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Published on: February 21, 2025
Secondary primary malignancies after CD-19 directed CAR-T-cell therapy in lymphomas: A report from the Italian
Angelica Barone1, Annalisa Chiappella2, Beatrice Casadei3
1Chair of Hematology, University of Milan, Milan, Italy.
Abstract:
Secondary primary malignancies (SPM) have been reported after anti-BCMA or anti-CD19 chimeric antigen receptor (CAR)-T-cell therapies. While the cytotoxic effect of antecedent therapies, including chemotherapy and radiotherapy, has been well established, few data are available on risk related to CAR-T immunotherapies. The study aimed to analyse the incidence of SPM in 651 patients enrolled in the Italian prospective observational CART-SIE study. SPMs were documented in 4.3% (28/651), and the most frequent SPMs were haematological malignancies. In conclusion, the frequency of SPMs in our cohort of heavily pretreated patients receiving CAR-T was relatively low and consistent with previous studies.
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