Non-Hodgkin lymphomas (NHLs), the most common hematologic malignancy, are comprised of a heterogeneous group of lymphoid malignancies derived from both B-cell and T-cell progenitors or mature T cells, and rarely natural killer (NK) cells. Among the heterogeneous NHL subtypes, diffuse large B-cell lymphoma (DLBCL) is by far the most common aggressive lymphoma, accounting for 30%-35% of all NHLs diagnosed. The majority of patients can be cured with combination chemoimmunotherapy upfront or with salvage high dose chemotherapy and autologous hematopoietic stem cell transplantation (ASCT). 1 However, 15%-20% of patients will relapse or develop chemo-refractory disease 1-4 and these patients have a dismal prognosis, particularly if they are chemo-resistant to salvage therapy or relapse following ASCT. 5-8 A recent retrospective meta-analysis of patients who achieved stable disease or progressive disease as the best response to chemotherapy, or who relapsed within 12 months of autologous transplant, showed an overall response rate (ORR) of only 26% to salvage therapy and median overall survival (OS) of 6.3 months. 8 The outcomes for other aggressive NHL subtypes are equally poor after the failure of combination chemotherapy. This study further highlights the unmet need for novel Abstract The majority of patients with B-cell non-Hodgkin lymphoma (NHL) can be cured with standard chemoimmunotherapy. However, patients who fail first line therapy have dismal outcomes, particularly if they have disease that is resistant to salvage therapy, including chemoimmunotherapy, radiation and/or autologous stem cell transplantation. Indolent B-NHLs, such as follicular lymphoma (FL), although not generally considered curable may be treated over many years with good prognosis. However, a subset of indolent B-NHLs can undergo histologic transformation into more aggressive subtypes with outcomes similar to aggressive B-NHLs. In recent years, T cells, genetically modified with chimeric antigen receptors, have demonstrated a remarkable capacity to induce complete and durable clinical responses in patients with chemotherapy-refractory lymphomas. Indeed, two autologous CD19-directed CARmodified T-cell products have now been FDA-approved for the treatment of patients with relapsed or refractory diffuse large B-cell lymphoma, primary mediastinal B-cell lymphoma and transformed FL, while a plethora of other CAR-T cell targets are being explored in ongoing clinical trials. The purpose of this review is to summarize the clinical efficacy and unique toxicities of individually developed CAR-T cell products for the treatment of lymphomas, and their evolution from the laboratory bench to commercialization. K E Y W O R D S cancer, CAR-T cell, chimeric antigen receptor, immunotherapy, lymphoma, oncology