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CAR-T treatment for hematological malignancies
  1. Shebli Atrash1,
  2. Kulsum Bano1,
  3. Bradley Harrison1,
  4. Al-Ola Abdallah2
  1. 1Department of Hematologic Oncology and Blood Disorders, Levine Cancer Institute, Charlotte, North Carolina, USA
  2. 2Department of Internal Medicine, Division of Hematological Malignancies and Cellular Therapeutics, University of Kansas Medical Center, Kansas City, Kansas, USA
  1. Correspondence to Dr Shebli Atrash, Levine Cancer Institute, Charlotte, NC 28204, USA; Shebli.Atrash{at}Atriumhealth.org

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.

  • hematology
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Footnotes

  • Twitter @AtrashShebli

  • Contributors BH, KB, A-OA and SA helped writing the manuscript. SA did the final review and editing.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Commissioned; externally peer reviewed.

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