Division of Hematology & Oncology, Medical College of Wisconsin, Milwaukee, Wisconsin.
Am J Hematol. 2019 May;94(S1):S18-S23. doi: 10.1002/ajh.25403. Epub 2019 Jan 24.
Chimeric antigen receptor modified T (CAR-T) cell therapy against the CD19 antigen has revolutionized the therapeutic landscape for patients with relapsed, refractory B cell non-Hodgkin lymphoma (NHL). Currently, there are two FDA approved products (axicabtagene ciloleucel and tisagenlecleucel) for B cell NHL, with several other constructs under clinical investigation. This review will focus on the clinical outcomes, toxicity profile, and differences among candidate CD19 CAR-T cell products for major subtypes of B cell NHL including diffuse large B cell lymphoma, follicular lymphoma, and mantle cell lymphoma. Lastly, we will describe novel CAR-T constructs currently under exploration in B cell NHL.
嵌合抗原受体修饰 T(CAR-T)细胞疗法针对 CD19 抗原,彻底改变了复发、难治性 B 细胞非霍奇金淋巴瘤(NHL)患者的治疗前景。目前,有两种 FDA 批准的产品(axicabtagene ciloleucel 和 tisagenlecleucel)用于 B 细胞 NHL,还有几种其他的构建物正在临床研究中。这篇综述将重点关注临床结果、毒性概况以及候选 CD19 CAR-T 细胞产品在 B 细胞 NHL 的主要亚型(弥漫性大 B 细胞淋巴瘤、滤泡性淋巴瘤和套细胞淋巴瘤)中的差异。最后,我们将描述目前在 B 细胞 NHL 中探索的新型 CAR-T 构建物。