CAR-T treatment for hematological malignancies

J Investig Med. 2020 Jun;68(5):956-964. doi: 10.1136/jim-2020-001290. Epub 2020 Mar 21.

Abstract

Chimeric antigen receptor (CAR)-T-cell therapy has sparked a wave of optimism in hematological malignancies, reflected by the successful results of early clinical trials involving patients with pre-B-cell acute lymphoblastic leukemia, B-cell lymphomas and multiple myeloma. CAR-T-cell therapy is considered to be a novel immunotherapy treatment that has the potential for curing certain hematological cancers. However, as use of CAR-T-cell therapy has grown, new challenges have surfaced. These challenges include the process of manufacturing the CAR-T cells, the mechanisms of resistance that underlie disease relapse, adverse effects and cost. This review describes the published results of clinical trials and expected developments to overcome CAR-T resistance.

Keywords: hematology.

Publication types

  • Review

MeSH terms

  • Clinical Trials as Topic
  • Drug Approval
  • Hematologic Neoplasms / therapy*
  • Humans
  • Immunotherapy, Adoptive*
  • Receptors, Chimeric Antigen / immunology

Substances

  • Receptors, Chimeric Antigen