Engineering T-cells with chimeric antigen receptors to combat hematological cancers: an update on clinical trials

Cancer Immunol Immunother. 2022 Oct;71(10):2301-2311. doi: 10.1007/s00262-022-03163-y. Epub 2022 Feb 23.

Abstract

Chimeric antigen receptor (CAR) redirected T-cells has shown efficacy in the treatment of B-cell leukemia/lymphoma, however, high numbers of relapses occur due to loss of targeted antigen or intrinsic failure of the CAR T-cells. In this situation modifications of the basic strategy are envisaged to reduce the risk of relapse, some of them are in early clinical exploration. These include simultaneous targeting of multiple antigens or combination of CAR T-cell therapy with other treatment modalities such as checkpoint inhibitors. The review evaluates and discusses these modified advanced therapies and pre-clinical approaches with respect to their potential to control leukemia and lymphoma in the long-term.

Keywords: Chimeric antigen receptor; Clinical trial; Hematological cancer.

Publication types

  • Review

MeSH terms

  • Clinical Trials as Topic
  • Hematologic Neoplasms* / therapy
  • Humans
  • Immunotherapy, Adoptive / methods
  • Leukemia*
  • Lymphoma, B-Cell*
  • Receptors, Antigen, T-Cell / genetics
  • Receptors, Chimeric Antigen*
  • T-Lymphocytes

Substances

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