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Cited by 727

The DOI matches its Crossref record; 8 of the 8 references it cites were found in a registry or an index.

CD19-targeted chimeric antigen receptor T-cell therapy for acute lymphoblastic leukemia

Open access
Maude, Shannon L., Teachey, David T., Porter, David L., Grupp, Stephan A.·2015·Blood

Abstract

Relapsed and refractory acute lymphoblastic leukemia (ALL) remains difficult to treat, with minimal improvement in outcomes seen in more than 2 decades despite advances in upfront therapy and improved survival for de novo ALL. Adoptive transfer of T cells engineered to express a chimeric antigen receptor (CAR) has emerged as a powerful targeted immunotherapy, showing striking responses in highly refractory populations. Complete remission (CR) rates as high as 90% have been reported in children and adults with relapsed and refractory ALL treated with CAR-modified T cells targeting the B-cell–specific antigen CD19. Distinct CAR designs across several studies have produced similar promising CR rates, an encouraging finding. Even more encouraging are durable remissions observed in some patients without additional therapy. Duration of remission and CAR-modified T-cell persistence require further study and more mature follow-up, but emerging data suggest these factors may distinguish CAR designs. Supraphysiologic T-cell proliferation, a hallmark of this therapy, contributes to both efficacy and the most notable toxicity, cytokine release syndrome (CRS), posing a unique challenge for toxicity management. This review will discuss the current landscape of CD19 CAR clinical trials, CRS pathophysiology and management, and remaining challenges.

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Crossref · 10.1182/blood-2014-12-580068

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Metadata

Authors
Maude, S. L., Teachey, D. T., Porter, D. L., & Grupp, S. A.
Venue
Blood
Published
2015-06-25
Volume
125
Issue
26
Pages
4017-4023
ISSN
  • 0006-4971 (ISSN-L)
  • 1528-0020
OpenAlex
W1555553634
Cited by
727
References
8
FWCI
34.32
Type
journal article
Language
en
Open access
bronze

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