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CD19 CAR-T cell therapy for relapsed or refractory diffuse large B cell lymphoma: Why does it fail?
Hannah Kinoshita1, Catherine M Bollard1, Keri Toner1
1Cell Enhancement and Technologies for Immunotherapy, Children's National Hospital, Washington, DC; Department of Pediatrics, George Washington University, Washington, DC.
Seminars in Hematology
|February 9, 2024
Summary
CAR-T cell therapy shows promise for diffuse large B cell lymphoma (DLBCL), but many patients relapse. This review explores factors contributing to CAR-T therapy failure in DLBCL, aiding future treatment strategies.
Area of Science:
- Oncology
- Immunotherapy
- Cellular Therapy
Background:
- Chimeric antigen receptor T (CAR-T) cell therapy is approved for relapsed/refractory diffuse large B cell lymphoma (DLBCL).
- Despite efficacy, a significant proportion of DLBCL patients (up to 60%) experience disease progression or relapse after CAR-T therapy.
- The complex mechanisms underlying resistance to CAR-T cell therapy in DLBCL remain incompletely understood.
Conclusions:
- CAR-T cell therapy for DLBCL faces challenges due to resistance mechanisms.
- Further research into predictive factors is necessary to optimize treatment outcomes.
- Identifying resistance factors will guide the development of more effective therapeutic strategies for DLBCL.
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