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Marine Pinturaud1, Michèle Vasseur2, Pascal Odou2

  • 1Centre Hospitalier Universitaire de Lille, Institut de Pharmacie, 59037 Lille, France.

Bulletin Du Cancer
|January 29, 2019
PubMed
Summary

Hospital pharmacists are crucial for managing advanced therapy medicinal products like Chimeric Antigen Receptor T-cells (CART). Their role ensures quality and safety throughout the CART treatment process, including patient follow-up and staff training.

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Area of Science:

  • Oncology
  • Cellular Therapy
  • Pharmacology

Background:

  • Chimeric Antigen Receptor T-cells (CART) are a novel class of Advanced Therapy Medicinal Products (ATMPs) and gene therapy products.
  • Their unique nature as genetically modified organisms necessitates specialized handling and management within hospitals.
  • Current pharmacy practices require significant adaptation to accommodate CART therapy.

Purpose of the Study:

  • To identify and detail the essential roles of hospital pharmacists in managing CART products.
  • To outline the necessary adaptations in hospital pharmacy circuits for safe and effective CART administration.
  • To emphasize the pharmacist's contribution to patient safety and treatment quality.

Main Methods:

  • Review of the CART therapy pathway within a hospital setting.
Keywords:
Chimeric Antigen Receptor T cells (CART)Circuit du médicamentDrug circuitGene therapyHospital pharmacistLymphocytes T exprimant unPharmacien hospitalierRécepteur Chimérique à l’Antigène (CART)Thérapie génique

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  • Analysis of specific challenges and requirements for pharmacy involvement.
  • Identification of necessary staff training and infrastructural adjustments.
  • Main Results:

    • Hospital pharmacists play a pivotal role in establishing and overseeing the CART management circuit.
    • Adaptations include specialized skills, team reorganization, and staff training.
    • Pharmacists are vital for ensuring quality, safety, and effective patient follow-up.

    Conclusions:

    • The integration of hospital pharmacists is fundamental for the successful implementation of CART therapy.
    • Proactive adaptation of pharmacy services is required to meet the demands of these complex treatments.
    • Pharmacists are key to optimizing patient outcomes and safety in CART therapy.