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利妥昔单抗注射用冻干粉治疗 B 细胞淋巴瘤。

Lisocabtagene Maraleucel for the treatment of B-cell lymphoma.

机构信息

Assistant Professor of Medicine, Division of Hematology & Blood and Marrow Transplantation, University of Kentucky, Markey Cancer Center, Lexington, KY, USA.

Professor of Medicine, Division Chief, Hematology & Blood and Marrow Transplantation.

出版信息

Expert Opin Biol Ther. 2021 Sep;21(9):1151-1156. doi: 10.1080/14712598.2021.1933939. Epub 2021 Jun 28.

Abstract

: Lisocabtagene Maraleucel (Liso-cel) is a second-generation Chimeric Antigen Receptor T-cell (CAR-T) therapy product targeting CD19. It is currently being evaluated for B-cell lymphomas with pivotal trials conducted in Aggressive B-cell Lymphomas To prepare this article reviewing preclinical and clinical data studying Liso-cel, we performed a Pubmed search using the terms 'JCAR017' and 'Lisocabtagene maraleucel'. Pre-clinical work done with Liso-cel demonstrate the synergistic activity of CD4 + T-cells and CD8+ central memory T-cells (TCM) at a predefined ratio of 1:1. The trial, TRANSCEND NHL001 in aggressive B-cell lymphoma, confirms robust antitumor activity while demonstrating manageable toxicity profile. There are inherent differences amongst the three CD19 directed CAR-T products. This could explain the differences in efficacy and safety profiles of the products. In the absence of randomized data, it would be scientifically unsound to prioritize one product over another. Nevertheless, when aiming to balance efficacy and safety, current prospective data indicate that Liso-cel is well positioned with impressive response rates.

摘要

:利妥昔单抗注射用细胞(Liso-cel)是一种针对 CD19 的第二代嵌合抗原受体 T 细胞(CAR-T)疗法产品。目前正在对 B 细胞淋巴瘤进行关键性试验,该试验在侵袭性 B 细胞淋巴瘤中进行。为了准备这篇综述 Liso-cel 的临床前和临床数据的文章,我们使用了术语“JCAR017”和“Lisocabtagene maraleucel”在 Pubmed 上进行了搜索。Liso-cel 的临床前工作表明,在预先设定的 1:1 比例下,CD4+T 细胞和 CD8+中央记忆 T 细胞(TCM)具有协同活性。在侵袭性 B 细胞淋巴瘤的 TRANSCEND NHL001 试验中,证实了其强大的抗肿瘤活性,同时显示出可管理的毒性特征。三种 CD19 导向的 CAR-T 产品之间存在固有差异。这可以解释产品疗效和安全性的差异。在没有随机数据的情况下,优先考虑一种产品而不是另一种产品在科学上是不合理的。然而,当旨在平衡疗效和安全性时,目前的前瞻性数据表明,Liso-cel 具有令人印象深刻的反应率,具有良好的定位。

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