CD19-targeted CAR T-cell therapeutics for hematologic malignancies: interpreting clinical outcomes to date

JH Park, MB Geyer, RJ Brentjens - Blood, The Journal of the …, 2016 - ashpublications.org
JH Park, MB Geyer, RJ Brentjens
Blood, The Journal of the American Society of Hematology, 2016ashpublications.org
Adoptive transfer of T cells genetically modified to express chimeric antigen receptors
(CARs) targeting CD19 has produced impressive results in treating patients with B-cell
malignancies. Although these CAR-modified T cells target the same antigen, the designs of
CARs vary as well as several key aspects of the clinical trials in which these CARs have
been studied. It is unclear whether these differences have any impact on clinical outcome
and treatment-related toxicities. Herein, we review clinical results reflecting the …
Abstract
Adoptive transfer of T cells genetically modified to express chimeric antigen receptors (CARs) targeting CD19 has produced impressive results in treating patients with B-cell malignancies. Although these CAR-modified T cells target the same antigen, the designs of CARs vary as well as several key aspects of the clinical trials in which these CARs have been studied. It is unclear whether these differences have any impact on clinical outcome and treatment-related toxicities. Herein, we review clinical results reflecting the investigational use of CD19-targeted CAR T-cell therapeutics in patients with B-cell hematologic malignancies, in light of differences in CAR design and production, and outline the limitations inherent in comparing outcomes between studies.
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