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使用靶向治疗的嵌合抗原受体T细胞疗法后中枢神经系统复发的弥漫性大B细胞淋巴瘤的长期反应

Prolonged Responses in Central Nervous System Relapsed Diffuse Large B-Cell Lymphoma After Chimeric Antigen Receptor T-Cell Therapy Using Targeted Treatments.

作者信息

Planken Simon, Faict Sylvia, Trullemans Fabienne, Linskens Eleni, Vandepoele Karl, De Becker Ann

机构信息

Department of Hematology, Universitair Ziekenhuis Brussel, Jette, BEL.

Department of Clinical Biology, Universitair Ziekenhuis Brussel, Jette, BEL.

出版信息

Cureus. 2024 Aug 6;16(8):e66291. doi: 10.7759/cureus.66291. eCollection 2024 Aug.

DOI:10.7759/cureus.66291
PMID:39108768
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11302743/
Abstract

The introduction of chimeric antigen receptor T-cell (CAR-T cell) therapy has changed the treatment landscape of diffuse large B-cell lymphoma (DLBCL). However, the optimal treatment strategy after relapse after this therapy still needs to be elucidated. In this report, we describe the case of a 67-year-old male who relapsed after treatment with tisagenlecleucel as a third-line therapy. We present our approach to treatment after relapse, in which we tried to sustain the circulating chimeric antigen receptor T-cells. This is reflected by the kinetics of the chimeric antigen receptor T-cells during these treatments.

摘要

嵌合抗原受体T细胞(CAR-T细胞)疗法的引入改变了弥漫性大B细胞淋巴瘤(DLBCL)的治疗格局。然而,这种疗法复发后的最佳治疗策略仍有待阐明。在本报告中,我们描述了一例67岁男性患者,他在接受替沙格韦单抗作为三线治疗后复发。我们介绍了复发后的治疗方法,即试图维持循环中的嵌合抗原受体T细胞。这在这些治疗过程中嵌合抗原受体T细胞的动力学中得到了体现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e18d/11302743/a675882f22fc/cureus-0016-00000066291-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e18d/11302743/f0448238e563/cureus-0016-00000066291-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e18d/11302743/a675882f22fc/cureus-0016-00000066291-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e18d/11302743/f0448238e563/cureus-0016-00000066291-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e18d/11302743/a675882f22fc/cureus-0016-00000066291-i02.jpg

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本文引用的文献

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Lenalidomide plus rituximab for the initial treatment of frail older patients with DLBCL: the FIL_ReRi phase 2 study.来那度胺联合利妥昔单抗治疗脆弱老年弥漫性大 B 细胞淋巴瘤患者的初步研究:FIL_ReRi Ⅱ期研究。
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Outcomes of first therapy after CD19-CAR-T treatment failure in large B-cell lymphoma.
大 B 细胞淋巴瘤中 CD19-CAR-T 治疗失败后的首次治疗结果。
Leukemia. 2023 Jan;37(1):154-163. doi: 10.1038/s41375-022-01739-2. Epub 2022 Nov 5.
4
Outcomes of patients with aggressive B-cell lymphoma after failure of anti-CD19 CAR T-cell therapy: a DESCAR-T analysis.抗 CD19 CAR T 细胞治疗失败后侵袭性 B 细胞淋巴瘤患者的结局:DESCAR-T 分析。
Blood. 2022 Dec 15;140(24):2584-2593. doi: 10.1182/blood.2022016945.
5
BTK Inhibitors and CAR T-Cell Therapy in Treating Mantle Cell Lymphoma-Finding a Dancing Partner.BTK 抑制剂和 CAR T 细胞疗法治疗套细胞淋巴瘤——寻找舞伴。
Curr Oncol Rep. 2022 Oct;24(10):1299-1311. doi: 10.1007/s11912-022-01286-0. Epub 2022 May 21.
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Polatuzumab Vedotin in Previously Untreated Diffuse Large B-Cell Lymphoma.泊洛妥珠单抗联合化疗治疗未经治疗的弥漫性大 B 细胞淋巴瘤
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Clin Lymphoma Myeloma Leuk. 2021 Mar;21(3):176-181. doi: 10.1016/j.clml.2020.11.023. Epub 2020 Dec 3.