关键词: CD7 CAR-T HSCT T-ALL/LBL complete remission preventive infusion

Mesh : Humans Hematopoietic Stem Cell Transplantation / adverse effects Transplantation, Homologous Immunotherapy, Adoptive / methods adverse effects Antigens, CD7 / immunology Receptors, Chimeric Antigen / immunology Male Tissue Donors T-Lymphocytes / immunology Precursor T-Cell Lymphoblastic Leukemia-Lymphoma / therapy immunology Treatment Outcome Adult

来  源:   DOI:10.3389/fimmu.2024.1381308   PDF(Pubmed)

Abstract:
Chimeric antigen receptor T cells (CAR T) targeting CD7 for T-cell acute lymphoblastic leukemia/lymphoma (T-ALL/LBL) showed promising efficacy and safety in some clinical trials. However, most of them were bridged with allogeneic hematopoietic stem cell transplantation (allo-HSCT). We described successful treatment with preventive donor-derived anti-CD7 CAR-T therapy in a case of refractory T lymphoblastic lymphoma following allo-HSCT, who could not receive autologous anti-CD7 CAR-T products due to the low-quality of T lymphocytes. To date, the patient\'s complete remission has persisted for 20 months after HSCT.
摘要:
针对T细胞急性淋巴细胞白血病/淋巴瘤(T-ALL/LBL)的靶向CD7的嵌合抗原受体T细胞(CART)在一些临床试验中显示出有希望的疗效和安全性。然而,其中大多数与异基因造血干细胞移植(allo-HSCT)桥接。我们描述了在allo-HSCT后难治性T淋巴母细胞淋巴瘤的情况下,预防性供体来源的抗CD7CAR-T治疗的成功治疗。由于T淋巴细胞的低质量,他们无法接受自体抗CD7CAR-T产品。迄今为止,患者在HSCT后完全缓解持续20个月。
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