Cited by 18CAR-T cell therapy researchImmunotherapy and Immune ResponsesT-cell and B-cell Immunology

Future directions in chimeric antigen receptor T cell therapy

Maude, Shannon L.·2017·Current Opinion in Pediatrics

Abstract

Purpose of review: The impact of immunotherapy has grown exponentially in the past 5 years. Principle illustrations are encouraging results with engineered T cells expressing a chimeric antigen receptor (CAR). This experimental therapy is developing simultaneously in pediatric and adult clinical trials, making this field particularly relevant and exciting for pediatric oncologists. Recent findings: CAR-modified T cells targeting CD19 have produced dramatic antitumor responses in patients with relapsed/refractory B cell acute lymphoblastic leukemia. Clinical trials from several institutions, in both children and adults, using distinct CAR T cell products have demonstrated similar high complete remission rates of 61–93%, with durable remissions observed. Although the development of CARs for other malignancies has lagged behind, research into novel approaches to overcome inherent challenges is promising. Summary: Clinical trials of CAR-modified T cells have produced unprecedented results and are anticipated to have a broader impact as this approach expands into other indications, including other cancers and frontline therapy. The potential for long-term disease control, if fully realized, will have a transformative impact on the field.

Integrity signals

Registry

Crossref · 10.1097/mop.0000000000000436

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53 of 53 references verified0 citation errors · 0 not checkable

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  • Adoptive cellular therapy using genetically engineered T cells can generate robust clinical responses even in patients with advanced B-cell malignancies highly refractory to other existing therapies.

    “This approach is capable of generating robust clinical responses even in patients with advanced B-cell malignancies that are highly refractory to other existing therapies [1].”

    From Clinical use of lentiviral vectors (2018) · cites this paper as [1]

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Authors
Maude, S. L.
Affiliations
Children's Hospital of Philadelphia (US)
Corresponding author
Maude, Shannon L.
Venue
Current Opinion in Pediatrics
Published
2017-02
Volume
29
Issue
1
Pages
27-33
ISSN
  • 1040-8703 (ISSN-L)
  • 1531-698X
OpenAlex
W2552868754
Cited by
18
References
56
Citations by year
2024: 1 · 2022: 1 · 2021: 2 · 2020: 3 · 2018: 4 · 2017: 7
FWCI
0.37
Type
journal article
Language
en
Open access
closed
Locations
  • Current Opinion in Pediatrics (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Oncology › CAR-T cell therapy research
  • Life Sciences › Immunology and Microbiology › Immunology › Immunotherapy and Immune Responses
  • Life Sciences › Immunology and Microbiology › Immunology › T-cell and B-cell Immunology
Keywords
CAR T-cell therapy, chimeric antigen receptor T cells, CD19, B-cell acute lymphoblastic leukemia, relapsed/refractory leukemia, pediatric oncology, complete remission, sustained remission, immunotherapy, clinical trials
MeSH terms
Humans, Immunotherapy, Receptors, Antigen, T-Cell, T-Lymphocytes, Biomarkers, Tumor, Antigens, CD19, Precursor Cell Lymphoblastic Leukemia-Lymphoma, Cell Engineering, Cell- and Tissue-Based Therapy

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