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Related Concept Videos

Tumor Immunotherapy01:27

Tumor Immunotherapy

529
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.
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Author Spotlight: Advancements in CAR-T Cell Manufacturing and Gene Therapy Production
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Chimeric antigen receptor T-cell therapy.

Cale Burge1,2, Vinay Vanguru1,2, Phoebe Joy Ho1,2

  • 1Royal Prince Alfred Hospital, Sydney.

Australian Prescriber
|December 6, 2023
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Summary

Chimeric antigen receptor T-cell therapies offer new hope for certain blood cancers, improving remission rates. While effective, potential complications like cytokine release syndrome and neurotoxicity require careful management.

Keywords:
B-cell lymphomaacute lymphoblastic leukaemiaaxicabtagene ciloleucelchimeric antigen receptortisagenlecleucel

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Area of Science:

  • Immunology
  • Oncology
  • Cell Therapy

Background:

  • Chimeric antigen receptor (CAR) T-cell therapy represents a significant advancement in treating hematologic malignancies.
  • CAR T-cells are genetically engineered lymphocytes designed to enhance the host immune system's ability to target cancer cells.

Purpose of the Study:

  • To review the efficacy and safety of CAR T-cell therapies for relapsed or refractory diffuse large B-cell lymphoma and acute lymphoblastic leukaemia.
  • To discuss the potential of CAR T-cell therapies in other hematologic and solid organ malignancies.

Main Methods:

  • Patient-derived T-cells are harvested, genetically modified to express CARs, expanded ex vivo, and reinfused.
  • The study involves a review of existing clinical data and outcomes.

Main Results:

  • CAR T-cell therapy demonstrates increased complete response rates and potential for long-term remission in specific B-cell lymphomas and leukaemias.
  • Early-phase studies show promise in other cancers, including mantle cell lymphoma, multiple myeloma, and glioblastoma multiforme.

Conclusions:

  • CAR T-cell therapy is a promising treatment modality for relapsed/refractory B-cell malignancies, offering improved outcomes.
  • Management of short-term toxicities, such as cytokine release syndrome and immune effector cell-associated neurotoxicity syndrome, is critical for patient safety.