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Bull Cancer ; 108(12S): S65-S71, 2021 Dec.
Artigo em Francês | MEDLINE | ID: mdl-33678408

RESUMO

Chimeric antigen receptor (CAR) T cells are a new class of anti-cancer therapy that involves manipulating autologous or allogeneic T cells to express a CAR directed against a membrane antigen. In Europe, tisagenlecleucel (Kymriah™) has marketing authorization for the treatment of relapsed / refractory acute lymphoblastic leukemia (ALL) in children and young adults, in addition to the treatment of relapsed/refractory diffuse large B-cell lymphoma (DLBCL); the marketing authorization for axicabtagene ciloleucel (Yescarta™) is for the treatment of relapsed / refractory high-grade B-cell lymphoma and for the treatment of primary mediastinal B-cell lymphoma. Both cell products are genetically modified autologous T cells directed against CD19. These recommendations, drawn up by a working group of the Francophone Society of Bone Marrow transplantation and cellular Therapy (SFGM-TC) relate to the management of patients and the supply chain: medium-term complications, in particular cytopenias and B-cell aplasia, nursing and psychological supportive care. In another work, we will address long-term monitoring, post-marketing authorization pharmacovigilance and issues relating to JACIE and regulatory authorities. These recommendations are not prescriptive; their aim is to provide guidelines for the use of this new therapeutic approach. The purpose of this workshop is to outline the organizational aspects of this new therapeutic approach.


Assuntos
Produtos Biológicos/uso terapêutico , Imunoterapia Adotiva/métodos , Receptores de Antígenos de Linfócitos T/uso terapêutico , Receptores de Antígenos Quiméricos , Linfócitos T/transplante , Antibioticoprofilaxia , Antígenos CD19/imunologia , Antineoplásicos Imunológicos/efeitos adversos , Antineoplásicos Imunológicos/uso terapêutico , Produtos Biológicos/efeitos adversos , Seguimentos , Doença Enxerto-Hospedeiro/imunologia , Humanos , Imunoterapia Adotiva/efeitos adversos , Infecções , Linfoma Difuso de Grandes Células B/terapia , Linfopenia/imunologia , Neutropenia/imunologia , Leucemia-Linfoma Linfoblástico de Células Precursoras/terapia , Sociedades Médicas , Fatores de Tempo
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