Lisocabtagene Maraleucel for Richter's Transformation-A Case Series.

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Tác giả: Jonathan Alexander, Sushma Bharadwaj, Saurabh Dahiya, Matthew Frank, Anmol Goyal, Alexandria Jensen, Dasom Lee, David Miklos, Brian R Smith, Courtney J Smith, Melody Smith

Ngôn ngữ: eng

Ký hiệu phân loại: 373.236 Lower level

Thông tin xuất bản: United States : EJHaem , 2025

Mô tả vật lý:

Bộ sưu tập: NCBI

ID: 687372

INTRODUCTION: Richter's transformation (RT) from chronic lymphocytic leukemia (CLL) to lymphoma carries poor prognosis. This case series examines the efficacy of lisocabtagene maraleucel (liso-cel) in six RT patients, highlighting the impact of concurrent ibrutinib therapy. METHODS: Six patients were with RT who received liso-cel from were included in this single institution case series. Clinical data related to efficacy, safety, CAR-T expansion kinetics, and measurable residual disease were collected. RESULTS: The best overall response was 83.3%. The four patients who received ibrutinib concurrent with liso-cel therapy continue to show MRD-negative complete response till date. None experienced severe (grade 3+) cytokine release syndrome while 1 had severe (grade 3+) immune-effector cell-associated neurotoxicity syndrome (ICANS). All patients were noted to have in vivo CAR expansion. CONCLUSION: This series of real cases suggests liso-cel with concurrent ibrutinib may be a promising treatment for RT, warranting further exploration.
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