Chimeric antigen receptor T-cell therapy for B-cell non-Hodgkin lymphoma: opportunities and challenges

B-cell non-Hodgkin lymphoma (NHL) is the most frequent hematologic malignancy. Despite the refinement of chemoimmunotherapy, a substantial number of patients experience chemorefractory disease. Anti-CD19 chimeric antigen receptor (CAR) T-cell therapy is considered the most promising and effective th...

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Main Authors: Shinichi Makita, Katsuaki Imaizumi, Saiko Kurosawa, Kensei Tobinai
Format: Article
Language:English
Published: BioExcel Publishing Ltd 2019-02-01
Series:Drugs in Context
Subjects:
Online Access:https://www.drugsincontext.com/chimeric-antigen-receptor-t-cell-therapy-for-b-cell-non-hodgkin-lymphoma:-opportunities-and-challenges
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author Shinichi Makita
Katsuaki Imaizumi
Saiko Kurosawa
Kensei Tobinai
author_facet Shinichi Makita
Katsuaki Imaizumi
Saiko Kurosawa
Kensei Tobinai
author_sort Shinichi Makita
collection DOAJ
description B-cell non-Hodgkin lymphoma (NHL) is the most frequent hematologic malignancy. Despite the refinement of chemoimmunotherapy, a substantial number of patients experience chemorefractory disease. Anti-CD19 chimeric antigen receptor (CAR) T-cell therapy is considered the most promising and effective therapy to overcome chemorefractory B-cell NHL. Based on the promising results obtained from pivotal trials, the US Food and Drug Administration and European Medicines Agency approved anti-CD19 CAR T-cell therapy for relapsed/refractory diffuse large B-cell lymphoma. Nonetheless, there remain several controversial issues and problems awaiting solutions, including optimal management of toxicities, overcoming relapsed/refractory disease after CAR T-cell therapy, and improving CAR-T manufacturing platform. Definite unmet medical needs among patients with chemorefractory B-cell NHL still exist. CAR T-cell therapy might be a game changer that can defeat chemorefractory B-cell NHL, and further clinical development is warranted. In this review, we summarize the recent clinical developments, clinical implications, and perspectives of CAR T-cell therapy, focusing on B-cell NHL.
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spelling doaj.art-cc7cf8f6699b4c228c3cae98668626002022-12-22T03:47:22ZengBioExcel Publishing LtdDrugs in Context1740-43981740-43982019-02-01811410.7573/dic.212567Chimeric antigen receptor T-cell therapy for B-cell non-Hodgkin lymphoma: opportunities and challengesShinichi MakitaKatsuaki Imaizumi Saiko KurosawaKensei TobinaiB-cell non-Hodgkin lymphoma (NHL) is the most frequent hematologic malignancy. Despite the refinement of chemoimmunotherapy, a substantial number of patients experience chemorefractory disease. Anti-CD19 chimeric antigen receptor (CAR) T-cell therapy is considered the most promising and effective therapy to overcome chemorefractory B-cell NHL. Based on the promising results obtained from pivotal trials, the US Food and Drug Administration and European Medicines Agency approved anti-CD19 CAR T-cell therapy for relapsed/refractory diffuse large B-cell lymphoma. Nonetheless, there remain several controversial issues and problems awaiting solutions, including optimal management of toxicities, overcoming relapsed/refractory disease after CAR T-cell therapy, and improving CAR-T manufacturing platform. Definite unmet medical needs among patients with chemorefractory B-cell NHL still exist. CAR T-cell therapy might be a game changer that can defeat chemorefractory B-cell NHL, and further clinical development is warranted. In this review, we summarize the recent clinical developments, clinical implications, and perspectives of CAR T-cell therapy, focusing on B-cell NHL.https://www.drugsincontext.com/chimeric-antigen-receptor-t-cell-therapy-for-b-cell-non-hodgkin-lymphoma:-opportunities-and-challengesaxicabtagene ciloleucelB-cell non-Hodgkin lymphomaCAR-TCD19chimeric antigen receptordiffuse large B-cell lymphomalisocabtagene maraleuceltisagenlecleucel
spellingShingle Shinichi Makita
Katsuaki Imaizumi
Saiko Kurosawa
Kensei Tobinai
Chimeric antigen receptor T-cell therapy for B-cell non-Hodgkin lymphoma: opportunities and challenges
Drugs in Context
axicabtagene ciloleucel
B-cell non-Hodgkin lymphoma
CAR-T
CD19
chimeric antigen receptor
diffuse large B-cell lymphoma
lisocabtagene maraleucel
tisagenlecleucel
title Chimeric antigen receptor T-cell therapy for B-cell non-Hodgkin lymphoma: opportunities and challenges
title_full Chimeric antigen receptor T-cell therapy for B-cell non-Hodgkin lymphoma: opportunities and challenges
title_fullStr Chimeric antigen receptor T-cell therapy for B-cell non-Hodgkin lymphoma: opportunities and challenges
title_full_unstemmed Chimeric antigen receptor T-cell therapy for B-cell non-Hodgkin lymphoma: opportunities and challenges
title_short Chimeric antigen receptor T-cell therapy for B-cell non-Hodgkin lymphoma: opportunities and challenges
title_sort chimeric antigen receptor t cell therapy for b cell non hodgkin lymphoma opportunities and challenges
topic axicabtagene ciloleucel
B-cell non-Hodgkin lymphoma
CAR-T
CD19
chimeric antigen receptor
diffuse large B-cell lymphoma
lisocabtagene maraleucel
tisagenlecleucel
url https://www.drugsincontext.com/chimeric-antigen-receptor-t-cell-therapy-for-b-cell-non-hodgkin-lymphoma:-opportunities-and-challenges
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AT katsuakiimaizumi chimericantigenreceptortcelltherapyforbcellnonhodgkinlymphomaopportunitiesandchallenges
AT saikokurosawa chimericantigenreceptortcelltherapyforbcellnonhodgkinlymphomaopportunitiesandchallenges
AT kenseitobinai chimericantigenreceptortcelltherapyforbcellnonhodgkinlymphomaopportunitiesandchallenges