HLA-matched allogeneic anti-CD19 CAR-T therapy in treating a relapsed/refractory acute lymphoblastic leukemia patient with high tumor burden

Immunomedicine Pub Date : 2022-03-27 DOI:10.1002/imed.1032
Yue Huang MD, Qin Yu PhD, Elaine Tan Su Yin MD, Guoqing Wei PhD, Wenjun Wu PhD, Alex H. Chang PhD, He Huang PhD, Yongxian Hu PhD
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Abstract

The genetically engineered chimeric antigen receptor T cell (CAR-T) therapy has shown remarkable clinical efficacy in the treatment of hematological malignancies. Nonetheless, it is difficult to harvest adequate autologous T cells to manufacture potent CAR-T cell products in patients with high tumor burden and prior tumor-reductive treatment. Here we reported a relapsed/refractory acute lymphoblastic leukemia patient with high leukemia burden and central nervous system (CNS) involvement. The patient responded to donor-derived HLA-matched allogeneic CAR-T treatment, with the achievement of quick complete remission. And for the first time, we revealed the development of a cerebral CRS in situ after allogeneic CAR-T therapy.

Abstract Image

hla匹配的异基因抗cd19 CAR-T疗法治疗复发/难治性急性淋巴细胞白血病高肿瘤负荷患者
基因工程嵌合抗原受体T细胞(CAR-T)疗法在治疗血液系统恶性肿瘤中显示出显著的临床疗效。然而,在高肿瘤负荷和既往肿瘤减少治疗的患者中,很难获得足够的自体T细胞来制造有效的CAR-T细胞产品。我们报告了一例复发/难治性急性淋巴细胞白血病患者,白血病负担高,中枢神经系统(CNS)受累。患者对供体来源的hla匹配的异体CAR-T治疗有反应,实现了快速完全缓解。我们首次揭示了同种异体CAR-T治疗后脑原位CRS的发展。
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