Combination therapy: A feasibility strategy for CAR-T cell therapy in the treatment of solid tumors

Oncol Lett. 2018 Aug;16(2):2063-2070. doi: 10.3892/ol.2018.8946. Epub 2018 Jun 11.

Abstract

Chimeric antigen receptor (CAR) T-cell therapies have been demonstrated to have durable and potentially curative therapeutic efficacies in patients with hematological malignancies. Currently, multiple clinical trials in CAR-T cell therapy have been evaluated for the treatment of patients with solid malignancies, but have had less marked therapeutic effects when the agents are used as monotherapies. When summarizing relevant studies, the present study found that combination therapy strategies for solid tumors based on CAR-T cell therapies might be more effective. This review will focus on various aspects of treating solid tumors with CAR-T cell therapy: i) The therapeutic efficacy of CAR-T cell monotherapy, ii) the feasibility of the CAR-T cell therapy in conjunction with chemotherapy, iii) the feasibility of CAR-T cell therapy with radiotherapy, iv) the feasibility of CAR-T cell therapy with chemoradiotherapy, and v) the feasibility of the combination of CAR-T cell therapy with other strategies.

Keywords: Chimeric antigen receptor-T cell therapy; chemotherapy; combination therapy; oncolytic virus; programmed cell death protein 1/programmed cell death 1 ligand 1 blockade; radiotherapy; solid tumor.

Publication types

  • Review