Article ; Online: Management of Patients Undergoing CAR-T Cell Therapy in Germany.
Oncology research and treatment
2024 Volume 47, Issue 3, Page(s) 65–75
Abstract: Introduction: Chimeric antigen receptor positive T cell (CAR-T cell) treatment became standard therapy for relapsed or refractory hematologic malignancies, such as non-Hodgkin's lymphoma and multiple myeloma. Owing to the rapidly progressing field of ... ...
Abstract | Introduction: Chimeric antigen receptor positive T cell (CAR-T cell) treatment became standard therapy for relapsed or refractory hematologic malignancies, such as non-Hodgkin's lymphoma and multiple myeloma. Owing to the rapidly progressing field of CAR-T cell therapy and the lack of generally accepted treatment guidelines, we hypothesized significant differences between centers in the prevention, diagnosis, and management of short- and long-term complications. Methods: To capture the current CAR-T cell management among German centers to determine the medical need and specific areas for future clinical research, the DAG-HSZT (Deutsche Arbeitsgemeinschaft für Hämatopoetische Stammzelltransplantation und Zelluläre Therapie; German Working Group for Hematopoietic Stem Cell Transplantation and Cellular Therapy) performed a survey among 26 German CAR-T cell centers. Results: We received answers from 17 centers (65%). The survey documents the relevance of evidence in the CAR-T cell field with a homogeneity of practice in areas with existing clinical evidence. In contrast, in areas with no - or low quality - clinical evidence, we identified significant variety in management in between the centers: management of cytokine release syndrome, immune effector cell-related neurotoxicity syndrome, IgG substitution, autologous stem cell backups, anti-infective prophylaxis, and vaccinations. Conclusion: The results indicate the urgent need for better harmonization of supportive care in CAR-T cell therapies including clinical research to improve clinical outcome. |
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MeSH term(s) | Humans ; Receptors, Chimeric Antigen ; Immunotherapy, Adoptive ; Germany ; Patients ; Cell- and Tissue-Based Therapy |
Chemical Substances | Receptors, Chimeric Antigen |
Language | English |
Publishing date | 2024-01-10 |
Publishing country | Switzerland |
Document type | Journal Article |
ZDB-ID | 2760274-6 |
ISSN | 2296-5262 ; 2296-5270 |
ISSN (online) | 2296-5262 |
ISSN | 2296-5270 |
DOI | 10.1159/000536201 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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