[Management of adverse effects in CAR T-cell therapy]

Rinsho Ketsueki. 2023;64(9):1203-1212. doi: 10.11406/rinketsu.64.1203.
[Article in Japanese]

Abstract

Immunotherapies such as immune checkpoint inhibitors, bispecific antibodies, and chimeric antigen receptor (CAR) T-cell therapy are emerging as new treatments for relapsed and/or refractory hematological malignancies. CAR T-cell therapy has attracted attention as a potentially curative treatment for patients incurable by chemotherapy. However, appropriate management is required to avoid serious complications specific to CAR T-cell therapy, such as cytokine release syndrome (CRS), neurotoxicity (ICANS), hypogammaglobulinemia and prolonged cytopenia, as well as post-treatment infections caused by suppressed immune function.

Keywords: CAR-T; CRS; Chimeric antigen receptor; ICANS.

Publication types

  • English Abstract

MeSH terms

  • Agammaglobulinemia*
  • Antibodies, Bispecific*
  • Hematologic Neoplasms* / therapy
  • Humans
  • Immunotherapy
  • Immunotherapy, Adoptive / adverse effects
  • Receptors, Antigen, T-Cell

Substances

  • Antibodies, Bispecific
  • Receptors, Antigen, T-Cell