Seber Adriana, de CastroJunior Claudio Galvão, Kerbauy Lucila N, Hirayama Alexandre V, Bonfim Carmem, Fernandes Juliana Folloni, Souza Mair, Schafell Rony, Nabhan Samir, Loggetto Sandra Regina, Simões Belinda Pinto, Rocha Vanderson, de Lima Marcos, Guerino-Cunha Renato L, Bittencourt Henrique
Hospital Samaritano Higienópolis, São Paulo, SP, Brazil; Hospital Infantil Sabará, São Paulo, SP, Brazil.
Hemomed Instituto de Oncologia e Hematologia, São Paulo, SP, Brazil; Hospital São Camilo, São Paulo, SP, Brazil.
Hematol Transfus Cell Ther. 2021 Nov;43 Suppl 2(Suppl 2):S13-S21. doi: 10.1016/j.htct.2021.09.002.
Chimeric antigen receptor T (CAR-T) cell therapy is a novel therapeutic modality for acute lymphoblastic leukemia (ALL) with robust outcomes in patients with refractory or relapsed disease. At the same time, CAR-T cell therapy is associated with unique and potentially fatal toxicities, such as cytokine release syndrome (CRS) and neurological toxicities (ICANS). This manuscript aims to provide a consensus of specialists in the fields of Hematology Oncology and Cellular Therapy to make recommendations on the current scenario of the use of CAR-T cells in patients with ALL.
嵌合抗原受体T(CAR-T)细胞疗法是治疗急性淋巴细胞白血病(ALL)的一种新型治疗方式,对难治性或复发性疾病患者疗效显著。同时,CAR-T细胞疗法会引发独特且可能致命的毒性反应,如细胞因子释放综合征(CRS)和神经毒性(ICANS)。本文旨在就血液肿瘤学和细胞治疗领域的专家共识,针对目前在ALL患者中使用CAR-T细胞的情况提出建议。