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Therapeutic Drug Monitoring: Overview and Classification01:16

Therapeutic Drug Monitoring: Overview and Classification

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Outpatient Administration of Chimeric Antigen Receptor T-Cell Therapy Using Remote Patient Monitoring.

Navneet S Majhail1,2, Tonya Cox1, Stephanie Larson1

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Outpatient administration of chimeric antigen receptor T-cell (CAR-T) therapies is safe and feasible. Remote patient monitoring and multidisciplinary teams are key to successful outpatient CAR-T programs, improving patient access and quality of life.

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Area of Science:

  • Oncology
  • Immunotherapy
  • Hematology

Background:

  • Chimeric antigen receptor T-cell (CAR-T) therapy is a standard treatment for hematologic malignancies.
  • Hospitalization is common due to risks of cytokine release syndrome (CRS) and immune effector cell-associated neurotoxicity syndrome (ICANS).

Purpose of the Study:

  • To review models of care for outpatient CAR-T administration.
  • To provide operational considerations for establishing outpatient CAR-T programs.
  • To emphasize the role of remote patient monitoring (RPM) in facilitating outpatient care.

Main Methods:

  • Review of existing care models for outpatient CAR-T therapy.
  • Identification of operational considerations for program development.
  • Emphasis on the integration of remote patient monitoring (RPM).

Main Results:

  • Outpatient CAR-T administration is increasingly supported by evidence.
  • Multidisciplinary teams and clinical pathways are crucial for managing CRS and ICANS.
  • RPM can enable cost-effective scaling of outpatient programs and reduce acute care stays.

Conclusions:

  • Safe and high-quality outpatient CAR-T care is achievable with proper infrastructure.
  • Outpatient approaches can alleviate hospital capacity challenges and improve access to CAR-T therapy.
  • Minimizing hospitalizations enhances patient and caregiver experience and quality of life.