Strategies to optimize chimeric antigen receptor T-cell therapy in hematologic malignancies: Chinese experience

Haematologica. 2023 Aug 1;108(8):2011-2028. doi: 10.3324/haematol.2022.282316.

Abstract

Chimeric antigen receptor (CAR) T-cell therapy has emerged as a promising form of adoptive T-cell immunotherapy for selected hematologic malignancies including leukemia, lymphoma and multiple myeloma. China has become the country with the largest number of registered CAR T-cell trials. Despite the remarkable clinical outcomes achieved with CAR Tcell therapy, challenges such as disease relapse, the process of manufacturing the CAR T cells and safety have limited the therapeutic efficacy of CAR T cells in hematologic malignancies. In this period of innovation, several clinical trials have reported the design of CAR directed at new targets in hematologic malignancies. In this review, we comprehensively summarize the contemporary landscape and clinical development of CAR T-cell therapy in China. In addition, we present strategies for further improving the clinical utility of CAR T-cell therapy, such as increasing the efficacy and response duration, in hematologic malignancies.

Publication types

  • Review
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Cell- and Tissue-Based Therapy
  • Hematologic Neoplasms* / pathology
  • Humans
  • Immunotherapy, Adoptive / adverse effects
  • Receptors, Antigen, T-Cell / genetics
  • Receptors, Chimeric Antigen* / genetics

Substances

  • Receptors, Chimeric Antigen
  • Receptors, Antigen, T-Cell

Grants and funding

Funding: This work was supported by the National Key Research and Development Program of China (N. 2022YFA1103300), Major Program of the National Natural Science Foundation of China (N. 82293630), and Key Program of the National Natural Science Foundation of China (N. 81930004).