Current Status of CAR-T Cell Therapy in Multiple Myeloma

Current data on CAR-T cell-based therapy is really promising in multiple myeloma, especially in terms of response. In heavily pretreated patients, who have already received proteasome inhibitors, immunomodulatory drugs and monoclonal antibodies, current trials report an overall response rate ranging...

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Main Authors: Juan Luis Reguera-Ortega, Estefanía García-Guerrero, Jose Antonio Pérez-Simón
Format: Article
Language:English
Published: MDPI AG 2021-10-01
Series:Hemato
Subjects:
Online Access:https://www.mdpi.com/2673-6357/2/4/43
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author Juan Luis Reguera-Ortega
Estefanía García-Guerrero
Jose Antonio Pérez-Simón
author_facet Juan Luis Reguera-Ortega
Estefanía García-Guerrero
Jose Antonio Pérez-Simón
author_sort Juan Luis Reguera-Ortega
collection DOAJ
description Current data on CAR-T cell-based therapy is really promising in multiple myeloma, especially in terms of response. In heavily pretreated patients, who have already received proteasome inhibitors, immunomodulatory drugs and monoclonal antibodies, current trials report an overall response rate ranging from 81 to 97% and 45 to 67% of complete remission rates. Data are less encouraging in terms of duration of response, although most recent trials have shown significant improvements in terms of event-free survival, with medians ranging from 8 to 14 months and up to 77% progression-free survival at 12 months with an acceptable toxicity profile. These data will be consolidated in future years and will provide new evidence on the best timing for CAR-T cell therapy. Moreover, new CAR-T designs are underway and will challenge the current results.
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spelling doaj.art-d265ed9f333140bd87ceb70041da0f8b2023-11-23T08:35:36ZengMDPI AGHemato2673-63572021-10-012466067110.3390/hemato2040043Current Status of CAR-T Cell Therapy in Multiple MyelomaJuan Luis Reguera-Ortega0Estefanía García-Guerrero1Jose Antonio Pérez-Simón2Department of Hematology, Instituto de Biomedicina de Sevilla (IBIS/CSIC/CIBERONC), University Hospital Virgen del Rocio, Universidad de Sevilla, 41013 Sevilla, SpainDepartment of Hematology, Instituto de Biomedicina de Sevilla (IBIS/CSIC/CIBERONC), University Hospital Virgen del Rocio, Universidad de Sevilla, 41013 Sevilla, SpainDepartment of Hematology, Instituto de Biomedicina de Sevilla (IBIS/CSIC/CIBERONC), University Hospital Virgen del Rocio, Universidad de Sevilla, 41013 Sevilla, SpainCurrent data on CAR-T cell-based therapy is really promising in multiple myeloma, especially in terms of response. In heavily pretreated patients, who have already received proteasome inhibitors, immunomodulatory drugs and monoclonal antibodies, current trials report an overall response rate ranging from 81 to 97% and 45 to 67% of complete remission rates. Data are less encouraging in terms of duration of response, although most recent trials have shown significant improvements in terms of event-free survival, with medians ranging from 8 to 14 months and up to 77% progression-free survival at 12 months with an acceptable toxicity profile. These data will be consolidated in future years and will provide new evidence on the best timing for CAR-T cell therapy. Moreover, new CAR-T designs are underway and will challenge the current results.https://www.mdpi.com/2673-6357/2/4/43myelomaCAR T-cellstarget antigen
spellingShingle Juan Luis Reguera-Ortega
Estefanía García-Guerrero
Jose Antonio Pérez-Simón
Current Status of CAR-T Cell Therapy in Multiple Myeloma
Hemato
myeloma
CAR T-cells
target antigen
title Current Status of CAR-T Cell Therapy in Multiple Myeloma
title_full Current Status of CAR-T Cell Therapy in Multiple Myeloma
title_fullStr Current Status of CAR-T Cell Therapy in Multiple Myeloma
title_full_unstemmed Current Status of CAR-T Cell Therapy in Multiple Myeloma
title_short Current Status of CAR-T Cell Therapy in Multiple Myeloma
title_sort current status of car t cell therapy in multiple myeloma
topic myeloma
CAR T-cells
target antigen
url https://www.mdpi.com/2673-6357/2/4/43
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