%0 Journal Article %T Advances in research on factors affecting chimeric antigen receptor T-cell efficacy. %A Zhou D %A Zhu X %A Xiao Y %J Cancer Med %V 13 %N 11 %D 2024 Jun %M 38864474 %F 4.711 %R 10.1002/cam4.7375 %X Chimeric antigen receptor T-cell (CAR-T) therapy is becoming an effective technique for the treatment of patients with relapsed/refractory hematologic malignancies. After analyzing patients with tumor progression and sustained remission after CAR-T cell therapy, many factors were found to be associated with the efficacy of CAR-T therapy. This paper reviews the factors affecting the effect of CAR-T such as tumor characteristics, tumor microenvironment and immune function of patients, CAR-T cell structure, construction method and in vivo expansion values, lymphodepletion chemotherapy, and previous treatment, and provides a preliminary outlook on the corresponding therapeutic strategies.