Publicaciones científicas

Consensus guidelines and recommendations for the management and response assessment of chimeric antigen receptor T-cell therapy in clinical practice for relapsed and refractory multiple myeloma: a report from the International Myeloma Working Group Immunotherapy Committee

28-may-2024 | Revista: The Lancet. Oncology

Yi Lin  1 , Lugui Qiu  2 , Saad Usmani  3 , Chng Wee Joo  4 , Luciano Costa  5 , Benjamin Derman  6 , Juan Du  7 , Hermann Einsele  8 , Carlos Fernandez de Larrea  9 , Roman Hajek  10 , P Joy Ho  11 , Efstathios Kastritis  12 , Joaquin Martinez-Lopez  13 , Maria-Victoria Mateos  14 , Joseph Mikhael  15 , Philippe Moreau  16 , Chandramouli Nagarajan  17 , Ajay Nooka  18 , Michael O'Dwyer  19 , Fredrik Schjesvold  20 , Surbhi Sidana  21 , Niels Wcj van de Donk  22 , Katja Weisel  23 , Sonja Zweegman  22 , Noopur Raje  24 , Paula Rodriguez Otero  25 , Larry D Anderson Jr  26 , Shaji Kumar  27 , Tom Martin  28 ; International Myeloma Working Group


Abstract

Chimeric antigen receptor (CAR) T-cell therapy has shown promise in patients with late-line refractory multiple myeloma, with response rates ranging from 73 to 98%. To date, three products have been approved: Idecabtagene vicleucel (ide-cel) and ciltacabtagene autoleucel (cilta-cel), which are approved by the US Food and Drug Administration, the European Medicines Agency, Health Canada (ide-cel only), and Brazil ANVISA (cilta-cel only); and equecabtagene autoleucel (eque-cel), which was approved by the Chinese National Medical Products Administration. CAR T-cell therapy is different from previous anti-myeloma therapeutics with unique toxic effects that require distinct mitigation strategies. Thus, a panel of experts from the International Myeloma Working Group was assembled to provide guidance for clinical use of CAR T-cell therapy in myeloma. This consensus opinion is from experts in the field of haematopoietic cell transplantation, cell therapy, and multiple myeloma therapeutics.

CITA DEL ARTÍCULO  Lancet Oncol. 2024 May 28:S1470-2045(24)00094-9

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