01:27

Tumor Immunotherapy

Immunotherapy is a treatment that boosts or manipulates the immune system to fight diseases, including cancer. For instance, by stimulating an immune response through vaccinations against viruses that cause cancers, like hepatitis B virus and human papillomavirus, these diseases can be prevented. Nonetheless, some cancer cells can avoid the immune system due to their rapid mutation and division. The immune response to many cancers involves three phases: elimination, equilibrium, and escape.
Targeted Cancer Therapies02:57

Targeted Cancer Therapies

The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against specific...
Cancer Therapies02:49

Cancer Therapies

Cancer therapies are various modes of treatment, such as surgery, radiation therapy, and chemotherapy that are administered to cancer patients.
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
Cancer Therapies02:49

Cancer Therapies

Cancer therapies are various modes of treatment, such as surgery, radiation therapy, and chemotherapy that are administered to cancer patients.
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
Treatment Resistant Cancers02:56

Treatment Resistant Cancers

Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...
Combination Therapies and Personalized Medicine02:50

Combination Therapies and Personalized Medicine

Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...

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Manufacturing Chimeric Antigen Receptor (CAR) T Cells for Adoptive Immunotherapy
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Chronic lymphocytic leukemia therapy: beyond chemoimmunotherapy.

Julio Delgado1, Tycho Baumann, Gabriela Ghita

  • 1Institute of Hematology and Oncology, Department of Hematology, Hospital Clinic, Institut d’Investigacions Biomèdiques August Pi iSunyer, University of Barcelona, Spain.

Current Pharmaceutical Design
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PubMed
Summary

Chemoimmunotherapy is standard for chronic lymphocytic leukemia (CLL), but patients relapse. Novel agents show promise for refractory CLL, potentially leading to cures with risk-adapted strategies.

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Area of Science:

  • Hematology
  • Oncology
  • Pharmacology

Background:

  • Chemoimmunotherapy is the current standard for advanced chronic lymphocytic leukemia (CLL).
  • Despite high initial response rates, chemoimmunotherapy leads to eventual relapse, highlighting CLL's incurability.
  • There is a critical need for novel therapeutic agents, especially for patients with refractory disease.

Purpose of the Study:

  • To review emerging therapeutic agents for chronic lymphocytic leukemia (CLL).
  • To discuss the potential of novel compounds in treating relapsed or refractory CLL.
  • To explore the future of risk-adapted treatment strategies for improving CLL outcomes.

Main Methods:

  • Review of recent scientific literature on novel CLL therapies.
  • Analysis of efficacy data for emerging agents in relapsed/refractory CLL.
  • Discussion of potential combination therapies and treatment strategies.

Main Results:

  • Novel agents including monoclonal antibodies, kinase inhibitors, and pro-apoptotic molecules show efficacy in relapsed/refractory CLL.
  • These agents represent a new generation of targeted therapies for CLL.
  • Early evidence suggests potential benefits for patients with resistant disease.

Conclusions:

  • Newer, rationally designed agents are crucial for managing relapsed and refractory chronic lymphocytic leukemia (CLL).
  • Combination therapies and risk-adapted strategies hold promise for improving patient outcomes and potentially achieving a cure for CLL.
  • Continued research into novel agents and treatment combinations is essential for advancing CLL therapy.