Future directions in chimeric antigen receptor T cell therapy
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.
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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.
- ORCID
- 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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