Immunochemotherapy for life-threatening haematological malignancies in pregnancy: a systematic review of the literature and cross-sectional analysis of clinical trial eligibility

Mills, Georgia; Chadwick, Verity; Tang, Catherine; Perram, Jacinta; Anderson, Mary Ann; Anazodo, Antoinette; Kidson‐Gerber, Giselle; Shand, Antonia; Lavee, Orly; Withers, Barbara; Milliken, Sam; Ciaccio, Pietro R Di; Hamad, Nada

doi:10.1016/s2352-3026(23)00059-5

Cited by 4 publications

(2 citation statements)

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“…Future research is urgently needed to expand upon our current knowledge of the applicability of CAR-T-cell therapy in other diseases and particular clinical courses. Clinical research needs to include currently underrepresented disease groups into CAR-T-cell trials to broadly establish them in the clinical practice ( 397 ).…”

Section: Discussionmentioning

confidence: 99%

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Broadening the horizon: potential applications of CAR-T cells beyond current indications

Karsten,

Matrisch,

Cichutek

et al. 2023

Front. Immunol.

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Engineering immune cells to treat hematological malignancies has been a major focus of research since the first resounding successes of CAR-T-cell therapies in B-ALL. Several diseases can now be treated in highly therapy-refractory or relapsed conditions. Currently, a number of CD19- or BCMA-specific CAR-T-cell therapies are approved for acute lymphoblastic leukemia (ALL), diffuse large B-cell lymphoma (DLBCL), mantle cell lymphoma (MCL), multiple myeloma (MM), and follicular lymphoma (FL). The implementation of these therapies has significantly improved patient outcome and survival even in cases with previously very poor prognosis. In this comprehensive review, we present the current state of research, recent innovations, and the applications of CAR-T-cell therapy in a selected group of hematologic malignancies. We focus on B- and T-cell malignancies, including the entities of cutaneous and peripheral T-cell lymphoma (T-ALL, PTCL, CTCL), acute myeloid leukemia (AML), chronic myeloid leukemia (CML), chronic lymphocytic leukemia (CLL), classical Hodgkin-Lymphoma (HL), Burkitt-Lymphoma (BL), hairy cell leukemia (HCL), and Waldenström’s macroglobulinemia (WM). While these diseases are highly heterogenous, we highlight several similarly used approaches (combination with established therapeutics, target depletion on healthy cells), targets used in multiple diseases (CD30, CD38, TRBC1/2), and unique features that require individualized approaches. Furthermore, we focus on current limitations of CAR-T-cell therapy in individual diseases and entities such as immunocompromising tumor microenvironment (TME), risk of on-target-off-tumor effects, and differences in the occurrence of adverse events. Finally, we present an outlook into novel innovations in CAR-T-cell engineering like the use of artificial intelligence and the future role of CAR-T cells in therapy regimens in everyday clinical practice.

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Section: Discussionmentioning

confidence: 99%

“…Potential benefits include an enhanced clinical safety profile, high response rates and preservation of a higher T-cell stemness. This final aspect is assumed to play a major role in CAR-T-cell functionality and survival (396).…”

Section: Integration Of Car-t-cell Therapy Into Clinical Practicementioning

confidence: 99%