Management of Haematological Malignancies

Author(s):  
John G. Gribben
2020 ◽  
Vol 90 (9) ◽  
pp. 1642-1646
Author(s):  
Claudia Ashkar ◽  
Maneka Britto ◽  
Peter Carne ◽  
Wa Cheung ◽  
Naseem Mirbagheri

2021 ◽  
Vol 72 ◽  
pp. 101929
Author(s):  
Lucie Pehalova ◽  
Denisa Krejci ◽  
Jana Halamkova ◽  
Lenka Smardova ◽  
Lenka Snajdrova ◽  
...  

Cancers ◽  
2021 ◽  
Vol 13 (8) ◽  
pp. 1926
Author(s):  
Lauren C. Cutmore ◽  
John F. Marshall

CAR T cells have revolutionised the treatment of haematological malignancies. Despite this, several obstacles still prohibit their widespread use and efficacy. One of these barriers is the use of autologous T cells as the carrier of the CAR. The individual production of CAR T cells results in large variation in the product, greater wait times for treatment and higher costs. To overcome this several novel approaches have emerged that utilise allogeneic cells, so called “off the shelf” CAR T cells. In this Review, we describe the different approaches that have been used to produce allogeneic CAR T to date, as well as their current pre-clinical and clinical progress.


2020 ◽  
Vol 12 ◽  
pp. 175883592096296
Author(s):  
Qing Cai ◽  
Mingzhi Zhang ◽  
Zhaoming Li

Chimeric antigen receptor (CAR) T-cell therapy is a rapidly developing method for adoptive immunotherapy of tumours in recent years. CAR T-cell therapies have demonstrated unprecedented efficacy in the treatment of patients with haematological malignancies. A 90% complete response (CR) rate has been reported in patients with advanced relapse or refractory acute lymphoblastic leukaemia, while >50% CR rates have been reported in cases of chronic lymphocytic leukaemia and partial B-cell lymphoma. Despite the high CR rates, a subset of the patients with complete remission still relapse. The mechanism of development of resistance is not clearly understood. Some patients have been reported to demonstrate antigen-positive relapse, whereas others show antigen-negative relapses. Patients who relapse following CAR T-cell therapy, have very poor prognosis and novel approaches to overcome resistance are required urgently. Herein, we have reviewed current literature and research that have investigated the strategies to overcome resistance to CAR T-cell therapy.


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