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Navigating CAR-T cell therapy long-term complications

Chimeric antigen receptor (CAR)-T cells have revolutionized the treatment of hematological malignancies; however long-term safety concerns, associated with infections and secondary malignancies, have been reported. Here we discuss the clinical challenges of CAR-T cell therapy in light of this emerging benefit–risk controversy.

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Fig. 1: Factors that contribute to the NRM after CAR-T cell therapy and strategies for mitigation.

References

  1. Cordas Dos Santos, D. M. Nat. Med. 30, 2667–2678 (2024).

    Article  CAS  PubMed  Google Scholar 

  2. Tix, T. et al. Clin. Cancer Res. 30, 4690–4700 (2024).

    Article  PubMed  Google Scholar 

  3. Hamilton, M. P. et al. N. Engl. J. Med. 390, 2047–2060 (2024).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  4. Ozdemirli, M. et al. N. Engl. J. Med. 390, 2074–2082 (2024).

    Article  CAS  PubMed  Google Scholar 

  5. Harrison, S. J. et al. Blood 142, 6939 (2023).

    Article  Google Scholar 

  6. Berning, P. et al. Blood Cancer J. 14, 106 (2024).

    Article  PubMed  PubMed Central  Google Scholar 

  7. Garderet, L. et al. Am. J. Hematol. 99, 2084–2095 (2024).

    Article  CAS  PubMed  Google Scholar 

  8. Shadman, M. et al. Blood Cancer J. 14, 108 (2024).

    Article  PubMed  PubMed Central  Google Scholar 

  9. Rejeski, K. Blood Adv. 8, 1857–1868 (2024).

    Article  PubMed  PubMed Central  Google Scholar 

  10. Rejeski, K. et al. J. Immunother. Cancer 10, e004475 (2022).

    Article  PubMed  PubMed Central  Google Scholar 

  11. Panagiota, V. et al. Hemasphere 7, e957 (2023).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  12. Ghilardi, G. et al. Nat. Med. 30, 984–989 (2024).

    Article  CAS  PubMed  Google Scholar 

  13. Fraietta, J. A. et al. Nature 558, 307–312 (2018).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  14. Shah, N. N. et al. Blood Adv. 3, 2317–2322 (2019).

    Article  PubMed  PubMed Central  Google Scholar 

  15. Micklethwaite, K. P. et al. Blood 138, 1391–1405 (2021).

    Article  CAS  PubMed  PubMed Central  Google Scholar 

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Correspondence to J. Joseph Melenhorst.

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Grégoire, C., Melenhorst, J.J. Navigating CAR-T cell therapy long-term complications. Nat Cancer 5, 1768–1770 (2024). https://doi.org/10.1038/s43018-024-00867-1

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