The Landscape of CAR-T Cell Clinical Trials against Solid Tumors-A Comprehensive Overview

Niels Schaft1,2,3

  • 1Department of Dermatology, Universtitätsklinikum Erlangen, Friedrich-Alexander-Universität, Erlangen-Nürnberg, Hartmannstraße 14, 91052 Erlangen, Germany.

Cancers
|September 12, 2020
PubMed

Insights

Chimeric antigen receptor T cell (CAR-T) therapy shows promise for blood cancers but struggles with solid tumors. This review analyzes 196 clinical trials to map CAR-T research for solid tumors.

Area of Science:

  • Immunotherapy
  • Oncology
  • Clinical Trials

Background:

  • CAR-T cell therapy has revolutionized hematologic cancer treatment.
  • Significant challenges remain in translating CAR-T efficacy to solid tumors.
  • A comprehensive overview of ongoing CAR-T clinical trials for solid tumors is needed.

Purpose of the Study:

  • To provide a comprehensive overview of the CAR-T cell clinical trial landscape for solid tumors.
  • To analyze geographical distribution, targets, and methodologies of these trials.
  • To report available clinical outcome and safety data.

Main Methods:

  • Systematic review of 196 studies registered on clinicaltrials.gov.
  • Analysis focused on geographical distribution, targeted organs, tumor entities, and antigens.
  • Examination of CAR transfer methods, CAR formats, T cell modifications, patient pretreatment, administration sites, and safety measures.

Main Results:

  • The review details the geographical distribution of CAR-T trials for solid tumors.
  • It identifies targeted organs, tumor entities, and specific antigens being investigated.
  • Information on CAR design, T cell engineering, and clinical trial logistics is presented, alongside limited outcome data.

Conclusions:

  • CAR-T cell therapy for solid tumors is an evolving field with diverse strategies.
  • Understanding the current landscape is crucial for advancing clinical development.
  • Further research and data on clinical outcomes are necessary to overcome challenges.

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