Real-World Experiences of CAR T-Cell Therapy for Large B-Cell Lymphoma: How Similar Are They to the Prospective Studies?

Chimeric antigen receptor (CAR) T cell therapy has emerged as a revolutionary treatment option for highly aggressive B cell malignancies. Clinical trials of CD19 CAR T cells for the management of relapsed and/or refractory non-Hodgkin lymphoma (NHL) have shown markedly improved survival and response...

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Main Authors: Kevin Tang, Loretta J. Nastoupil
Format: Article
Language:English
Published: Innovative Healthcare Institute 2021-08-01
Series:Journal of Immunotherapy and Precision Oncology
Subjects:
Online Access:https://jipo.org/doi/pdf/10.36401/JIPO-21-2
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author Kevin Tang
Loretta J. Nastoupil
author_facet Kevin Tang
Loretta J. Nastoupil
author_sort Kevin Tang
collection DOAJ
description Chimeric antigen receptor (CAR) T cell therapy has emerged as a revolutionary treatment option for highly aggressive B cell malignancies. Clinical trials of CD19 CAR T cells for the management of relapsed and/or refractory non-Hodgkin lymphoma (NHL) have shown markedly improved survival and response rates. The goal of this review is to evaluate whether the results from these clinical trials are reflective of real-world practices through the analysis of published literature of the commercially available CAR T cell products. We have found that despite the significantly different patient characteristics, the adverse events and response rates of real-world patients were similar to those of the clinical trials. Of interest, several groups excluded from the clinical trials, such as patients with HIV infection, chronic viral hepatitis, and secondary CNS (central nervous system) lymphoma, had case reports of promising outcomes.
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spelling doaj.art-75083ea9e54a4f548f1dffb1fe4fafd32023-01-03T16:42:10ZengInnovative Healthcare InstituteJournal of Immunotherapy and Precision Oncology2666-23452590-017X2021-08-0115015910.36401/JIPO-21-2i2590-017X-4-3-150Real-World Experiences of CAR T-Cell Therapy for Large B-Cell Lymphoma: How Similar Are They to the Prospective Studies?Kevin Tang0Loretta J. Nastoupil11 Department of Medicine, Baylor College of Medicine, Houston, TX, USA2 Department of Lymphoma/Myeloma, University of Texas MD Anderson Cancer Center, Houston, TX, USAChimeric antigen receptor (CAR) T cell therapy has emerged as a revolutionary treatment option for highly aggressive B cell malignancies. Clinical trials of CD19 CAR T cells for the management of relapsed and/or refractory non-Hodgkin lymphoma (NHL) have shown markedly improved survival and response rates. The goal of this review is to evaluate whether the results from these clinical trials are reflective of real-world practices through the analysis of published literature of the commercially available CAR T cell products. We have found that despite the significantly different patient characteristics, the adverse events and response rates of real-world patients were similar to those of the clinical trials. Of interest, several groups excluded from the clinical trials, such as patients with HIV infection, chronic viral hepatitis, and secondary CNS (central nervous system) lymphoma, had case reports of promising outcomes.https://jipo.org/doi/pdf/10.36401/JIPO-21-2lymphomanon-hodgkin lymphomacellular therapychimeric antigen receptorcar t cell therapy
spellingShingle Kevin Tang
Loretta J. Nastoupil
Real-World Experiences of CAR T-Cell Therapy for Large B-Cell Lymphoma: How Similar Are They to the Prospective Studies?
Journal of Immunotherapy and Precision Oncology
lymphoma
non-hodgkin lymphoma
cellular therapy
chimeric antigen receptor
car t cell therapy
title Real-World Experiences of CAR T-Cell Therapy for Large B-Cell Lymphoma: How Similar Are They to the Prospective Studies?
title_full Real-World Experiences of CAR T-Cell Therapy for Large B-Cell Lymphoma: How Similar Are They to the Prospective Studies?
title_fullStr Real-World Experiences of CAR T-Cell Therapy for Large B-Cell Lymphoma: How Similar Are They to the Prospective Studies?
title_full_unstemmed Real-World Experiences of CAR T-Cell Therapy for Large B-Cell Lymphoma: How Similar Are They to the Prospective Studies?
title_short Real-World Experiences of CAR T-Cell Therapy for Large B-Cell Lymphoma: How Similar Are They to the Prospective Studies?
title_sort real world experiences of car t cell therapy for large b cell lymphoma how similar are they to the prospective studies
topic lymphoma
non-hodgkin lymphoma
cellular therapy
chimeric antigen receptor
car t cell therapy
url https://jipo.org/doi/pdf/10.36401/JIPO-21-2
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