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癌症治疗中 TCR-T 细胞疗法的临床进展和挑战。

Clinical advances and challenges associated with TCR-T cell therapy for cancer treatment.

机构信息

Heilongjiang University of Chinese Medicine, Harbin, China.

School of Mechanical and Electrical Engineering, Harbin Institute of Technology, Harbin, China.

出版信息

Front Immunol. 2024 Oct 8;15:1487782. doi: 10.3389/fimmu.2024.1487782. eCollection 2024.

Abstract

BACKGROUND

T cell receptor (TCR)-T cell therapy is an innovative form of cancer immunotherapy that genetically modifies patients' T cells to target and destroy cancer cells. However, the current status of clinical trials of TCR-T cell therapy for the treatment of cancer remains unclear. This study aimed to comprehensively analyze the registration trials related to TCR-T cell therapy for the treatment of cancer.

METHODS

A comprehensive search was conducted in the Trialtrove database for all clinical trials related to TCR-T cell therapy registered by August 1, 2024. Inclusion criteria focused on trials targeting TCR-T cell therapy for oncology, and excluded observational studies and incomplete data. Statistical analysis was performed on key trial characteristics, with between-group comparisons utilizing chi-square or Fisher's exact tests.

RESULTS

Analysis of 174 eligible clinical trials revealed that TCR-T cell therapy exhibits significant efficacy across various tumor types, particularly in refractory hematologic malignancies and certain solid tumors. Additionally, combining TCR-T cell therapy with other immunotherapies enhanced these anti-tumor effects.

CONCLUSION

TCR-T cell therapy holds substantial promise for cancer treatment. Future research should focus on optimizing treatment protocols, enhancing efficacy, and minimizing prices to fully realize the potential of this therapy.

摘要

背景

T 细胞受体(TCR)-T 细胞疗法是一种创新性的癌症免疫疗法,通过基因修饰患者的 T 细胞来靶向和破坏癌细胞。然而,目前 TCR-T 细胞疗法治疗癌症的临床试验现状尚不清楚。本研究旨在全面分析 TCR-T 细胞治疗癌症的注册试验。

方法

在 Trialtrove 数据库中全面检索了截至 2024 年 8 月 1 日注册的所有针对癌症的 TCR-T 细胞治疗的临床试验。纳入标准主要集中在针对肿瘤学的 TCR-T 细胞治疗试验上,并排除了观察性研究和数据不完整的试验。对关键试验特征进行了统计分析,组间比较采用卡方检验或 Fisher 精确检验。

结果

对 174 项合格临床试验的分析表明,TCR-T 细胞疗法在各种肿瘤类型中均表现出显著疗效,特别是在难治性血液恶性肿瘤和某些实体肿瘤中。此外,将 TCR-T 细胞疗法与其他免疫疗法联合使用可以增强这些抗肿瘤作用。

结论

TCR-T 细胞疗法在癌症治疗方面具有很大的潜力。未来的研究应侧重于优化治疗方案、提高疗效和降低价格,以充分发挥这种疗法的潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d69e/11493697/6ed110a40d08/fimmu-15-1487782-g001.jpg

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