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Updated: Feb 10, 2026

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Construction of Defined Human Engineered Cardiac Tissues to Study Mechanisms of Cardiac Cell Therapy
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Fludarabine and neurotoxicity in engineered T-cell therapy
Kate L Lowe1, Crystal L Mackall2, Elliot Norry3
1Immunocore, Oxford, UK.
Gene Therapy
|May 24, 2018
Summary
Fludarabine, a chemotherapy drug, was initially suspected in patient deaths during adoptive T-cell therapy (ACT) trials. However, evidence suggests fludarabine is safe for preconditioning regimens in ACT, enhancing T-cell therapy effectiveness.
Area of Science:
- Immunology
- Oncology
- Pharmacology
Background:
- Adoptive T-cell therapy (ACT) utilizes engineered T cells (TCRs or CARs) to target tumors.
- Lymphodepleting chemotherapy regimens, often including fludarabine, enhance ACT potency.
- Concerns arose regarding fludarabine's neurotoxicity and potential link to cerebral edema in CAR-T trials.
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