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Yescarta:非霍奇金淋巴瘤患者的新时代。

Yescarta: A New Era for Non-Hodgkin Lymphoma Patients.

作者信息

AlDallal Salma M

机构信息

Hematology, Amiri Hospital, Kuwait City, KWT.

出版信息

Cureus. 2020 Nov 16;12(11):e11504. doi: 10.7759/cureus.11504.

Abstract

The use of conventional therapeutic approaches in patients with lymphoma demonstrates significant drug resistance leading to poor prognosis with reduced median survival period. T-cell immunotherapy has diverted huge attention of the researchers in recent times to engage in the stated research studies in the pool of chemotherapy-refractory lymphoma patients. B-cell antigen CD19-targeted chimeric antigen receptor (CAR) T-cell products are approved for the treatment of non-Hodgkin B-cell refracting or relapsing lymphoma. The aim of this article is to give an idea about the use of FDA-approved anti-cancer gene therapy, Axicabtagene ciloleucel, marketed under the name of Yescarta®. Axicabtagene ciloleucel is developed from the patients' mononuclear peripheral blood cells during which T cells are orchestrated to articulate a CAR that diverts them to identify CD19-expressing cells. It is used in patients with non-Hodgkin B-cell refracting or relapsing lymphoma who had no response to prior therapeutic regiment involving the use of chemotherapeutics. Here, we review the mode of action, safety, and efficacy of Yescarta.

摘要

在淋巴瘤患者中使用传统治疗方法显示出显著的耐药性,导致预后不良,中位生存期缩短。近年来,T细胞免疫疗法引起了研究人员的极大关注,他们致力于在化疗难治性淋巴瘤患者群体中开展相关研究。靶向B细胞抗原CD19的嵌合抗原受体(CAR)T细胞产品已被批准用于治疗非霍奇金B细胞难治性或复发性淋巴瘤。本文旨在介绍美国食品药品监督管理局(FDA)批准的抗癌基因疗法——阿基仑赛注射液(商品名:奕凯达®)的使用情况。阿基仑赛注射液是从患者的外周血单个核细胞中开发而来的,在此过程中,T细胞被设计表达一种嵌合抗原受体,使其能够识别表达CD19的细胞。它用于对先前使用化疗药物的治疗方案无反应的非霍奇金B细胞难治性或复发性淋巴瘤患者。在此,我们回顾奕凯达的作用方式、安全性和疗效。

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