4.6 Review

Current Progress in CAR-T Cell Therapy for Hematological Malignancies

Journal

JOURNAL OF CANCER
Volume 12, Issue 2, Pages 326-334

Publisher

IVYSPRING INT PUBL
DOI: 10.7150/jca.48976

Keywords

CAR-T cells therapy; hematological malignancies; safety strategies

Categories

Funding

  1. Shanghai Science and Technology Development Funds [19QB1405900]
  2. Scientific Research Project of Jiading Health and Family Planning Commission [2018-QN-13]

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CAR-T cell therapy has shown significant progress in treating hematologic malignancies and is expected to become a mainstream treatment choice in the future. Despite the toxicities and gaps in knowledge, it is anticipated to exhibit superior safety and efficacy in the future.
Immunotherapies, such as monoclonal antibody therapy and checkpoint inhibitor therapy, have shown inspiring clinical effects for the treatment of cancer. Chimeric antigen receptor T (CAR-T) cells therapy was an efficacious therapeutic approach treating hematological malignancies and encouraging results have been achieved. Three kinds of CAR-T cell therapies, Kymriah (tisagenlecleucel), Yescarta (axicabtagene ciloleucel), were approved for clinical application in 2017 and Tecartus (brexucabtagene autoleucel) was approved in 2020. Despite some progress have been made in treating multiple hematologic tumors, threats still remain for the application of CAR-T cell therapy considering its toxicities and gaps in knowledge. To further comprehend present research status and trends, the review concentrates on CAR-T technologies, applications, adverse effects and safety measures about CAR-T cell therapy in hematological neoplasms. We believe that CAR-T cell therapy will exhibit superior safety and efficacy in the future and have potential to be a mainstream therapeutic choice for the elimination of hematologic tumor.

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