Assessing and Management of Neurotoxicity After CAR-T Therapy in Diffuse Large B-Cell Lymphoma
Omar Castaneda-Puglianini,1 Julio C Chavez2 1Virginia Commonwealth University, Massey Cancer Center, Cellular Immunotherapies and Transplant Program, Richmond, VA, USA; 2Department of Malignant Hematology, Moffitt Cancer Center, Tampa, FL, USACorrespondence: Julio C ChavezDepartment of Malignant Hem...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2021-08-01
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| Series: | Journal of Blood Medicine |
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| Online Access: | https://www.dovepress.com/assessing-and-management-of-neurotoxicity-after-car-t-therapy-in-diffu-peer-reviewed-fulltext-article-JBM |
| _version_ | 1818441115581284352 |
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| author | Castaneda-Puglianini O Chavez JC |
| author_facet | Castaneda-Puglianini O Chavez JC |
| author_sort | Castaneda-Puglianini O |
| collection | DOAJ |
| description | Omar Castaneda-Puglianini,1 Julio C Chavez2 1Virginia Commonwealth University, Massey Cancer Center, Cellular Immunotherapies and Transplant Program, Richmond, VA, USA; 2Department of Malignant Hematology, Moffitt Cancer Center, Tampa, FL, USACorrespondence: Julio C ChavezDepartment of Malignant Hematology, Moffit Cancer Center, 12902 Magnolia Drive FOB, Tampa, FL, 33612, USAEmail julio.c.chavez@moffitt.orgAbstract: Chimeric antigen receptor T-cell (CAR-T) therapy represents the most important advances in cancer immunotherapy, especially in hematological malignancies such as B-cell lymphomas. CAR-T cell therapy has significant activity in poor risk B-cell lymphomas. CAR-T cell therapy is associated with potentially life-threatening toxicities such as cytokine release syndrome (CRS) and neurotoxicity (NT). While CRS pathophysiology and management are well established, the understanding and treatment of NT continues to develop. All current CAR-T products approved for DLBCL have been associated with NT with some differences in their severity. As cell therapies continue to advance and its access broadening, it will be imperative for clinicians to be aware of the signs and symptoms of NT, its stratification and basic management.Keywords: CAR-T, neurotoxicity, ICANS, encephalopathy |
| first_indexed | 2024-12-14T18:23:07Z |
| format | Article |
| id | doaj.art-4057999d658e4e318142ad4943de8c1d |
| institution | Directory Open Access Journal |
| issn | 1179-2736 |
| language | English |
| last_indexed | 2024-12-14T18:23:07Z |
| publishDate | 2021-08-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Journal of Blood Medicine |
| spelling | doaj.art-4057999d658e4e318142ad4943de8c1d2022-12-21T22:52:01ZengDove Medical PressJournal of Blood Medicine1179-27362021-08-01Volume 1277578368117Assessing and Management of Neurotoxicity After CAR-T Therapy in Diffuse Large B-Cell LymphomaCastaneda-Puglianini OChavez JCOmar Castaneda-Puglianini,1 Julio C Chavez2 1Virginia Commonwealth University, Massey Cancer Center, Cellular Immunotherapies and Transplant Program, Richmond, VA, USA; 2Department of Malignant Hematology, Moffitt Cancer Center, Tampa, FL, USACorrespondence: Julio C ChavezDepartment of Malignant Hematology, Moffit Cancer Center, 12902 Magnolia Drive FOB, Tampa, FL, 33612, USAEmail julio.c.chavez@moffitt.orgAbstract: Chimeric antigen receptor T-cell (CAR-T) therapy represents the most important advances in cancer immunotherapy, especially in hematological malignancies such as B-cell lymphomas. CAR-T cell therapy has significant activity in poor risk B-cell lymphomas. CAR-T cell therapy is associated with potentially life-threatening toxicities such as cytokine release syndrome (CRS) and neurotoxicity (NT). While CRS pathophysiology and management are well established, the understanding and treatment of NT continues to develop. All current CAR-T products approved for DLBCL have been associated with NT with some differences in their severity. As cell therapies continue to advance and its access broadening, it will be imperative for clinicians to be aware of the signs and symptoms of NT, its stratification and basic management.Keywords: CAR-T, neurotoxicity, ICANS, encephalopathyhttps://www.dovepress.com/assessing-and-management-of-neurotoxicity-after-car-t-therapy-in-diffu-peer-reviewed-fulltext-article-JBMcar-tneurotoxicityicansencephalopathy |
| spellingShingle | Castaneda-Puglianini O Chavez JC Assessing and Management of Neurotoxicity After CAR-T Therapy in Diffuse Large B-Cell Lymphoma Journal of Blood Medicine car-t neurotoxicity icans encephalopathy |
| title | Assessing and Management of Neurotoxicity After CAR-T Therapy in Diffuse Large B-Cell Lymphoma |
| title_full | Assessing and Management of Neurotoxicity After CAR-T Therapy in Diffuse Large B-Cell Lymphoma |
| title_fullStr | Assessing and Management of Neurotoxicity After CAR-T Therapy in Diffuse Large B-Cell Lymphoma |
| title_full_unstemmed | Assessing and Management of Neurotoxicity After CAR-T Therapy in Diffuse Large B-Cell Lymphoma |
| title_short | Assessing and Management of Neurotoxicity After CAR-T Therapy in Diffuse Large B-Cell Lymphoma |
| title_sort | assessing and management of neurotoxicity after car t therapy in diffuse large b cell lymphoma |
| topic | car-t neurotoxicity icans encephalopathy |
| url | https://www.dovepress.com/assessing-and-management-of-neurotoxicity-after-car-t-therapy-in-diffu-peer-reviewed-fulltext-article-JBM |
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