Allogeneic chimeric antigen receptor T cells for hematologic malignancies

Y Yang, X Bi, M Gergis, D Yi, J Hsu… - Hematology/Oncology and …, 2022 - hosct.org
Y Yang, X Bi, M Gergis, D Yi, J Hsu, U Gergis
Hematology/Oncology and Stem Cell Therapy, 2022hosct.org
Autologous chimeric antigen receptor (CAR) Tcell therapy has been extensively studied
over the past decades. Currently, autologous CAR T products are FDA-approved to treat B
cell acute lymphoblastic leukemia (B-ALL), large B cell, mantle cell, and follicular
lymphomas, and multiple myeloma. However, this therapy has drawbacks including higher
cost, production lead time, logistical complexity, and higher risk of manufacturing failure.
Alternatively, allogeneic CAR T cell therapy, currently under clinical trial, has inherent …
Abstract
Autologous chimeric antigen receptor (CAR) Tcell therapy has been extensively studied over the past decades. Currently, autologous CAR T products are FDA-approved to treat B cell acute lymphoblastic leukemia (B-ALL), large B cell, mantle cell, and follicular lymphomas, and multiple myeloma. However, this therapy has drawbacks including higher cost, production lead time, logistical complexity, and higher risk of manufacturing failure. Alternatively, allogeneic CAR T cell therapy, currently under clinical trial, has inherent disadvantages, including cell rejection, graft versus host disease, and undetermined safety and efficacy profiles. Different strategies, including modifying HLA and T cell receptor expression using different effector cells, are under investigation to circumvent these issues. Early allogeneic CAR T therapy results for B-ALL and B-NHL have been promising. Large sample clinical trials are ongoing. Here, wediscuss the pros and cons of allo-CAR T for hematologic malignancies and review the latest data on this scalable approach.
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