Department of Neurology, University of Southern California Keck School of Medicine, Los Angeles, CA, United States.
Division of Multiple Myeloma, Department of Hematopoietic Cell Transplantation, City of Hope Comprehensive Cancer Center, Duarte, CA, United States.
Front Immunol. 2024 Sep 20;15:1444010. doi: 10.3389/fimmu.2024.1444010. eCollection 2024.
We report on a patient with ciltacabtagene autoleucel-induced movement and neurocognitive toxicity, which was refractory to immunosuppression but responsive to combination dopaminergic therapy (carbidopa/levodopa, ropinirole, amantadine). Response was seen upon both initial treatment and rechallenge after unintended withdrawal. This is the first report of a successful symptomatic treatment of this well-described neurotoxic syndrome.
我们报告了一例 cilta-cabtagene autoleucel 诱导的运动和神经认知毒性患者,该患者对免疫抑制治疗无效,但对联合多巴胺能治疗(卡比多巴/左旋多巴、罗匹尼罗、金刚烷胺)有反应。在意外停药后再次治疗时,初始治疗和再次挑战均有反应。这是首例成功治疗这种明确描述的神经毒性综合征的症状性治疗报告。