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10.15252/emmm.201607485

http://scihub22266oqcxt.onion/10.15252/emmm.201607485
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suck abstract from ncbi


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pmid28765140
      EMBO+Mol+Med 2017 ; 9 (9 ): 1183-1197
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  • Clinical development of CAR T cells-challenges and opportunities in translating innovative treatment concepts #MMPMID28765140
  • Hartmann J ; Schüßler-Lenz M ; Bondanza A ; Buchholz CJ
  • EMBO Mol Med 2017[Sep]; 9 (9 ): 1183-1197 PMID28765140 show ga
  • Chimeric antigen receptor (CAR) T cell therapy, together with checkpoint inhibition, has been celebrated as a breakthrough technology due to the substantial benefit observed in clinical trials with patients suffering from relapsed or refractory B-cell malignancies. In this review, we provide a comprehensive overview of the clinical trials performed so far worldwide and analyze parameters such as targeted antigen and indication, CAR molecular design, CAR T cell manufacturing, anti-tumor activities, and related toxicities. More than 200 CAR T cell clinical trials have been initiated so far, most of which aim to treat lymphoma or leukemia patients using CD19-specific CARs. An increasing number of studies address solid tumors as well. Notably, not all clinical trials conducted so far have shown promising results. Indeed, in a few patients CAR T cell therapy resulted in severe adverse events with fatal outcome. Of note, less than 10% of the ongoing CAR T cell clinical trials are performed in Europe. Taking lead from our analysis, we discuss the problems and general hurdles preventing efficient clinical development of CAR T cells as well as opportunities, with a special focus on the European stage.
  • |*Immunotherapy [MESH]
  • |Clinical Trials as Topic [MESH]
  • |Humans [MESH]
  • |Leukemia/immunology/*therapy [MESH]
  • |Lymphoma, B-Cell/immunology/*therapy [MESH]
  • |Receptors, Antigen, T-Cell/genetics/*immunology [MESH]


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